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| United States Patent Application |
20090227574
|
| Kind Code
|
A2
|
|
CAO; Liangxian
;   et al.
|
September 10, 2009
|
Administration of Carboline Derivatives Useful in the Treatment of Cancer
and Other Diseases
Abstract
In accordance with the present invention, compounds that inhibit the
expression of VEGF post-transcriptionally have been identified, and
compositions, and methods for the administration and use of those
compounds. provided. In one aspect of the invention, compounds useful in
the inhibition of VEGF production, in the treatment of solid tumor
cancer, and in reducing serum, plasma, and/or tumor VEGF levels, are
provided. In another aspect of the invention, methods are provided for
the inhibition of VEGF production, the treatment of cancer, and the
reduction of plasma and/or tumor VEGF levels, using the compounds of the
invention.
| Inventors: |
CAO; Liangxian; (Parlin, NJ)
; HIRAWAT; Samit; (South Plainfield, NJ)
; MILLER; Langdon; (Lebanon, NJ)
; DAVIS; Thomas; (South Orange, NJ)
|
| Correspondence Address:
|
JONES DAY
222 EAST 41ST ST
NEW YORK
NY
10017
UNITED STATES
212-326-3939
212-755-7306
|
| Assignee: |
PTC Therapeutics, Inc.
100 Corporate Court Middlesex Business Center
South Plainfield
NJ
07080
|
| Serial No.:
|
735069 |
| Series Code:
|
11
|
| Filed:
|
April 13, 2007 |
| Current U.S. Class: |
514/232.8; 514/253.03; 514/275; 514/292 |
| Class at Publication: |
514/232.8; 514/253.03; 514/275; 514/292 |
| International Class: |
A61K 31/4353 20060101 A61K031/4353; A61K 31/444 20060101 A61K031/444; A61K 31/5377 20060101 A61K031/5377; A61P 35/00 20060101 A61P035/00 |
Claims
1. A method for reducing VEGF production resulting from pathological
events without reducing plasma VEGF levels below normal physiological
levels, comprising administering to a subject in need of reducing VEGF
production either a therapeutically effective amount of one or more
compounds of Formula (I) or one or more pharmaceutically acceptable
salts, hydrates, solvates, clathrates, polymorphs, racemates or
stereoisomers of said one or more compounds, or a pharmaceutical
composition comprising one or more pharmaceutically acceptable excipients
and one or more compounds of Formula (I) or one or more pharmaceutically
acceptable salts, hydrates, solvates, clathrates, polymorphs, racemates
or stereoisomers of said one or more compounds of Formula (I), said one
or more compounds of Formula (I) having the structure ##STR274##
wherein X is hydrogen; a C.sub.1 to C.sub.6 alkyl, optionally substituted
with one or more halogens; a hydroxyl group; a halogen; a C.sub.1 to
C.sub.5 alkoxy, optionally substituted with a C.sub.6 to C.sub.10 aryl
group; A is C or N; B is C or N, with the proviso that at least one of A
or B is N, and that when A is N, B is C; R.sub.1 is a hydroxyl group; a
C.sub.1 to C.sub.8 alkyl group, optionally substituted with an alkylthio
group, a 5 to 10 membered heteroaryl, a C.sub.6 to C.sub.10 aryl group
optionally substituted with at least one independently selected R.sub.o
group; a C.sub.2 to C.sub.8 alkenyl group; a C.sub.2 to C.sub.8 alkynyl
group; a 3 to 12 membered heterocycle group, wherein the heterocycle
group is optionally substituted with at least one independently selected
halogen, oxo, amino, alkylamino, acetamino, thio, or alkylthio group; a 5
to 12 membered heteroaryl group, wherein the heteroaryl group is
optionally substituted with at least one independently selected halogen,
oxo, amino, alkylamino, acetamino, thio, or alkylthio group; or a C.sub.6
to C.sub.10 aryl group, optionally substituted with at least one
independently selected R.sub.o group; R.sub.o is a halogen; a cyano; a
nitro; a sulfonyl, wherein the sulfonyl is optionally substituted with a
C.sub.1 to C.sub.6 alkyl or a 3 to 10 membered heterocycle; an amino
group, wherein the amino group is optionally substituted with a C.sub.1
to C.sub.6 alkyl, --C(O)--R.sub.b, --C(O)O--R.sub.b, a sulfonyl, an
alkylsulfonyl, a 3 to 10 membered heterocycle group optionally
substituted with a --C(O)O--R.sub.n; --C(O)--NH--R.sub.b; a 5 to 6
membered heterocycle; a 5 to 6 membered heteroaryl; a C.sub.1 to C.sub.6
alkyl group, wherein the alkyl group is optionally substituted with at
least one independently selected hydroxyl, halogen, amino, or 3 to 12
membered heterocycle group, wherein the amino group and heterocycle group
are optionally substituted with at least one independently selected
C.sub.1 to C.sub.4 alkyl group, which C.sub.1 to C.sub.4 alkyl group is
optionally substituted with at least one independently selected C.sub.1
to C.sub.4 alkoxy group, amino group, alkylamino group, or 5 to 10
membered heterocycle group; a --C(O)--R.sub.n group; or an --OR.sub.a
group; R.sub.a is hydrogen; C.sub.2 to C.sub.8 alkenyl; a
--C(O)O--R.sub.b group; a --C(O)--NH--R.sub.b; a C.sub.1 to C.sub.8
alkyl, wherein the alkyl group is optionally substituted with at least
one independently selected hydroxyl, halogen, C.sub.1 to C.sub.4 alkoxy,
amino, alkylamino, acetamide, --C(O)--R.sub.b, --C(O)O--R.sub.b, C.sub.6
to C.sub.10 aryl, 3 to 12 membered heterocycle, or 5 to 12 heteroaryl
group, further wherein the alkylamino is optionally substituted with a
hydroxyl, a C.sub.1 to C.sub.4 alkoxy, or a 5 to 12 membered heteroaryl
optionally substituted with a C.sub.1 to C.sub.4 alkyl, further wherein
the acetamide is optionally substituted with a C.sub.1 to C.sub.4 alkoxy,
sulfonyl, or alkylsulfonyl, further wherein and the heterocycle group is
optionally substituted with a C.sub.1 to C.sub.4 alkyl optionally
substituted with a hydroxyl group, --C(O)--R.sub.n, --C(O)O--R.sub.n, or
an oxo group; R.sub.b is hydroxyl; an amino; an alkylamino, wherein the
alkylamino is optionally substituted with a hydroxyl, an amino, an
alkylamino, a C.sub.1 to C.sub.4 alkoxy, a 3 to 12 membered heterocycle
optionally substituted with at least one independently selected C.sub.1
to C.sub.6 alkyl, oxo, --C(O)O--R.sub.n, or a 5 to 12 membered heteroaryl
optionally substituted with a C.sub.1 to C.sub.4 alkyl; a C.sub.1 to
C.sub.4 alkoxy; a C.sub.2 to C.sub.8 alkenyl; a C.sub.2 to C.sub.8
alkynyl; a C.sub.6 to C.sub.10 aryl, wherein the aryl is optionally
substituted with at least one independently selected halogen or C.sub.1
to C.sub.4 alkoxy; a 5 to 12 membered heteroaryl; 3 to 12 membered
heterocycle group, wherein the heterocycle is optionally substituted with
at least one independently selected acetamide, --C(O)O--R.sub.n, 5 to 6
membered heterocycle, or C.sub.1 to C.sub.6 alkyl optionally substituted
with a hydroxyl, C.sub.1 to C.sub.4 alkoxy, amino group, or alkylamino
group; or a C.sub.1 to C.sub.8 alkyl, wherein the alkyl is optionally
substituted with at least one independently selected C.sub.1 to C.sub.4
alkoxy, C.sub.6 to C.sub.10 aryl, amino, or 3 to 12 membered heterocycle
group, wherein the amino and heterocycle groups are optionally
substituted with at least one independently selected C.sub.1 to C.sub.6
alkyl, oxo, or --C(O)O--R.sub.n group; R.sub.2 is a hydrogen; a hydroxyl;
a 5 to 10 membered heteroaryl group; a C.sub.1 to C.sub.8 alkyl group,
wherein the alkyl group is optionally substituted with a hydroxyl, a
C.sub.1 to C.sub.4 alkoxy, a 3 to 10 membered heterocycle, a 5 to 10
membered heteroaryl, or C.sub.6 to C.sub.10 aryl group; a --C(O)--R.sub.c
group; a --C(O)O--R.sub.d group; a --C(O)--N(R.sub.dR.sub.d) group; a
--C(S)--N(R.sub.dR.sub.d) group; a --C(S)--O--R.sub.e group; a
--S(O.sub.2)--R.sub.e group; a --C(NR.sub.e)--S--R.sub.e group; or a
--C(S)--S--R.sub.f group; R.sub.c is hydrogen; an amino, wherein the
amino is optionally substituted with at least one independently selected
C.sub.1 to C.sub.6 alkyl or C.sub.6 to C.sub.10 aryl group; a C.sub.6 to
C.sub.10 aryl, wherein the aryl is optionally substituted with at least
one independently selected halogen, haloalkyl, hydroxyl, C.sub.1 to
C.sub.4 alkoxy, or C.sub.1 to C.sub.6 alkyl group; --C(O)--R.sub.n; a 5
to 6 membered heterocycle, wherein the heterocycle is optionally
substituted with a --C(O)--R.sub.n group; a 5 to 6 membered heteroaryl; a
thiazoleamino group; a C.sub.1 to C.sub.8 alkyl group, wherein the alkyl
group is optionally substituted with at least one independently selected
halogen, a C.sub.1 to C.sub.4 alkoxy, a phenyloxy, a C.sub.6 to C.sub.10
aryl, --C(O)--R.sub.n, --O--C(O)--R.sub.n, hydroxyl, or amino group,
optionally substituted with a --C(O)O--R.sub.n group; R.sub.d is
independently hydrogen; a C.sub.2 to C.sub.8 alkenyl group; a C.sub.2 to
C.sub.8 alkynyl group; a C.sub.6 to C.sub.10 aryl group, wherein the aryl
is optionally substituted with at least one independently selected
halogen, nitro, C.sub.1 to C.sub.6 alkyl, --C(O)O--R.sub.e, or
--OR.sub.e; or a C.sub.1 to C.sub.8 alkyl group, wherein the alkyl group
is optionally substituted with at least one independently selected
halogen, C.sub.1 to C.sub.4 alkyl, C.sub.1 to C.sub.4 alkoxy, phenyloxy,
C.sub.6 to C.sub.10 aryl, 5 to 6 membered heteroaryl, --C(O)--R.sub.n,
--O--C(O)--R.sub.n, or hydroxyl group, wherein the C.sub.6 to C.sub.10
aryl group is optionally substituted with at least one independently
selected halogen or haloalkyl group; R.sub.e is a hydrogen; a C.sub.1 to
C.sub.6 alkyl group, wherein the alkyl group is optionally substituted
with at least one independently selected halogen or alkoxy group; or a
C.sub.6 to C.sub.10 aryl group, wherein the aryl group is optionally
substituted with at least one independently selected halogen or alkoxy
group; R.sub.f is a C.sub.1 to C.sub.6 alkyl group, optionally
substituted with at least one independently selected halogen, hydroxyl,
C.sub.1 to C.sub.4 alkoxy, cyano, C.sub.6 to C.sub.10 aryl, or
--C(O)--R.sub.n group, wherein the alkoxy group may be optionally
substituted with at least one C.sub.1 to C.sub.4 alkoxy group and the
aryl group may be optionally substituted with at least one independently
selected halogen, hydroxyl, C.sub.1 to C.sub.4 alkoxy, cyano, or C.sub.1
to C.sub.6 alkyl group; R.sub.n is a hydroxyl, C.sub.1 to C.sub.4 alkoxy,
amino, or C.sub.1 to C.sub.6 alkyl group; R.sub.3 is hydrogen or
--C(O)--R.sub.g; R.sub.g is a hydroxyl group; an amino group, wherein the
amino is optionally substituted with a C.sub.6 to C.sub.10 cycloalkyl
group or a 5 to 10 membered heteroaryl group; or a 5 to 10 membered
heterocycle group, wherein the heterocycle group is optionally
substituted with a --C(O)--R.sub.n group; and n is 0, 1, 2, or 3.
2. The method of claim 1 wherein said pathogenic event is hypoxia or
tumorogenic transformation.
3. The method of claim 1 wherein said subject in need of reducing VEGF
production is in need of: (a) treating a solid tumor cancer, (b) slowing
tumorigenesis of a solid tumor at a pre-vascular stage, (c) inhibiting
VEGF mRNA translation, (d) reducing solid tumor VEGF levels, (e) reducing
plasma or serum VEGF levels, (f) reducing perivascularly sequestered
VEGF, or (g) inhibiting angiogenesis.
4. The method of claim 1 wherein the lower limit of said normal
physiological levels is about 15 pg/ml.
5. The method of claim 1 wherein the lower limit of said normal
physiological levels is about 20 pg/ml.
6. The method of claim 1 wherein the lower limit of said normal
physiological levels is about 25 pg/ml.
7. The method of claim 1 wherein the lower limit of said normal
physiological level is about 25 pg/ml.
8. The method of claim 1, where in said one or more compounds of Formula
(I) or said pharmaceutical composition, comprises one or more compounds
of Formula (II), Formula (III), Formula (IV), or one or more compounds of
any of Formulas (I-a) through (I-l), or pharmaceutically acceptable
salts, hydrates, solvates, clathrates, polymorphs, racemates or
stereoisomers thereof.
9. The method of claim 1, where in said one or more compounds of Formula
(I) or said one or more pharmaceutical composition, comprise one or more
compounds selected from compounds 2, 4, 5, 7, 8, 10, 11, 12, 17, 23, 25,
81, 102, 112, 140, 328, 329, 330, 331, 332, 355, 816, 817, 818, 823, 824,
825, 830, 831, 832, 837, 838, 841, 842, 843, or pharmaceutically
acceptable salts, hydrates, solvates, clathrates, polymorphs, racemates
or stereoisomers thereof.
10. The method of claim 1, wherein said treatment does result in
hypertension, grade 1 proteinuria, or an increase in the grade of
proteinuria experienced by a subject.
11. A method for: (a) treating a solid tumor cancer, (b) slowing
tumorigenesis of a solid tumor at a pre-vascular stage, (c) inhibiting
VEGF mRNA translation, (d) reducing solid tumor VEGF levels, (e) reducing
plasma or serum VEGF levels, (f) reducing perivascularly sequestered
VEGF, or (g) inhibiting angiogenesis; wherein said method does not reduce
plasma VEGF below normal physiological levels; said method comprising
administering to said subject a therapeutically effective amount of one
or more compounds of Formula (I), or one or more pharmaceutically
acceptable salts, hydrates, solvates, clathrates, polymorphs, racemates
or stereoisomers of said one or more compounds of Formula (I), said
compounds of Formula (I) having the structure ##STR275## wherein X is
hydrogen; a C.sub.1 to C.sub.6 alkyl, optionally substituted with one or
more halogens; a hydroxyl group; a halogen; a C.sub.1 to C.sub.5 alkoxy,
optionally substituted with a C.sub.6 to C.sub.10 aryl group; A is C or
N; B is C or N, with the proviso that at least one of A or B is N, and
that when A is N, B is C; R.sub.1 is a hydroxyl group; a C.sub.1 to
C.sub.8 alkyl group, optionally substituted with an alkylthio group, a 5
to 10 membered heteroaryl, a C.sub.6 to C.sub.10 aryl group optionally
substituted with at least one independently selected R.sub.o group; a
C.sub.2 to C.sub.8 alkenyl group; a C.sub.2 to C.sub.8 alkynyl group; a 3
to 12 membered heterocycle group, wherein the heterocycle group is
optionally substituted with at least one independently selected halogen,
oxo, amino, alkylamino, acetamino, thio, or alkylthio group; a 5 to 12
membered heteroaryl group, wherein the heteroaryl group is optionally
substituted with at least one independently selected halogen, oxo, amino,
alkylamino, acetamino, thio, or alkylthio group; or a C.sub.6 to C.sub.10
aryl group, optionally substituted with at least one independently
selected R.sub.o group; R.sub.o is a halogen; a cyano; a nitro; a
sulfonyl, wherein the sulfonyl is optionally substituted with a C.sub.1
to C.sub.6 alkyl or a 3 to 10 membered heterocycle; an amino group,
wherein the amino group is optionally substituted with a C.sub.1 to
C.sub.6 alkyl, --C(O)--R.sub.b, --C(O)O--R.sub.b, a sulfonyl, an
alkylsulfonyl, a 3 to 10 membered heterocycle group optionally
substituted with a --C(O)O--R.sub.n; --C(O)--NH--R.sub.b; a 5 to 6
membered heterocycle; a 5 to 6 membered heteroaryl; a C.sub.1 to C.sub.6
alkyl group, wherein the alkyl group is optionally substituted with at
least one independently selected hydroxyl, halogen, amino, or 3 to 12
membered heterocycle group, wherein the amino group and heterocycle group
are optionally substituted with at least one independently selected
C.sub.1 to C.sub.4 alkyl group, which C.sub.1 to C.sub.4 alkyl group is
optionally substituted with at least one independently selected C.sub.1
to C.sub.4 alkoxy group, amino group, alkylamino group, or 5 to 10
membered heterocycle group; a --C(O)--R.sub.n group; or an --OR.sub.a
group; R.sub.a is hydrogen; C.sub.2 to C.sub.8 alkenyl; a
--C(O)O--R.sub.b group; a --C(O)--NH--R.sub.b; a C.sub.1 to C.sub.8
alkyl, wherein the alkyl group is optionally substituted with at least
one independently selected hydroxyl, halogen, C.sub.1 to C.sub.4 alkoxy,
amino, alkylamino, acetamide, --C(O)--R.sub.b, --C(O)O--R.sub.b, C.sub.6
to C.sub.10 aryl, 3 to 12 membered heterocycle, or 5 to 12 heteroaryl
group, further wherein the alkylamino is optionally substituted with a
hydroxyl, a C.sub.1 to C.sub.4 alkoxy, or a 5 to 12 membered heteroaryl
optionally substituted with a C.sub.1 to C.sub.4 alkyl, further wherein
the acetamide is optionally substituted with a C.sub.1 to C.sub.4 alkoxy,
sulfonyl, or alkylsulfonyl, further wherein and the heterocycle group is
optionally substituted with a C.sub.1 to C.sub.4 alkyl optionally
substituted with a hydroxyl group, --C(O)--R.sub.n, --C(O)O--R.sub.n, or
an oxo group; R.sub.b is hydroxyl; an amino; an alkylamino, wherein the
alkylamino is optionally substituted with a hydroxyl, an amino, an
alkylamino, a C.sub.1 to C.sub.4 alkoxy, a 3 to 12 membered heterocycle
optionally substituted with at least one independently selected C.sub.1
to C.sub.6 alkyl, oxo, --C(O)O--R.sub.n, or a 5 to 12 membered heteroaryl
optionally substituted with a C.sub.1 to C.sub.4 alkyl; a C.sub.1 to
C.sub.4 alkoxy; a C.sub.2 to C.sub.8 alkenyl; a C.sub.2 to C.sub.8
alkynyl; a C.sub.6 to C.sub.10 aryl, wherein the aryl is optionally
substituted with at least one independently selected halogen or C.sub.1
to C.sub.4 alkoxy; a 5 to 12 membered heteroaryl; 3 to 12 membered
heterocycle group, wherein the heterocycle is optionally substituted with
at least one independently selected acetamide, --C(O)O--R.sub.n, 5 to 6
membered heterocycle, or C.sub.1 to C.sub.6 alkyl optionally substituted
with a hydroxyl, C.sub.1 to C.sub.4 alkoxy, amino group, or alkylamino
group; or a C.sub.1 to C.sub.8 alkyl, wherein the alkyl is optionally
substituted with at least one independently selected C.sub.1 to C.sub.4
alkoxy, C.sub.6 to C.sub.10 aryl, amino, or 3 to 12 membered heterocycle
group, wherein the amino and heterocycle groups are optionally
substituted with at least one independently selected C.sub.1 to C.sub.6
alkyl, oxo, or --C(O)O--R.sub.n group; R.sub.2 is a hydrogen; a hydroxyl;
a 5 to 10 membered heteroaryl group; a C.sub.1 to C.sub.8 alkyl group,
wherein the alkyl group is optionally substituted with a hydroxyl, a
C.sub.1 to C.sub.4 alkoxy, a 3 to 10 membered heterocycle, a 5 to 10
membered heteroaryl, or C.sub.6 to C.sub.10 aryl group; a --C(O)--R.sub.c
group; a --C(O)O--R.sub.d group; a --C(O)--N(R.sub.dR.sub.d) group; a
--C(S)--N(R.sub.dR.sub.d) group; a --C(S)--O--R.sub.e, group; a
--S(O.sub.2)--R.sub.e, group; a --C(NR.sub.e)--S--R.sub.e group; or a
--C(S)--S--R.sub.f group; R.sub.c is hydrogen; an amino, wherein the
amino is optionally substituted with at least one independently selected
C.sub.1 to C.sub.6 alkyl or C.sub.6 to C.sub.10 aryl group; a C.sub.6 to
C.sub.10 aryl, wherein the aryl is optionally substituted with at least
one independently selected halogen, haloalkyl, hydroxyl, C.sub.1 to
C.sub.4 alkoxy, or C.sub.1 to C.sub.6 alkyl group; --C(O)--R.sub.n; a 5
to 6 membered heterocycle, wherein the heterocycle is optionally
substituted with a --C(O)--R.sub.n group; a 5 to 6 membered heteroaryl; a
thiazoleamino group; a C.sub.1 to C.sub.8 alkyl group, wherein the alkyl
group is optionally substituted with at least one independently selected
halogen, a C.sub.1 to C.sub.4 alkoxy, a phenyloxy, a C.sub.6 to C.sub.10
aryl, --C(O)--R.sub.n, --O--C(O)--R.sub.n, hydroxyl, or amino group,
optionally substituted with a --C(O)O--R.sub.n group; R.sub.d is
independently hydrogen; a C.sub.2 to C.sub.8 alkenyl group; a C.sub.2 to
C.sub.8 alkynyl group; a C.sub.6 to C.sub.10 aryl group, wherein the aryl
is optionally substituted with at least one independently selected
halogen, nitro, C.sub.1 to C.sub.6 alkyl, --C(O)O--R.sub.e, or
--OR.sub.e; or a C.sub.1 to C.sub.8 alkyl group, wherein the alkyl group
is optionally substituted with at least one independently selected
halogen, C.sub.1 to C.sub.4 alkyl, C.sub.1 to C.sub.4 alkoxy, phenyloxy,
C.sub.6 to C.sub.10 aryl, 5 to 6 membered heteroaryl, --C(O)--R.sub.n,
--O--C(O)--R.sub.n, or hydroxyl group, wherein the C.sub.6 to C.sub.10
aryl group is optionally substituted with at least one independently
selected halogen or haloalkyl group; R.sub.e is a hydrogen; a C.sub.1 to
C.sub.6 alkyl group, wherein the alkyl group is optionally substituted
with at least one independently selected halogen or alkoxy group; or a
C.sub.6 to C.sub.10 aryl group, wherein the aryl group is optionally
substituted with at least one independently selected halogen or alkoxy
group; R.sub.f is a C.sub.1 to C.sub.6 alkyl group, optionally
substituted with at least one independently selected halogen, hydroxyl,
C.sub.1 to C.sub.4 alkoxy, cyano, C.sub.6 to C.sub.10 aryl, or
--C(O)--R.sub.n group, wherein the alkoxy group may be optionally
substituted with at least one C.sub.1 to C.sub.4 alkoxy group and the
aryl group may be optionally substituted with at least one independently
selected halogen, hydroxyl, C.sub.1 to C.sub.4 alkoxy, cyano, or C.sub.1
to C.sub.6 alkyl group; R.sub.n is a hydroxyl, C.sub.1 to C.sub.4 alkoxy,
amino, or C.sub.1 to C.sub.6 alkyl group; R.sub.3 is hydrogen or
--C(O)--R.sub.g; R.sub.g is a hydroxyl group; an amino group, wherein the
amino is optionally substituted with a C.sub.6 to C.sub.10 cycloalkyl
group or a 5 to 10 membered heteroaryl group; or a 5 to 10 membered
heterocycle group, wherein the heterocycle group is optionally
substituted with a --C(O)--R.sub.n group; and n is 0, 1, 2, or 3.
12. The method of claim 11 wherein the lower limit of said normal
physiological levels is about 15 pg/ml.
13. The method of claim 11 wherein the lower limit of said normal
physiological levels is about 20 pg/ml.
14. The method of claim 11 wherein the lower limit of said normal
physiological levels is about 25 pg/ml.
15. The method of claim 11 wherein the lower limit of said normal
physiological level is about 25 pg/ml.
16. The method of claim 11, where in said one or more compounds of Formula
(I) or said pharmaceutical composition, comprises one or more compounds
of Formula (II), Formula (III), Formula (IV), or one or more compounds of
any of Formulas (I-a) through (I-l), or pharmaceutically acceptable
salts, hydrates, solvates, clathrates, polymorphs, racemates or
stereoisomers thereof.
17. The method of claim 11, where in said one or more compounds of Formula
(I) or said one or more pharmaceutical composition, comprise one or more
compounds selected from compounds 2, 4, 5, 7, 8, 10, 11, 12, 17, 23, 25,
81, 102, 112, 140, 328, 329, 330, 331, 332, 355, 816, 817, 818, 823, 824,
825, 830, 831, 832, 837, 838, 841, 842, 843, or pharmaceutically
acceptable salts, hydrates, solvates, clathrates, polymorphs, racemates
or stereoisomers thereof.
18. The method of claim 11, wherein said treatment does result in
hypertension, grade 1 proteinuria, or an increase in the grade of
proteinuria experienced by a subject.
Description
CROSS REFERENCE TO RELATED APPLICATION
[0001] This application is a continuation-in-part of U.S. application Ser.
No. 11/107,783, filed Apr. 18, 2005, which is a continuation-in-part of
U.S. application Ser. No. 11/079,420, filed Mar. 15, 2005, and having the
title "Carboline Derivatives Useful in the Inhibition of Angiogenesis,"
which claims the benefit of and priority to U.S. Provisional Application
No. 60/552,725, filed Mar. 15, 2004, which applications are incorporated
herein by reference; this application also claims priority to
International Application No. PCT/US2005/008481, filed Mar. 15, 2005, and
PCT/US 2006/014547, filed on Apr. 17, 2006, which application is
incorporated herein by reference.
FIELD OF THE INVENTION
[0002] The present invention relates to compounds for inhibiting the
expression of VEGF post-transcriptionally or for inhibiting angiogenesis,
and compositions, methods, and kits for the administration or use of such
compounds.
BACKGROUND OF THE INVENTION
[0003] Aberrant angiogenesis plays a critical role in the pathogenesis of
numerous diseases, including malignant, ischemic, inflammatory and immune
disorders (Carmeliet, Nat. Med., 9(6):653-60 (2003), Ferrara, Semin.
Oncol., 29(6 Suppl 16):10-4 (2002)). The best-known of these disorders
are cancer, exudative macular degeneration and diabetic retinopathy (DR),
the last two of which are leading cause of blindness in the United States
(Witmer et al., Prog. Retin Eye Res., 22(1): 1-29 (2003), Clark et al.,
Nat. Rev. Drug Discovery, 2:448-459 (2003)). During the last decade our
understanding of the molecular basis of angiogenesis has grown
considerably. Numerous cytokines and growth factors that stimulate
angiogenesis, such as VEGF, FGF-2, PDGF, IGF-1, TGF, TNF-.alpha., G-CSF
have been identified (Ferrara et al., Nat. Med., 5(12):1359-64 (1999),
Kerbel et al., Nat. Rev. Cancer, 2(10):727-39 (2002), Rofstad et al.,
Cancer Res., 60(17):4932-8 (2000)). Among these growth factors, Vascular
Endothelial Growth Factor (VEGF) plays a central role in angiogenesis
(Ferrara, Semin. Oncol., 29(6 Suppl 16): 10-4 (2002)).
[0004] VEGF, also known as VEGF-A, was initially identified for its
ability to induce vascular permeability and to promote vascular
endothelial cell proliferation (Leung et al., Science, 246:1306-1309
(1989), Plouet et al., EMBO J., 8:3801-3806 (1989), Connolly et al., J.
Biol. Chem., 264:20017-20024 (1989)). VEGF is encoded by a single gene
that gives rise to four isoforms by alternative splicing (Tischer et al.,
J. Biol. Chem., 266:11947-11954 (1991)). All four isoforms share the same
unusually long and GC rich 5'-UTR, as well as a 3'-UTR that includes
multiple RNA stability determinants. The receptors VEGFR-2 (also known as
KDR or Flk-1) and VEGFR-1 (previously known as Flt1) recognize the
dimeric form of VEGF (Ortega et al., Front. Biosci., 4:D141-52 (1999),
Sato et al., Annals of New York Academy of Science, 902:201-207, (2000)).
The highly specific VEGFR-2 receptor is expressed on endothelial cells.
VEGF binding to the VEGFR-2 receptor activates the receptor's tyrosine
kinase activity, leading to endothelial cell proliferation,
differentiation and primitive vessel formation (Shalaby et al., Nature,
376:62-66, (1995)). VEGFR-1 inhibits endothelial cell growth either by
acting as a decoy or by suppressing signaling pathways through VEGFR-2
(Fong et al., Nature, 376:66-70 (1995)).
[0005] Over 30 years ago, it was proposed that inhibition of tumor
angiogenesis could be an effective approach for the treatment of cancer
(Folkman, N. Engl. J. Med., 285(21):1182-6 (1971)). VEGF and its receptor
have been demonstrated to have a central role in tumor angiogenesis,
especially in the early stages of tumor growth (Hanahan et al., Cell,
86:353-364, 1996)). Indeed, increased levels of VEGF expression have been
correlated with microvessel density in primary tumor tissues (Gasparini
et al., J. Natl. Cancer Inst., 89:139-147 (1997)). Moreover, increased
levels of the VEGF transcript are found in virtually all of the common
solid tumors (Ferrara et al., Endocr. Rev., 18:4-25, 1997)). In general,
tumor-bearing patients have higher levels of VEGF compared to those in
tumor-free individuals, and high VEGF levels in serum/plasma are
associated with poor prognosis (Dirix et al., Br. J. Cancer, 76:238-243
(1997)). Consistent with the role of VEGF in tumor angiogenesis, VEGF
null embryonic stem cells showed a dramatically reduced ability to form
tumors in nude mice (Carmeliet et al., Nature, 380:435-439 (1996)).
Direct evidence for the involvement of VEGF in tumorgenesis was
demonstrated by using specific antibodies against VEGF in human
xenografts implanted in nude mice (Kim et al., Nature, 362:841-844
(1993), Hichlin et al., Drug Discovery Today, 6:517-528 (2001)). In these
studies, the inhibition of tumor growth correlated positively with
decreased vessel formation in the antibody-treated tumors. Subsequent
experiments using the soluble receptors substantiated the importance of
VEGF activity in tumor growth (Lin et al., Cell Growth Difer., 9(1):49-58
(1998)), and demonstrated that inactivation of VEGF by specific antibody
treatment directly resulted in a nearly complete suppression of
tumor-associated neovascularization (Borgstrom et al., Prostate, 35:1-10
(1998), Yuan et al. Proc. Natl. Acad. Sci. USA, 93:14765-14770 (1996)).
[0006] In exudative macular degeneration and diabetic retinopathy,
pre-clinical experiments and clinical trials have demonstrated that over
production of VEGF is critical for aberrant retinal or choroidal
neovascularization (reviewed in Witmer et al., Prog. Retin Eye Res.,
22(1):1-29 (2003)). Evidence has been obtained that intra-ocular VEGF
levels are strongly correlated with active retinal/choroidal
neovascularization (CNV) in patients with diseases such as diabetic
retinopathy and wet form macular degeneration (Funatsu et al., Am. J.
Opthalmol., 133(4):537-43 (2002), Lip et al., Opthalmology, 108(4):705-10
(2001)). In addition, studies using transgenic mice demonstrated that
overexpression of VEGF in retinal pigment epithelial cells or
p
hotoreceptor cells results in choroidal or retinal neovasucularization
(Schwesinger et al., Am. J. Pathol., 158(3):1161-72 (2001), Ohno-Matsui
et al., Am. J. Pathol., 160(2):711-9 (2002)). In recent studies
neutralizing antibodies, soluble receptor, receptor antagonists, or siRNA
have proven efficacious in reducing VEGF-mediated blood vessel formation
in animal models and in the clinic. (Eyetech Study Group, 22(2):143-52
(2002), Krzystolik et al., Arch. Opthalmol., 120(3):338-46 (2002), Shen
et al., Lab Invest., 82(2):167-82 (2002), Honda et al., Gene Ther.,
7(11):978-85 (2000), Saishin et al., J. Cell Physiol., 195(2):241-8
(2003)).
[0007] VEGF expression is regulated by a number of factors and agents
including cytokines, growth factors, steroid hormones and chemicals, and
mutations that modulate the activity of oncogenes such as ras or the
tumor suppressor gene VHL (Maxwell et al., Nature, 399:271-275 (1999),
Rak et al., Cancer Res., 60:490-498 (2000)). Nevertheless, hypoxia is the
most significant physiologic signal for regulating VEGF expression.
Hypoxia results in enhanced VEGF expression by increasing both the
transcription rate and stability of the VEGF transcript (Ikeda et al., J.
Biol. Chem. 270:19761-19766 (1995), Stein et al., Mol. Cell. Biol.
18:3112-3119 (1998), Levy et al., J. Biol. Chem. 271:2746-2753 (1996)).
Hypoxia-inducible factor 1.alpha. (HIF-1.alpha.a) is a transcription
factor that increases VEGF gene expression in cells undergoing hypoxia by
binding to the hypoxia response element (HRE) located in the VEGF
promoter (Liu et al., Circ. Res., 77:638-643 (1995), Semenza, Annu. Rev.
Cell. Dev. Biol., 5:551-578 (1999)). Both the stability and translation
efficiency of the VEGF transcript is influenced by sequences in the 5'-
and 3'-untranslated regions (UTRs). The 5'-UTR contains an internal
ribosomal entry site (IRES) and mediates cap-independent translation
initiation while the 3'-UTR harbors multiple AU-rich (AUR) stability
determinants that have been previously shown to regulate turnover of VEGF
mRNA. In addition, the translation initiation of the VEGF transcript is
uniquely regulated. Under hypoxic conditions, translation of most
cellular transcripts mediated by cap-dependent translation initiation
process is greatly impaired (Kraggerud et al., Anticancer Res.,
15:683-686 (1995)). Initiation of translation of the VEGF mRNA, however,
is unique under hypoxic conditions in that it is mediated via an internal
ribosome entry site (IRES) within the VEGF 5'UTR (Stein et al., Mol.
Cell. Biol. 18:3112-3119 (1998), Levy et al., J. Biol. Chem.
271:2746-2753 (1996), Huez et al., Mol. Cell. Biol., 18:6178-6190 (1998),
Akiri et al., Oncogene, 17:227-236 (1998)). Thus, this form of
post-transciptional regulation permits cells to produce large amounts of
VEGF protein to support either further tumor growth or aberrant
neovascularization in ocular diseases under hypoxic conditions. The
stability of VEGF mRNA is also greatly enhanced as a consequence of the
binding of factors to elements in the 3'-UTR (Goldberg et al., J. Biol.
Cell. J. Biol. Chem., 277(16):13635-40 (2002)).
[0008] There is a large body of experimental evidence indicating that
tumor growth can be inhibited by the prevention of neovascularization
(Lin et al., Cell Growth Differ., 9(1):49-58 (1998), Zhu et al., Invest.
New Drugs, 17:195-212 (1999)). Tumor vessels are generally immature and
constantly undergo remodeling (Carmeliet, Nat. Med., 9(6):653-60 (2003),
Carmeliet et al., Nature, 407:249-257 (2000)). Active and aberrant
angiogenesis is the result of a disruption in the normal balance of
proangiogenic and anti-angiogenic factors, including various cytokines,
growth factors and steroid hormones. Despite the complexity of the
regulation of tumor angiogenesis, accumulated evidence indicates that
targeting a single proangiogenic factor might be sufficient to inhibit
tumor angiogenesis and suppress tumor growth (Kim et al., Nature,
362:841-844 (1993), Millauer et al., Nature, 367:576-579 (1994), Fong et
al., Cancer Res., 59:99-106 (1999)). Among many angiogenesis targets,
VEGF and its receptor are most attractive (Carmeliet, Nat. Med.,
9(6):653-60 (2003), Ortega et al., Front. Biosci., 4:D141-52 (1999)). As
noted above, treatment with a monoclonal antibody specifically targeting
VEGF inhibited the growth of tumors in human xenografts implanted in nude
mice. Subsequently, various approaches designed to inactivate VEGF
signaling have been tested in tumor models and have proven to be highly
effective in a broad range of tumor cell lines including carcinomas,
sarcomas and gliomas (Ferrara et al., Endocr. Rev., 18:4-25, 1997), Kim
et al., Nature, 362:841-844 (1993), Millauer et al., Nature, 367:576-579
(1994), Fong et al., Cancer Res., 59:99-106 (1999), Geng et al., Cancer
Res., 61:2413-2419 (2001)). In addition, inhibition of VEGF by anti-VEGF
antibody did not result in significant side effects in fully developed
rodents or primates (Ryan et al, Toxicol. Pathol., 27:78-86 (1999),
Ferrara et al., Nat. Med., 4:336-340 (1998)). Taken together, these
results indicate that VEGF is a valid target for the development of tumor
therapy. Indeed, a number of clinical trials are underway using VEGF
inhibitors (Matter, Drug Discovery Today, 6:1005-1024 (2001), Hichlin et
al., Drug Discovery Today, 6:517-528 (2001)).
[0009] Although several pro-angiogenic factors are implicated in the
pathology of exudative age-related macular degeneration, VEGF appears to
be the most critical in the pathogenesis and development of this disease
(Witmer et al., Prog. Retin Eye Res., 22(1):1-29 (2003), Holash et al.,
Science, 284:1994-1998 (1999)). Data from preclinical experiments and
clinical trials have demonstrated that blockade of VEGF alone is
sufficient to alleviate or stabilize disease progression (Eyetech Study
Group, 22(2):143-52 (2002), Krzystolik et al., Arch. Opthalmol.,
120(3):338-46 (2002), Shen et al., Lab Invest., 82(2):167-82 (2002),
Honda et al., Gene Ther., 7(11):978-85 (2000), Saishin et al., J. Cell
Physiol., 195(2):241-8 (2003)). For example, inhibition of VEGFR
signaling by a specific tyrosine kinase inhibitor is sufficient to
completely prevent retinal neovascularization in a murine retinopathy of
prematurity model (Ozaki H, Seo M S, Ozaki et al., Am. J. Pathol.,
156(2):697-707 (2000)). Furthermore, it has recently been demonstrated
that small interfering RNAs (siRNA) directed against murine VEGF
significantly inhibited ocular neovascularization after laser
p
hotocoagulation in a mouse model (Reich et al., Mol. Vis. 30; 9:210-6
(2003)). These results indicate that selective inhibition of VEGF
expression is achievable and offers validation of this approach for the
treatment of ocular neovascular diseases such as exudative macular
degeneration and diabetic retinopathy.
[0010] Three approaches have been used to inhibit VEGF activity, including
(1) neutralization of VEGF activity by using a specific antibody, soluble
VEGF receptor or aptamer oligos against the VEGF/VEGFR interaction (Kim
et al., Nature, 362:841-844 (1993), Lin et al., Cell Growth Differ.,
9(1):49-58 (1998), Borgstrom et al., Prostate, 35:1-10 (1998), Zhu et
al., Invest. New Drugs, 17:195-212 (1999), Millauer et al., Nature,
367:576-579 (1994), Asano et al., Jpn. J. Cancer Res., 90(1):93-100
(1999), Brekken et al., Cancer Res., 60(18):5117-24 (2000)); (2)
inhibition of VEGFR mediated signal transduction by specific small
molecule tyrosine kinase inhibitors (Fong et al., Cancer Res., 59:99-106
(1999), Wedge et al., Cancer Res., 60(4):970-5 (2000), Laird et al.,
Cancer Res., 60(15):4152-60 (2000)); and (3) inhibition of VEGF/VEGFR
expression by using antisense, siRNA or ribozyme (Reich et al., Mol. Vis.
30; 9:210-6 (2003), Parry et al., Nucleic Acids Res., 27:2569-2577
(1999), Ellis et al., Surgery, 120:871-878 (1996), Filleur et al., Cancer
Res., 63(14):3919-22 (2003)). Although all of these approaches show
significant inhibition of angiogenesis in vivo, they all possess
significant limitations. For example, therapeutic proteins (antibody and
soluble receptors) or oligos (antisense, siRNA and ribozyme) are large
molecules with poor permeability that usually require parenteral
administration and are costly to produce. For treatment of chronic ocular
neovascularization, multiple injections may be impractical due to
potential complications such as retinal detachment and procedure related
infection. Moreover, tyrosine kinase inhibitors have the potential for
limited specificity. VEGF is constitutively expressed at a low level in
normal eyes and other tissues and thus it may be harmful to completely
suppress VEGF function by administration of antibody or tyrosine kinase
inhibitors systemically, especially for patients with AMD and RD many of
whom are also hypertensive (Giles et al., Cancer, 97(8):1920-8 (2003),
Sugimoto et al., J. Biol. Chem., 278(15):12605-8 (2003), Bergsland et
al., American Society of Clinical Oncology 36.sup.th Annual Meeting,
20-23 May, 2000, New Orleans, La., USA, Abstract 939), DeVore et al.,
American Society of Clinical Oncology 36.sup.th Annual Meeting, 20-23
May, 2000, New Orleans, La., USA, Abstract 1896).
[0011] Thus, there remains a need to develop, characterize and optimize
lead molecules for the development of novel anti-angiogenesis drugs.
Accordingly, it is an object of the present invention to provide such
compounds.
[0012] All documents referred to herein are incorporated by reference into
the present application as though fully set forth herein.
SUMMARY OF THE INVENTION
[0013] The present invention relates to compounds for inhibiting the
expression of VEGF post-transcriptionally or for inhibiting angiogenesis,
and compositions, methods, and kits for the administration or use of such
compounds.
[0014] In accordance with the present invention, compounds that inhibit
the expression of VEGF post-transcriptionally have been identified, and
methods for their use provided.
[0015] In one aspect of the invention, compounds of Formulas (I), (II) and
(III), including Formulas (I-a) to (I-l), are provided which are useful
in the inhibition of VEGF production, in the inhibition of angiogenesis,
and/or in the treatment of cancer, diabetic retinopathy or exudative
macular degeneration.
[0016] In another aspect of the invention, methods are provided for the
inhibition of VEGF production, the inhibition of angiogenesis, and/or the
treatment of cancer, cystic fibrosis, muscular dystrophy, diabetic
retinopathy, rheumatoid arthritis, psoriasis, atherosclerosis, chronic
inflammation, other chronic inflammation-related diseases and disorders,
obesity, or exudative macular degeneration using the compounds described
herein.
[0017] In one embodiment, the invention is directed to methods for
inhibiting VEGF production comprising administering a VEGF-expression
inhibiting amount of at least one compound of the invention to a subject
in need thereof.
[0018] In another embodiment, methods for inhibiting angiogenesis are
provided comprising administering an anti-angiogenic amount of at least
one compound of the invention to a subject in need thereof.
[0019] The present invention also provides methods for treating a solid
tumor cancer comprising administering a therapeutically effective amount
of a compound of Formula (I), or a pharmaceutically acceptable salt,
hydrate, solvate, clathrate, polymorph, racemate or stereoisomer of said
compound, to a subject in need thereof.
[0020] The present invention also provides methods for treating a Ewing's
sarcoma or a Wilms tumor comprising administering a therapeutically
effective amount of a compound of Formula (I), or a pharmaceutically
acceptable salt, hydrate, solvate, clathrate, polymorph, racemate or
stereoisomer of said compound, to a subject in need thereof.
[0021] The present invention also provides methods for treating a
neuroblastoma comprising administering a therapeutically effective amount
of a compound of Formula (I), or a pharmaceutically acceptable salt,
hydrate, solvate, clathrate, polymorph, racemate or stereoisomer of said
compound, to a subject in need thereof.
[0022] The present invention further provides methods of treating a
malignant melanoma comprising administering a therapeutically effective
amount of a compound of Formula (I), or a pharmaceutically acceptable
salt, hydrate, solvate, clathrate, polymorph, racemate or stereoisomer of
said compound, to a subject in need thereof.
[0023] The present invention yet further provides methods for treating
cervical cancer comprising administering a therapeutically effective
amount of a compound of Formula (I), or a pharmaceutically acceptable
salt, hydrate, solvate, clathrate, polymorph, racemate or stereoisomer of
said compound, to a subject in need thereof.
[0024] The present invention also provides methods for treating lung
cancer comprising administering a therapeutically effective amount of a
compound of Formula (I), or a pharmaceutically acceptable salt, hydrate,
solvate, clathrate, polymorph, racemate or stereoisomer of said compound,
to a subject in need thereof.
[0025] The present invention also provides methods for treating colon
cancer comprising administering a therapeutically effective amount of a
compound of Formula (I), or a pharmaceutically acceptable salt, hydrate,
solvate, clathrate, polymorph, racemate or stereoisomer of said compound,
to a subject in need thereof.
[0026] The present invention further provides methods for treating a solid
tumor cancer by post-transcriptionally modifying VEGF expression
comprising administering a therapeutically effective amount of a compound
of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate,
clathrate, polymorph, racemate or stereoisomer of said compound, to a
subject in need thereof.
[0027] The present invention yet further provides methods for treating a
solid tumor cancer by slowing tumorigenesis at a pre-vascular stage
comprising administering a therapeutically effective amount of a compound
of Formula (I), or a pharmaceutically acceptable salt, hydrate, solvate,
clathrate, polymorph, racemate or stereoisomer of said compound, to a
subject in need thereof.
[0028] The present invention also provides methods for treating a solid
tumor cancer by reducing tumor VEGF levels comprising administering a
therapeutically effective amount of a compound of Formula (I), or a
pharmaceutically acceptable salt, hydrate, solvate, clathrate, polymorph,
racemate or stereoisomer of said compound, to a subject in need thereof.
[0029] The present invention further provides methods for treating a solid
tumor cancer by reducing perivascularly sequestered VEGF comprising
administering a therapeutically effective amount of a compound of Formula
(I), or a pharmaceutically acceptable salt, hydrate, solvate, clathrate,
polymorph, racemate or stereoisomer of said compound, to a subject in
need thereof.
[0030] The present invention also provides methods of inhibiting VEGF mRNA
translation comprising administering a therapeutically effective amount
of a compound of Formula (I), or a pharmaceutically acceptable salt,
hydrate, solvate, clathrate, polymorph, racemate or stereoisomer of said
compound, to a subject in need thereof.
[0031] The present invention further provides methods of slowing
tumorigenesis at a pre-vascular stage comprising administering a
therapeutically effective amount of a compound of Formula (I), or a
pharmaceutically acceptable salt, hydrate, solvate, clathrate, polymorph,
racemate or stereoisomer of said compound, to a subject in need thereof.
[0032] The present invention yet further provides methods of reducing
tumor VEGF levels comprising administering a therapeutically effective
amount of a compound of Formula (I), or a pharmaceutically acceptable
salt, hydrate, solvate, clathrate, polymorph, racemate or stereoisomer of
said compound, to a subject in need thereof.
[0033] The present invention also provides methods of reducing plasma and
serum VEGF levels comprising administering a therapeutically effective
amount of a compound of Formula (I), or a pharmaceutically acceptable
salt, hydrate, solvate, clathrate, polymorph, racemate or stereoisomer of
said compound, to a subject in need thereof.
[0034] The present invention further provides methods of reducing
perivascularly sequestered VEGF comprising administering a
therapeutically effective amount of a compound of Formula (I), or a
pharmaceutically acceptable salt, hydrate, solvate, clathrate, polymorph,
racemate or stereoisomer of said compound, to a subject in need thereof.
[0035] The present invention yet further provides methods of treating a
solid tumor cancer comprising measuring serum or plasma levels of VEGF,
tumor levels of VEGF, or both, and administering a therapeutically
effective amount of a compound of Formula (I), or a pharmaceutically
acceptable salt, hydrate, solvate, clathrate, polymorph, racemate or
stereoisomer of said compound, to a subject in need thereof.
[0036] The present invention also provides methods of diagnosing solid
tumor cancers comprising measuring serum or plasma levels of VEGF.
[0037] The present invention further provides methods of diagnosing solid
tumor cancers comprising measuring tumor levels of VEGF.
[0038] The present invention yet further provides methods of treating a
solid tumor cancer comprising administering a therapeutically effective
amount of a compound of Formula (I), or a pharmaceutically acceptable
salt, hydrate, solvate, clathrate, polymorph, racemate or stereoisomer
thereof, together with one or more additional agents useful for treating
cancer to a subject in need thereof.
[0039] These and other aspects of the invention will be more clearly
understood with reference to the following preferred embodiments and
detailed description.
BRIEF DESCRIPTION OF THE DRAWINGS
[0040] FIG. 1 illustrates inhibition of VEGF expression in a cervical
cancer tumor by a certain compound of the invention.
[0041] FIG. 2 illustrates inhibition of lung cancer tumor growth by a
certain compound of the invention.
[0042] FIG. 3 illustrates inhibition of Ewing's sarcoma and neuroblastoma
tumor growth by a certain compound of the invention.
[0043] FIG. 4 illustrates inhibition of fibrosarcoma tumor growth by a
certain compound of the invention.
[0044] FIG. 5 illustrates inhibition of malignant melanoma tumor growth by
a certain compound of the invention.
[0045] FIG. 6 illustrates inhibition of VEGF expression in a fibrosarcoma
tumor by a certain compound of the invention.
[0046] FIG. 7 illustrates inhibition of colon cancer tumor growth by a
certain compound of the invention, either alone or in combination with
5-FU (fluorouracil).
[0047] FIG. 8 illustrates inhibition of cervical cancer tumor growth by a
certain compound of the invention, either alone or in combination with
Taxol (paclitaxel).
[0048] FIG. 9 illustrates inhibition of tumor growth by a certain compound
of the invention, either alone or in combination with Avastin
(bevacizumab, an antibody to VEGF).
[0049] FIG. 10 illustrates inhibition of tumor and plasma VEGF expression
by a certain compound of the invention, either alone or in combination
with Avastin.
[0050] FIG. 11 illustrates inhibition of angiogenesis by a certain
compound of the invention.
[0051] FIG. 12 illustrates that a certain compound of the invention does
not affect VEGF mRNA levels under hypoxic conditions.
[0052] FIG. 13 illustrates that the activity of phosphdiesterase 5 (PDE-5)
is not affected by certain compounds of the invention.
[0053] FIG. 14 illustrates the effect of a compound of the invention on
the production of VEGF by cultures kerotinocytes exposed to normoxic and
hypoxic conditions.
[0054] FIG. 15 illustrates the mean (average) plasma concentrations of a
compound of the invention at several times following administration of a
single dose of a compound to normal healthy subjects. The error bars show
the standard deviation.
[0055] FIG. 16 illustrates the mean plasma concentrations of VEGF (FIG.
16, panel A) and the change in VEGF relative to baseline measurements
(FIG. 16, panel B) over time following a single dose 0.0 mg/ml (placebo)
or 3.0 mg/kg of a compound of the invention.
[0056] FIG. 17 illustrates the mean plasma concentrations of a compound of
the invention at day one and seven of a seven day dosing study of normal
healthy subjects at three different doses administered twice per day
(0.3, 0.6 or 1.2 mg/kg). The error bars show the standard deviation.
[0057] FIG. 18 illustrates the mean plasma and serum concentrations of
VEGF relative to placebo treated subjects at several time points
following administration of doses of a compound of the invention. Groups
of subjects are treated with twice daily (BID) with 0.3 mg/kg, 0.6 mg/kg,
or 1.2 mg/kg of the compound. For assessment of effects on VEGF levels
with administration three times daily (TID) compound was administered at
1.6 mg/kg (4.8 mg/kg/day total).
[0058] FIG. 19 illustrates the mean plasma concentrations of a compound of
the invention at day one and seven of a seven day dosing study of normal
healthy subjects at a dose 1.6 mg/kg administered three times a day (a
total of 4.8 mg/kg/day). The error bars show the standard deviation.
DETAILED DESCRIPTION OF THE INVENTION
[0059] Aberrant up-regulation of Vascular Endothelial Growth Factor
(VEGF), a key factor for angiogenesis, is an important contributor to the
pathogenesis of disease states such as cancer, diabetic retinopathy,
rheumatoid arthritis, psoriasis, atherosclerosis, chronic inflammation,
other chronic inflammation-related diseases and disorders, obesity, or
exudative macular degeneration. In accordance with the present invention,
compounds that inhibit the expression of VEGF post-transcriptionally have
been identified, and methods for their use provided. The compounds of the
invention have nanomolar to sub-nanomolar activity for the inhibition of
VEGF expression.
[0060] A. Compounds of the Invention
[0061] In one aspect of the invention, compounds are provided which are
useful in the inhibition of VEGF production, in the inhibition of
angiogenesis, and/or in the treatment of cancer, diabetic retinopathy or
exudative macular degeneration. In certain embodiments, the compounds of
the invention specifically inhibit VEGF production, while in other
embodiments, the compounds of the invention inhibit VEGF expression as
well as that of other angiogenesis factors such as FGF-2. In this regard,
pan-angiogenic inhibitor may be preferred in methods of inhibiting tumor
growth, while VEGF specific inhibitors may be preferred for the treatment
of ocular neovascular disorders (Eyetech Study Group, 22(2):143-52
(2002)).
[0062] The compounds of the invention generally include one or more chiral
centers, and as such may exist as racemic mixtures (R/S) or as
enantiomerically pure compositions. The compounds may exist as (R) or (S)
isomers (when one chiral center is present) in enantiomerically pure
compositions. In a preferred embodiment, the compounds of the invention
are the (S) isomers and may exist as enantiomerically pure compositions
comprising only the (S) isomer. As one of skill will recognize, when more
than one chiral center is present, the compounds of the invention may
exist as (R,R), (R,S), (S,R), (S,S), etc. isomer. Preferred compounds
included (S,S) and (S,R) isomers.
[0063] As used herein, "enantiomerically pure" refers to compositions
consisting substantially of a single isomer, preferably consisting of
greater than or equal to 90%, 92%, 95%, 98%, 99%, or equal to 100% of a
single isomer.
[0064] As used herein, a "racemic mixture" is any mixture of isometric
forms that are not "enantiomerically pure," including, without
limitation, about 50/50, about 60/40, and about 70/30 mixtures.
[0065] Preferred compounds of the present invention useful in the
inhibition of VEGF production include those of Formula (I) as shown
below. ##STR1## wherein,
[0066] X is hydrogen; a C.sub.1 to C.sub.6 alkyl, optionally substituted
with one or more halogens; a hydroxyl group; a halogen; a C.sub.1 to
C.sub.5 alkoxy, optionally substituted with a C.sub.6 to C.sub.10 aryl
group;
[0067] A is C or N;
[0068] B is C or N, with the proviso that at least one of A or B is N, and
that when A is N, B is C;
[0069] R.sub.1 is a hydroxyl group; a C.sub.1 to C.sub.8 alkyl group,
optionally substituted with an alkylthio group, a 5 to 10 membered
heteroaryl, a C.sub.6 to C.sub.10 aryl group optionally substituted with
at least one independently selected R.sub.o group; a C.sub.2 to C.sub.8
alkenyl group; a C.sub.2 to C.sub.8 alkynyl group; a 3 to 12 membered
heterocycle group, wherein the heterocycle group is optionally
substituted with at least one independently selected halogen, oxo, amino,
alkylamino, acetamino, thio, or alkylthio group; a 5 to 12 membered
heteroaryl group, wherein the heteroaryl group is optionally substituted
with at least one independently selected halogen, oxo, amino, alkylamino,
acetamino, thio, or alkylthio group; or a C.sub.6 to C.sub.10 aryl group,
optionally substituted with at least one independently selected R.sub.o
group;
[0070] R.sub.o is a halogen; a cyano; a nitro; a sulfonyl, wherein the
sulfonyl is optionally substituted with a C.sub.1 to C.sub.6 alkyl or a 3
to 10 membered heterocycle; an amino group, wherein the amino group is
optionally substituted with a C.sub.1 to C.sub.6 alkyl, --C(O)--R.sub.b,
--C(O)O--R.sub.b, a sulfonyl, an alkylsulfonyl, a 3 to 10 membered
heterocycle group optionally substituted with a --C(O)O--R.sub.n;
--C(O)--NH--R.sub.b; a 5 to 6 membered heterocycle; a 5 to 6 membered
heteroaryl; a C.sub.1 to C.sub.6 alkyl group, wherein the alkyl group is
optionally substituted with at least one independently selected hydroxyl,
halogen, amino, or 3 to 12 membered heterocycle group, wherein the amino
group and heterocycle group are optionally substituted with at least one
independently selected C.sub.1 to C.sub.4 alkyl group, which C.sub.1 to
C.sub.4 alkyl group is optionally substituted with at least one
independently selected C.sub.1 to C.sub.4 alkoxy group, amino group,
alkylamino group, or 5 to 10 membered heterocycle group; a
--C(O)--R.sub.n group; or an --OR.sub.a group;
[0071] R.sub.a is hydrogen; C.sub.2 to CS alkenyl; a --C(O)O--R.sub.b
group; a --C(O)--NH--R.sub.b; a C.sub.1 to C.sub.8 alkyl, wherein the
alkyl group is optionally substituted with at least one independently
selected hydroxyl, halogen, C.sub.1 to C.sub.4 alkoxy, amino, alkylamino,
acetamide, --C(O)--R.sub.b, --C(O)O--R.sub.b, C.sub.6 to C.sub.10 aryl, 3
to 12 membered heterocycle, or 5 to 12 heteroaryl group, further wherein
the alkylamino is optionally substituted with a hydroxyl, a C.sub.1 to
C.sub.4 alkoxy, or a 5 to 12 membered heteroaryl optionally substituted
with a C.sub.1 to C.sub.4 alkyl, further wherein the acetamide is
optionally substituted with a C.sub.1 to C.sub.4 alkoxy, sulfonyl, or
alkylsulfonyl, further wherein and the heterocycle group is optionally
substituted with a C.sub.1 to C.sub.4 alkyl optionally substituted with a
hydroxyl group, --C(O)--R.sub.n, --C(O)O--R.sub.n, or an oxo group;
[0072] R.sub.b is hydroxyl; an amino; an alkylamino, wherein the
alkylamino is optionally substituted with a hydroxyl, an amino, an
alkylamino, a C.sub.1 to C.sub.4 alkoxy, a 3 to 12 membered heterocycle
optionally substituted with at least one independently selected C.sub.1
to C.sub.6 alkyl, oxo, --C(O)O--R.sub.n, or a 5 to 12 membered heteroaryl
optionally substituted with a C.sub.1 to C.sub.4 alkyl; a C.sub.1 to
C.sub.4 alkoxy; a C.sub.2 to C.sub.8 alkenyl; a C.sub.2 to C.sub.8
alkynyl; a C.sub.6 to C.sub.10 aryl, wherein the aryl is optionally
substituted with at least one independently selected halogen or C.sub.1
to C.sub.4 alkoxy; a 5 to 12 membered heteroaryl; 3 to 12 membered
heterocycle group, wherein the heterocycle is optionally substituted with
at least one independently selected acetamide, --C(O)O--R.sub.n, 5 to 6
membered heterocycle, or C.sub.1 to C.sub.6 alkyl optionally substituted
with a hydroxyl, C.sub.1 to C.sub.4 alkoxy, amino group, or alkylamino
group; or a C.sub.1 to C.sub.8 alkyl, wherein the alkyl is optionally
substituted with at least one independently selected C.sub.1 to C.sub.4
alkoxy, C.sub.6 to C.sub.10 aryl, amino, or 3 to 12 membered heterocycle
group, wherein the amino and heterocycle groups are optionally
substituted with at least one independently selected C.sub.1 to C.sub.6
alkyl, oxo, or --C(O)O--R.sub.n group;
[0073] R.sub.2 is a hydrogen; a hydroxyl; a 5 to 10 membered heteroaryl
group; a C.sub.1 to C.sub.8 alkyl group, wherein the alkyl group is
optionally substituted with a hydroxyl, a C.sub.1 to C.sub.4 alkoxy, a 3
to 10 membered heterocycle, a 5 to 10 membered heteroaryl, or C.sub.6 to
C.sub.10 aryl group; a --C(O)--R.sub.c group; a --C(O)O--R.sub.d group; a
--C(O)--N(R.sub.dR.sub.d) group; a --C(S)--N(R.sub.dR.sub.d) group; a
--C(S)--O--R.sub.e group; a --S(O.sub.2)--R.sub.e group; a
--C(NR.sub.e)--S--R.sub.e group; or a --C(S)--S--R.sub.f group;
[0074] R.sub.c is hydrogen; an amino, wherein the amino is optionally
substituted with at least one independently selected C.sub.1 to C.sub.6
alkyl or C.sub.6 to C.sub.10 aryl group; a C.sub.6 to C.sub.10 aryl,
wherein the aryl is optionally substituted with at least one
independently selected halogen, haloalkyl, hydroxyl, C.sub.1 to C.sub.4
alkoxy, or C.sub.1 to C.sub.6 alkyl group; --C(O)--R.sub.n; a 5 to 6
membered heterocycle, wherein the heterocycle is optionally substituted
with a --C(O)--R.sub.n group; a 5 to 6 membered heteroaryl; a
thiazoleamino group; a C.sub.1 to C.sub.8 alkyl group, wherein the alkyl
group is optionally substituted with at least one independently selected
halogen, a C.sub.1 to C.sub.4 alkoxy, a phenyloxy, a C.sub.6 to C.sub.10
aryl, --C(O)--R.sub.n, --O--C(O)--R.sub.n, hydroxyl, or amino group,
optionally substituted with a --C(O)O--R.sub.n group;
[0075] R.sub.d is independently hydrogen; a C.sub.2 to C.sub.8 alkenyl
group; a C.sub.2 to C.sub.8 alkynyl group; a C.sub.6 to C.sub.10 aryl
group, wherein the aryl is optionally substituted with at least one
independently selected halogen, nitro, C.sub.1 to C.sub.6 alkyl,
--C(O)O--R.sub.e, or --OR.sub.e; or a C.sub.1 to C.sub.8 alkyl group,
wherein the alkyl group is optionally substituted with at least one
independently selected halogen, C.sub.1 to C.sub.4 alkyl, C.sub.1 to
C.sub.4 alkoxy, phenyloxy, C.sub.6 to C.sub.10 aryl, 5 to 6 membered
heteroaryl, --C(O)--R.sub.n, --O--C(O)--R.sub.n, or hydroxyl group,
wherein the C.sub.6 to C.sub.10 aryl group is optionally substituted with
at least one independently selected halogen or haloalkyl group;
[0076] R.sub.e is a hydrogen; a C.sub.1 to C.sub.6 alkyl group, wherein
the alkyl group is optionally substituted with at least one independently
selected halogen or alkoxy group; or a C.sub.6 to C.sub.10 aryl group,
wherein the aryl group is optionally substituted with at least one
independently selected halogen or alkoxy group;
[0077] R.sub.f is a C.sub.1 to C.sub.6 alkyl group, optionally substituted
with at least one independently selected halogen, hydroxyl, C.sub.1 to
C.sub.4 alkoxy, cyano, C.sub.6 to C.sub.10 aryl, or --C(O)--R.sub.n
group, wherein the alkoxy group may be optionally substituted with at
least one C.sub.1 to C.sub.4 alkoxy group and the aryl group may be
optionally substituted with at least one independently selected halogen,
hydroxyl, C.sub.1 to C.sub.4 alkoxy, cyano, or C.sub.1 to C.sub.6 alkyl
group;
[0078] R.sub.n is a hydroxyl, C.sub.1 to C.sub.4 alkoxy, amino, or C.sub.1
to C.sub.6 alkyl group;
[0079] R.sub.3 is hydrogen or --C(O)--R.sub.g;
[0080] R.sub.g is a hydroxyl group; an amino group, wherein the amino is
optionally substituted with a C.sub.6 to C.sub.10 cycloalkyl group or a 5
to 10 membered heteroaryl group; or a 5 to 10 membered heterocycle group,
wherein the heterocycle group is optionally substituted with a
--C(O)--R.sub.n group; and
[0081] n is 0, 1, 2, or 3.
[0082] As will be evident to one of skill in the art, the compounds of
Formula (I) comprise at least one stereocenter (e.g., at the R.sub.1
substituent), and may exist as a racemic mixture or as an
enantiomerically pure composition. In a preferred embodiment, the
compounds of Formula (I) are the (S) isomer, in an enantiomerically pure
composition.
[0083] As used herein, the term "alkyl" generally refers to saturated
hydrocarbyl radicals of straight, branched or cyclic configuration
including methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl,
sec-butyl, tert-butyl, n-pentyl, n-hexyl, cyclohexyl, n-heptyl, octyl,
n-octyl, and the like. In some embodiments, alkyl substituents may be
include C.sub.1 to C.sub.8, C.sub.1 to C.sub.6, or C.sub.1 to C.sub.4
alkyl groups. The alkyl group may be optionally substituted with one or
more halogen or alkoxy groups. For instance, the alkyl group may be a
haloalkyl, dihaloalkyl, or trihaloalkyl.
[0084] As used herein, "alkenyl" generally refers to linear, branched or
cyclic alkene radicals having one or more carbon-carbon double bonds,
such as C.sub.2 to C.sub.8 and C.sub.2 to C.sub.6 alkenyl groups,
including 3-propenyl.
[0085] As used herein, "alkynyl" generally refers to linear, branched or
cyclic alkyne radicals having one or more carbon-carbon triple bonds,
such as C.sub.2 to C.sub.8 and C.sub.2 to C.sub.6 alkynyl groups,
including hex-3-yne.
[0086] As used herein, "aryl" refers to a carbocyclic aromatic ring
structure. Included in the scope of aryl groups are aromatic rings having
from five to twenty carbon atoms. Aryl ring structures include compounds
having one or more ring structures, such as mono-, bi-, or tricyclic
compounds. Examples of aryl groups that include phenyl, tolyl,
anthracenyl, fluorenyl, indenyl, azulenyl, phenanthrenyl (i.e.,
phenanthrene), and napthyl (i.e., napthalene) ring structures. In certain
embodiments, the aryl group may be optionally substituted.
[0087] As used herein, "heteroaryl" refers to cyclic aromatic ring
structures in which one or more atoms in the ring, the heteroatom(s), is
an element other than carbon. Heteroatoms are typically O, S or N atoms.
Included within the scope of heteroaryl, and independently selectable,
are O, N, and S heteroaryl ring structures. The ring structure may
include compounds having one or more ring structures, such as mono-, bi-,
or tricyclic compounds. In some embodiments, the heteroaryl groups may be
selected from heteroaryl groups that contain one or more heteroatoms, two
or more heteroatoms, three or more heteroatoms, or four or more
heteroatoms. Heteroaryl ring structures may be selected from those that
contain five or more atoms, six or more atoms, or eight or more atoms.
Examples of heteroaryl ring structures include: acridine, benzimidazole,
benzoxazole, benzodioxole, benzofuran, dihydro-chromen-4-only,
1,3-diazine, 1,2-diazine, 1,2-diazole, 1,4-diazanaphthalene, furan,
furazan, imidazole, indole, isoxazole, isoquinoline, isothiazole,
isoindolyl, oxazole, purine, pyridazine, pyrazole, pyridine, pyrazine,
pyrimidine, pyrrole, quinoline, quinoxaline, thiazole, thiophene,
1,3,5-triazine, 1,2,4-triazine, 1,2,3-triazine, tetrazole and
quinazoline. In certain embodiments, the heteroaryl may be optionally
substituted.
[0088] As used herein, "heterocycle" refers to cyclic ring structures in
which one or more atoms in the ring, the heteroatom(s), is an element
other than carbon. Heteroatoms are typically O, S or N atoms. Included
within the scope of heterocycle, and independently selectable, are O, N,
and S heterocycle ring structures. The ring structure may include
compounds having one or more ring structures, such as mono-, bi-, or
tricyclic compounds. In some embodiments, the heterocycle groups may be
selected from heterocycle groups that contain one or more heteroatoms,
two or more heteroatoms, three or more heteroatoms, or four or more
heteroatoms. Example of heterocycle groups include morpholinyl,
pyrrolidinonyl, pyrrolidinyl, piperidinyl, piperazinyl, hydantoinyl,
valerolactamyl, oxiranyl, oxetanyl, tetrahydrofuranyl, tetrahydropyranyl,
tetrahydropyridinyl, tetrahydroprimidinyl, tetrahydrothiophenyl or
tetrahydrothiopyranyl and the like. In certain embodiments, the
heterocycle may optionally be substituted.
[0089] As used herein, "alkanoyl" generally refers to a group with the
structure --C(O)--R. In certain embodiments, R may be a hydrogen, an
alkyl, an 4-morpholinyl group, or a thiazoleamino group.
[0090] As used herein, "alkoxy" generally refers to a group with the
structure --O--R. In certain embodiments, R may be an alkyl group, such
as a C.sub.1 to C.sub.5 alkyl group.
[0091] For the purposes of this invention, halo substituents may be
independently selected from the halogens such as fluorine, chlorine,
bromine, iodine, and astatine.
[0092] In certain preferred embodiments, X may be hydrogen, methoxy,
hydroxyl, benzoxy, or a halogen, preferably bromide or chloride. In other
embodiments, X may preferably be a C.sub.1 to C.sub.4 alkyl or a
haloalkyl.
[0093] R.sub.1 may preferably be a C.sub.6 to C.sub.8 aryl group,
optionally substituted with at least one R.sub.0 group. R.sub.0 may then
preferably be methoxy, benzoxy, a C.sub.1 to C.sub.6 alkyl, a 5 to 6
membered heteroaryl (such as furyl or imidazole), cyano, nitro,
tri-fluoro methyl, or a halogen, more preferably methoxy, benzoxy,
iso-butyl or a halogen, and more preferably methoxy, iso-butyl, bromide
or chloride. Alternatively, R.sub.1 may be a 5 to 10 membered heteroaryl
or 3 to 12 membered heterocycle, such as a pyridinyl group, a thiophene
group, a furyl group, a tetrahydro furyl group, and a thiazole group
dihydro-chromen-4-onyl group, a 1H-isoindolyl group, or a benzodioxole
group.
[0094] R.sub.2 may preferably be a --CH.sub.2-furyl group, a pyrimidyl
group, or a --(O)O--R.sub.d group. R.sub.d may preferably then be a
C.sub.1 to C.sub.6 alkyl, optionally substituted with at least one
halogen; or a C.sub.5 to C.sub.6 aryl, optionally substituted with at
least one methyl, methoxy, or halogen.
[0095] Preferred R.sub.1 substituents also include the following, where
the * indicates the bond of attachment to the carboline scaffold
molecule. ##STR2## ##STR3##
[0096] Other preferred R.sub.1 substituents include the following, where
the * indicates the bond of attachment to the carboline scaffold
molecule. ##STR4## ##STR5## ##STR6## ##STR7## ##STR8## ##STR9##
##STR10## ##STR11## ##STR12## ##STR13## ##STR14## ##STR15##
##STR16## ##STR17##
[0097] Preferred R.sub.2 substituents also include the following, where
the * indicates the bond of attachment to carboline scaffold molecule.
##STR18## ##STR19##
[0098] Other preferred R.sub.2 substituents include the following, where
the * indicates the bond of attachment to the carboline scaffold
molecule. ##STR20## ##STR21## ##STR22## ##STR23##
[0099] Preferred R.sub.3 substituents include the following, where the *
indicates the bond of attachment to the carboline scaffold molecule.
##STR24##
[0100] A preferred class of compounds within Formula (I) include those
compounds of Formula (I-a) as shown below. ##STR25##
[0101] wherein X, R.sub.1 and R.sub.2 are defined as described with regard
to Formula (I) and the preferred embodiments described above.
[0102] Another preferred class of compounds within Formula (I) include
those compounds of Formula (I-b) as shown below. ##STR26## wherein:
[0103] X is a halogen;
[0104] R.sub.2 is as described above with regard to Formula (I);
[0105] R.sub.0 is as described above with regard to Formula (I);
[0106] m is 0, 1, 2, or 3; and
[0107] n is 0, 1, 2, or 3.
[0108] Other preferred classes of compounds within Formula (I) include the
following. ##STR27##
[0109] It is understood that substituents X and R.sub.1, R.sub.c, R.sub.d,
and R.sub.e of the compounds of Formulas (I-c) to (I-i) are defined as in
Formula (I).
[0110] In other embodiments, preferred compounds of the present invention
useful in the inhibition of VEGF production and treating cancer and other
disorders include those of Formulas (I-i) through (I-l), as shown below.
In the embodiments of Formulas (I-j) through (I-l), substituents X,
R.sub.1, R.sub.2, R.sub.3, etc. are defined as in Formula (I), as well as
Formulas (I-a) to (I-i). ##STR28##
[0111] Also included within the scope of the invention are
pharmaceutically acceptable salts, hydrates, solvates, calthrates,
polymorphs, racemates and stereoisomers of the compounds described
herein.
[0112] In another aspect of the invention, preferred compounds of the
present invention useful in the inhibition of VEGF production, and
treating cancer and other disorders include those of Formula (I-l) as
shown below. ##STR29## wherein,
[0113] X is hydrogen; a hydroxyl group; a halogen; a C.sub.1-C.sub.4
alkyl; a C.sub.1 to C.sub.5 alkoxy, optionally substituted with a C.sub.6
to C.sub.8 aryl group;
[0114] R.sub.1 is a hydroxyl group; a C.sub.1 to C.sub.8 alkyl group,
optionally substituted with a C.sub.6 to C.sub.8 aryl group, wherein the
C.sub.6 to C.sub.8 aryl group is optionally substituted with at least one
R.sub.0 group; a heterocycle group; a heteroaryl group; and a C.sub.6 to
C.sub.8 aryl group, optionally substituted with at least one R.sub.0
group;
[0115] R.sub.0 is a halogen; a C.sub.1 to C.sub.6 alkyl, optionally
substituted with one or more halogen groups; a cyano group; a nitro
group; an amino group; an aminoalkyl group; an acetamide group; an
imidazole group; or OR.sub.a;
[0116] R.sub.a is hydrogen; a C.sub.1 to C.sub.6 alkyl, optionally
substituted with a heterocycle group or a C.sub.6 to C.sub.8 aryl group;
or a --C(O)O--R.sub.b;
[0117] R.sub.b is C.sub.1 to C.sub.4 alkyl group;
[0118] R.sub.2 is a hydrogen; a hydroxyl; a heteroaryl group; a C.sub.1 to
C.sub.8 alkyl group, optionally substituted with an alkoxy, hydroxyl,
heteroaryl, or C.sub.6 to C.sub.8 aryl group; a --C(O)--R.sub.c group; a
--C(O)O--R.sub.d group; a --C(O)NH--R.sub.d group; a --C(S)NH--R.sub.d
group; a --S(O.sub.2)--R.sub.e group; or (1S)-isopropyl-carbamic acid
tert-butyl ester;
[0119] R.sub.c is hydrogen; a 4-morpholinyl group; a thiazoleamino group;
a piperazinyl group, optionally substituted with a --C(O)CH.sub.3 group;
a C.sub.1 to C.sub.6 alkyl group, optionally substituted with a halogen,
an alkoxy, or hydroxyl group;
[0120] R.sub.d is hydrogen; a benzyl group; a C.sub.1 to C.sub.8 alkyl
group, optionally substituted with a halogen or an alkoxy group; a
C.sub.6 to C.sub.8 aryl group, optionally substituted with at least one
halogen, C.sub.1 to C.sub.5 alkyl, --C(O)OR.sub.e, or OR.sub.e;
[0121] R.sub.e is a hydrogen; a C.sub.1 to C.sub.6 alkyl group, optionally
substituted with at least one halogen or alkoxy group; or a C.sub.6 to
C.sub.8 aryl group; and
[0122] n is 0, 1, 2, or 3.
[0123] In another embodiment, compounds of Formulas (II), (III) and (IV)
are provided, which are useful for inhibiting VEGF production, and
treating cancer and other disorders. ##STR30##
[0124] Wherein X, R.sub.1, R.sub.2, R.sub.c and R.sub.d are defined as
described above with regard with Formula (I).
[0125] For the purposes of this invention, where one or more
functionalities encompassing X R.sub.1, R.sub.2, R.sub.0, R.sub.a,
R.sub.b, R.sub.c, R.sub.d, and R.sub.e, are incorporated into a molecule
of Formulas (I), (II), and (III), including Formulas (I-a) to (I-k), each
of the functionalities appearing at any location within the disclosed may
be independently selected, and as appropriate, independently substituted.
Further, where a more generic substituent is set forth for any position
in the molecules of the present invention, it is understood that the
generic substituent may be replaced with more specific substituents, and
the resulting molecules are within the scope of the molecules of the
present invention.
[0126] Preferred compounds of the invention include the following.
##STR31## ##STR32## ##STR33## ##STR34## ##STR35## ##STR36##
##STR37## ##STR38## ##STR39## ##STR40## ##STR41## ##STR42##
##STR43## ##STR44## ##STR45## ##STR46## ##STR47## ##STR48##
##STR49## ##STR50## ##STR51## ##STR52## ##STR53## ##STR54##
##STR55## ##STR56## ##STR57## ##STR58## ##STR59## ##STR60##
##STR61## ##STR62## ##STR63## ##STR64## ##STR65## ##STR66##
##STR67## ##STR68## ##STR69## ##STR70## ##STR71## ##STR72##
##STR73## ##STR74## ##STR75## ##STR76## ##STR77## ##STR78##
##STR79## ##STR80## ##STR81## ##STR82## ##STR83## ##STR84##
##STR85## ##STR86## ##STR87## ##STR88## ##STR89## ##STR90##
##STR91## ##STR92## ##STR93## ##STR94## ##STR95## ##STR96##
##STR97## ##STR98## ##STR99## ##STR100## ##STR101## ##STR102##
##STR103## ##STR104## ##STR105## ##STR106## ##STR107## ##STR108##
##STR109## ##STR110## ##STR111## ##STR112## ##STR113## ##STR114##
##STR115## ##STR116## ##STR117## ##STR118## ##STR119## ##STR120##
##STR121## ##STR122## ##STR123## ##STR124## ##STR125## ##STR126##
##STR127## ##STR128## ##STR129## ##STR130## ##STR131## ##STR132##
##STR133## ##STR134## ##STR135## ##STR136## ##STR137## ##STR138##
##STR139## ##STR140## ##STR141## ##STR142## ##STR143## ##STR144##
##STR145## ##STR146## ##STR147## ##STR148## ##STR149## ##STR150##
##STR151## ##STR152## ##STR153## ##STR154## ##STR155##
[0127] In certain embodiments, preferred compounds include those with an
EC.sub.50 in the VEGF ELISA assay described in Example 5 of less than
about 2 uM, more preferably between about 2 uM and about 0.04 uM (200 mM
to 40 nM); more preferably from about 0.04 uM to about 0.008 uM to (40 nM
to 8 nM); and more preferably less than about 0.008 uM (<8 nM).
Particularly prefer-red compounds are Compound Nos: 2, 4, 5, 7, 8, 10,
11, 12, 17, 23, 25, 81, 102, 112, 140, 328, 329, 330, 331, 332, 355, 816,
817, 818, 823, 824, 825, 830, 831, 832, 837, 838, 841, 842, 843, and
regioisomers thereof. In one embodiment, the preferred compounds of the
invention form a racemic mixture, and in another embodiment the compounds
of the invention are the (R), (S), (R,R), (S,S), (R,S), (SIR) isomer, in
an enantiomerically pure composition. More preferably, the compounds of
the invention are the (S) isomers, in an enantiomerically pure
composition.
[0128] The above compounds are listed only to provide examples that may be
used in the methods of the invention. Based upon the instant disclosure,
the skilled artisan would recognize other compounds intended to be
included within the scope of the presently claimed invention that would
be useful in the methods recited herein.
[0129] B. Preparation of Compounds of the Invention
[0130] Compounds of the invention may be produced in any manner known in
the art. By way of example, compounds of the invention may be prepared
according to the following general schemes. More specifically, Scheme I
may be used to make compounds of Formula I. Scheme Ia can be used when in
conjunction with Scheme I when R.sub.2 is a --CH.sub.2-furanyl group.
Alternatively, for asymmetric synthesis when R.sub.2 is hydrogen or
hydroxyl, Scheme Ib may be used. ##STR156## ##STR157## ##STR158##
##STR159##
[0131] Schemes IIIa or IIIb can be used to prepare compounds of Formula
I-i. ##STR160## ##STR161##
[0132] In a preferred embodiment, compounds of the invention may be
resolved to enantiomerically pure compositions using any method known in
art. By way of example, compounds of the invention may be resolved by
direct crystallization of enantiomer mixtures, by diastereomer salt
formation of enantiomers, by the formation of diasteriomers and
separation, or by enzymatic resolution.
[0133] In a preferred embodiment, compounds of the invention may be
resolved through crystallization using, e.g., N-acetyl-L-phenylalanine to
obtain the (S) isomer, or N-acetyl-D-phenylalanine to obtain the (R)
isomer, in a manner similar to that illustrated in Scheme IV.
##STR162##
[0134] In certain embodiments, exemplary methods of Scheme I for preparing
preferred compounds of Formula I involve the formation of free amine
Pictet-Spengler reaction products/intermediates, as described below in
Procedure-I. ##STR163##
[0135] In one embodiment, Procedure-I may involve adding a desired
Aldehyde (II) to a suspension of 5-substituted tryptamine. HCl (I) in
0.1N sulfinic acid. The solution may then be stirred at about 110.degree.
C.-120.degree. C. in a closed reaction vessel until the reaction is
sufficient to complete, e.g., for about 15 minutes to about 20 hours.
After completion of the reaction, the reaction mixture may be cooled to
room temperature and the precipitated salt may be filtered. The filtered
residue may then be washed with ether, EtOAc or a mixture of DCM and DMF
and dried to give the product (III) as acid salt. Alternatively, a
desired Aldehyde (II) may be added to a suspension of 5-substituted
tryptamine.HCl (I) in acetic acid and refluxed until the reaction is
sufficiently complete, e.g., for about 15 minutes to about 20 hours.
After completion of the reaction, the reaction mixture may be cooled to
room temperature and the acid salt may be filtered. The filtered residue
may then be washed with acetic acid followed by DCM and dried to give the
product (III) as acid salt. The free amine (III) may be obtained by
extraction with EtOAc and washing with aqueous ammonium hydroxide or 1M
aq. sodium hydroxide.
[0136] The free amine, or its salt, may then be used to form other
preferred compounds of Formula I, such as carbamate analogs (Formula 1-c,
Procedure-II), amide analogs, including N-acetyl analogs (Formula I-c,
Procedure-IIIa and Procedure-IIIb), urea and thiourea analogs (Formula
I-e and I-f, Procedure-IV and Procedure-V respectively), sulfoxide
analogs (Formula I-g, Procedure-VI), and pyrimidine analogs
(Procedure-VII).
[0137] More particularly, Procedure-II may be used to synthesize carbamate
analogs of free amines (III), or their salts. ##STR164##
[0138] In accordance with Procedure-II, diisopropylethylamine (DIEA) may
be added to the free amine (III), or its acid salt in dichloromethane
(DCM), followed by slow addition of substituted chloroformate. The
reaction mixture may be stirred at room temperature for about 1 to 20
hours. The solvent may then be evaporated and the crude product may
either be purified by HPLC or silica gel column chromatography.
[0139] Procedure-IIIa may be used to synthesize amide analogs of free
amine (III), or their salts. ##STR165##
[0140] In accordance with Procedure-IIIa, a 15 min pre-stirred mixture of
an R.sub.2-acid and diisopropyl carbodiimide (DIC) may be added to the
free amine (III), or its acid salt in DCM and DIEA. The reaction mixture
may be stirring for about 1 h. The solvents may then be evaporated and
the crude product purified by HPLC.
[0141] Alternatively, Procedure-IIIb may be used to synthesize N-acetyl
analogs of free amines (III), or their salts. ##STR166##
[0142] In accordance with Procedure-IIIb, pyridine may be added to the
free amine (III), or its acid salt in DCM, followed by acetic anhydride.
The reaction mixture may be stirred at room temperature for about 8 to 20
hours. The solvents may then be evaporated and the crude product was
purified by HPLC.
[0143] Procedure-IV may be used to synthesize urea analogs of free amines
(III), or their salts. ##STR167##
[0144] In accordance with Procedure-IV, DIEA and R.sub.2-isocyanate may be
added to the free amine (III), or its acid salt in DCM. The reaction
mixture may be refluxed for about 1.5 h. The solvents may then be
evaporated and the crude product purified by HPLC.
[0145] Procedure-V may be used to synthesize thiourea analogs of free
amines (III), or their salts. ##STR168##
[0146] In accordance with Procedure-V, DIEA and R.sub.2-isothiocyanate may
be added to the free amine (III), or its acid salt in DCM. The reaction
mixture may be refluxed for about 12 h. The solvents may then be
evaporated and the crude product purified by HPLC.
[0147] Procedure-VI may be used to synthesize sulfonyl analogs of free
amines (III), or their salts. ##STR169##
[0148] In accordance with Procedure-VI, DIEA and R.sub.2-sulfonylchloride
may be added to the free amine (III), or its acid salt in DCM. The
reaction mixture may be stirred at room temperature for about 12 h. The
solvents may then be evaporated and the crude product purified by HPLC.
[0149] Procedure-VII may be used to synthesize pyrimidine analogs of free
amines (III), or their salts. ##STR170##
[0150] In accordance with Procedure-VII, triethylamine and
2-bromopyrimidine in N,N-dimethylformamide (DMF) may be added to the free
amine (III), or its acid salt in DCM. The reaction mixture may be heated
to about 120.degree. C. for about 12 h. The solvents may then be
evaporated and the crude product purified by HPLC.
[0151] These and other reaction methodologies may be useful in preparing
the compounds of the invention, as recognized by one of skill in the art.
Various modifications to the above schemes and procedures will be
apparent to one of skill in the art, and the invention is not limited
specifically by the method of preparing the compounds of the invention.
[0152] C. Methods of the Invention
[0153] In another aspect of the invention, methods are provided for the
inhibition of VEGF production, the inhibition of angiogenesis, and/or the
treatment of cancer, diabetic retinopathy, rheumatoid arthritis,
psoriasis, atherosclerosis, chronic inflammation, other chronic
inflammation-related diseases and disorders, obesity, or exudative
macular degeneration using the compounds described herein.
[0154] In one embodiment, the invention is directed to methods for
inhibiting VEGF production comprising administering a VEGF-expression
inhibiting amount of at least one compound of the invention to a subject
in need thereof.
[0155] In another embodiment, methods for inhibiting angiogenesis are
provided comprising administering an anti-angiogenic amount of at least
one compound of the invention to a subject in need thereof.
[0156] In yet another embodiment, methods for treating cancer, diabetic
retinopathy, rheumatoid arthritis, psoriasis, atherosclerosis, chronic
inflammation, other chronic inflammation-related diseases and disorders,
obesity, or exudative macular degeneration are provided comprising
administering a therapeutically effective amount of at least one compound
of the invention to a subject in need thereof.
[0157] In yet a further embodiment, the cancers which can be treated by
administering a therapeutically effective amount of at least one compound
of the invention to a subject in need thereof include solid tumor
cancers. Solid tumor cancers that can be treated by the present invention
include solid tumor carcinomas and solid tumor sarcomas. Solid tumor
carcinomas include, but are not limited to, pediatric solid tumors, such
as Ewing's sarcoma or Wilms tumor and neuroblastoma, and carcinomas of
the epidermis, such as malignant melanomas, as well as lung cancers,
cervical cancers, colon cancers and renal cancers. Solid tumor sarcomas
include, but are not limited to, fibrosarcomas. The methods of treating
cancer can further include the administration of one or more additional
agents useful for treating cancer.
[0158] In yet another embodiment of the invention, methods for treating a
solid tumor cancer by slowing tumorigenesis at a pre-vascular stage are
provided, comprising administering a therapeutically effective amount of
at least one compound of the invention to a subject in need thereof,
either alone or together with one or more additional agents useful for
treating cancer.
[0159] In another embodiment of the invention, methods for treating a
solid tumor cancer by inhibiting VEGF mRNA translation are provided,
comprising administering a therapeutically effective amount of at least
one compound of the invention to a subject in need thereof, either alone
or together with one or more additional agents useful for treating
cancer.
[0160] In yet another embodiment of the invention methods for treating a
solid tumor cancer by reducing tumor VEGF levels are provided, comprising
administering a therapeutically effective amount of at least one compound
of the invention to a subject in need thereof, either alone or together
with one or more additional agents useful for treating cancer.
[0161] In yet a further embodiment of the invention, methods for treating
a solid tumor cancer by reducing perivascularly sequestered or
intratumoral VEGF are provided, comprising administering a
therapeutically effective amount of at least one compound of the
invention to a subject in need thereof, either alone or together with one
or more additional agents useful for treating cancer. In this aspect,
reduced perivascularly sequestered VEGF is an in situ comparison of
perivascular VEGF in tumors treated with the compound of the invention
and tumors not treated with the compound of the invention. In a preferred
aspect, reduced perivascularly sequestered VEGF is compared with levels
of perivascular VEGF in tumors treated with antibodies to VEGF.
[0162] Without intending to be limited by theory, it is believed that the
methods of the present invention act through a combination of mechanisms
that modulate the activity of VEGF. In this embodiment of the invention,
methods for inhibiting VEGF mRNA translation are provided, comprising
administering a therapeutically effective amount of at least one compound
of the invention to a subject in need thereof. In a preferred aspect,
VEGF mRNA translation is inhibited by greater than 10%, 25%, 50%, 75%,
80%, or 90% compared with an untreated tumor or cell.
[0163] In another embodiment of the invention, methods for slowing
tumorigenesis at a pre-vascular stage are provided, comprising
administering a therapeutically effective amount of at least one compound
of the invention to a subject in need thereof, either alone or together
with one or more additional cancer agents. The pre-vascular stage of
tumorigenesis is clinically known as "carcinoma in situ" and tumors at
this stage are characterized by their reliance on nearby blood vessels
for oxygen and diffusion of nutrients, due to the tumors absence of its
own vascular infrastructure. So, by slowing tumorigenesis at a
pre-vascular stage, one is preventing or slowing the development of a
vascular infrastructure in the tumor. In this embodiment of the
invention, whether tumorigenesis has been slowed at the pre-vascular
stage is determined by identifying to what extent the tumor has developed
a vascular infrastructure. In a preferred aspect, treated tumor growth is
prevented or slowed, as compared to the untreated tumors, by 90%, 80%,
70%, 60%, 50%, 40%, 30%, 20% or 10%.
[0164] In yet a further embodiment of the invention, methods for reducing
perivascularly sequestered or intratumoral VEGF are provided, comprising
administering a therapeutically effective amount of at least one compound
of the invention to a subject in need thereof.
[0165] In yet an additional embodiment of the invention, methods of
diagnosing cancer by measuring tumor plasma, and/or serum levels of VEGF
are provided. Tumor levels of VEGF can be measured using biopsy tissue,
where plasma or serum VEGF levels can be measured by taking blood. In
humans, different tumors secrete different levels of VEGF. Standard ELISA
procedures can be used to measure the amount of VEGF in the tumor, serum
or plasma. See, for example, Verheul, H. M. W. et al. (2000) Platelet and
coagulation activation with vascular endothelial growth factor generation
in soft tissue sarcomas. Clin. Cancer Res. 6:166. For tumors that do not
secrete large amounts of VEGF into the plasma, the tumor VEGF
concentration can be determined to diagnose the tumor progression. For
tumors that do secrete large amount of VEGF into the plasma, plasma VEGF
concentration can be determined to diagnose the tumor progression. After
most known cancer treatments, VEGF levels are not affected, and therefore
the plasma or tumor levels of VEGF do not predict efficacy of the
treatment (i.e., progression of the cancer). Compounds of the present
invention can affect VEGF levels, both in the plasma and tumor, and
therefore measuring VEGF levels is an accurate way to monitor and/or
predict the progression of the cancer (i.e., the efficacy of the
treatment) when the methods of the present invention are used for
treating cancer.
[0166] In yet another embodiment of the invention, methods for reducing
tumor or plasma VEGF levels are provided, comprising administering a
therapeutically effective amount of at least one compound of the
invention to a subject in need thereof. In this embodiment, VEGF levels
can be measured in a tumor not treated with the compounds of the present
invention and the VEGF levels compared to the VEGF levels measured in a
tumor treated with the compounds of the present invention, thereby
showing that by treatment of tumors with the compounds of the present
invention VEGF levels are reduced.
[0167] In yet another embodiment of the invention, methods for treating a
solid tumor cancer are provided, comprising (a) measuring one or more of
serum VEGF levels, plasma VEGF levels, or tumor VEGF levels, and
administering a therapeutically effective amount of at least one compound
of the invention to a subject in need thereof. In an embodiment, VEGF
concentration is measured to determine whether treatment with a compound
of the present invention should be undertaken. In this aspect, treatment
with a compound of the present invention is preferred and more effective
as the VEGF levels increase.
[0168] In yet a further embodiment of the invention, methods for treating
a solid tumor cancer are provided, comprising administering a
therapeutically effective amount of at least one compound of the
invention to a subject in need thereof, together with one or more
additional cancer agents.
[0169] In preferred embodiments, the methods of the invention comprise
administering a therapeutically effective amount of at least one compound
of the invention, wherein the compound is an (S) isomer.
[0170] According to the methods of the invention, the compound(s) may be
administered to the subject via any drug delivery route known in the art.
Specific exemplary administration routes include oral, ocular, rectal,
buccal, topical, nasal, ophthalmic, subcutaneous, intramuscular,
intravenous (bolus and infusion), intracerebral, transdermal, and
pulmonary.
[0171] The terms "VEGF-inhibiting amount", "anti-angiogenic amount", and
"therapeutically effective amount", as used herein, refer to an amount of
a pharmaceutical agent to treat, ameliorate, or prevent the identified
disease or condition, or to exhibit a detectable therapeutic or
inhibitory affect. The affect can be detected by, for example, the assays
disclosed in the following examples. The precise effective amount for a
subject will depend upon the subject's body weight, size, and health; the
nature and extent of the condition; and the therapeutic or combination of
therapeutics selected for administration. Therapeutically effective
amounts for a given situation can be determined by routine
experimentation that is within the skill and judgment of the clinician.
[0172] For any compound, the therapeutically effective amount can be
estimated initially either in cell culture assays, e.g., of neoplastic
cells, or in animal models, usually rats, mice, rabbits, dogs, or pigs.
The animal model may also be used to determine the appropriate
concentration range and route of administration. Such information can
then be used to determine useful doses and routes for administration in
humans. Therapeutic/prophylactic efficacy and toxicity may be determined
by standard pharmaceutical procedures in cell cultures or experimental
animals, e.g., ED.sub.50 (the dose therapeutically effective in 50% of
the population) and LD.sub.50 (the dose lethal to 50% of the population).
The dose ratio between therapeutic and toxic effects is the therapeutic
index, and it can be expressed as the ratio, ED.sub.50/LD.sub.50.
Pharmaceutical compositions that exhibit large therapeutic indices are
preferred. The data obtained from cell culture assays and animal studies
may be used in formulating a range of dosage for human use. The dosage
contained in such compositions is preferably within a range of
circulating concentrations that include an ED.sub.50 with little or no
toxicity. The dosage may vary within this range depending upon the dosage
form employed, sensitivity of the patient, and the route of
administration.
[0173] More specifically, the concentration-biological effect
relationships observed with regard to the compound(s) of the present
invention indicate an initial target plasma concentration ranging from
approximately 0.1 .mu.g/mL to approximately 100 .mu.g/mL, preferably from
approximately 0.5 .mu.g/mL to approximately 50 .mu.g/mL, more preferably
from approximately 0.5 .mu.g/mL to approximately 10 .mu.g/mL. To achieve
such plasma concentrations, the compounds of the invention may be
administered at doses that vary from 0.1 .mu.g to 100,000 mg/day,
depending upon the route of administration. Guidance as to particular
dosages and methods of delivery is provided in the literature and is
generally available to practitioners in the art. In general the dose will
be in the range of about 1 mg/day to about 10 g/day, or about 0.100 mg to
about 3 g/day, or about 300 mg to about 3 g/day, or about 500 mg to about
2 g/day, in single, divided, or continuous doses for a patient or subject
weighing between about 40 to about 100 kg (which dose may be adjusted for
patients or subjects above or below this weight range, particularly
children under 40 kg).
[0174] The dose administered to achieve an effective target plasma
concentration may also be administered based upon the weight of the
subject or patient. Doses administered on a weight basis may be in the
range of about 0.01 mg/kg/day to about 100 mg/kg/day, or about 0.015
mg/kg/day to about 50 mg/kg/day, or about 0.02 mg/kg/day to about 10
mg/kg/day, or about 0.025 mg/kg/day to about 7.5 mg/kg/day, or about 0.03
mg/kg/day to about 5 mg/kg/day. In one embodiment, the dose may be from
about 0.3 to about 0.48 mg/kg/day. In another embodiment, where daily
doses are adjusted based upon the weight of the subject or patient,
compounds of the invention may be formulated for delivery at about 0.02,
0.025, 0.03, 0.05, 0.06, 0.075, 0.08, 0.09. 0.10, 0.20, 0.25, 0.30, 0.50,
0.60, 0.75, 0.80, 0.90, 1.0, 1.10, 1.20, 1.25, 1.50, 1.75, 2.0, 5.0, 10,
25, 50, 75, or 100 mg/kg/day. Daily doses adjusted based upon the weight
of the subject or patient may be administered as a single, divided, or
continuous dose. In embodiments where a dose of compound is given more
than once per day, it may be administered twice, thrice, or more per day.
[0175] Compounds of the invention may be advantageously administered over
one or more days without causing significant side effects. Compounds of
the invention administered over one or more days may reduce VEGF
production induced by pathological events such as hypoxia or tumor
transformation without causing a statistically significant reduction in
normal plasma VEGF concentrations and associated problems. In some
embodiments, the compounds maybe administered without reducing plasma
VEGF below the lower limit of the normal physiological range for plasma
VEGF. In other embodiments, the compounds maybe administered without
reducing plasma VEGF below the lower limit of the normal physiological
range for plasma VEGF of healthy adult mammals, or healthy adult human
subjects. For the purpose of this invention, the lower limit of VEGF's
normal physiological range in plasma may be about 10 pg/ml, or about 15
pg/ml or about 20 pg/ml or about 25 pg/ml in healthy mammalian or human
subjects.
[0176] In one aspect, compounds of the invention are generally well
tolerated by subjects. For example, the compounds can be administered by
the oral route with no occurrences, or only mild to moderate occurrences,
of nausea, productive cough, constipation, diarrhea, eye pruritus,
headache, back pain, or insomnia in one or more subjects. For the
purposes of this disclosure, mild or moderate occurrences may be
described as those occurrences that would not prevent individual subjects
or groups of subjects from continuing to receive the compounds.
[0177] Compounds of the invention may be advantageously administered over
one or more days without raising safety concerns based upon hERG assays,
Novascreen.RTM. assays, phosphatase and kinase panel assessments
Similarly, no meaningful cytotoxicity is observed in lung fibroblast,
skin fibroblast or bone marrow progenitor cell cytotoxicity testing. In
some embodiments, compounds of the invention do not display mutagenecity
in the Ames assay, chromosomal aberrations, polyploidy or
endoreduplication in CHO cell assays, or clastogenic effects in rat
micronucleus assays. In yet other embodiments, no negative
cardiopulmonary effects are observed with single doses up to 140 mg/kg,
no negative neuorological effects are observed with single doses up to
200 mg/kg, and no significant toxicity is observed at dose of 120 mg/kg
QD or at doses of 60 mg/kg BID for 7 days.
[0178] Compounds of the invention may be advantageously administered
without one or more negative effects observed with other compounds having
VEGF inhibitory activity, such as anti VEGF antibodies (e.g.,
bevacizumab) and other compounds inhibiting VEGFR tyrosine kinase
activity. Recognized side effects of bevacizumab include hypertension
(see, e.g., Gordon et al., J. Clin. Oncol. 19(3) 843-850 (2001)),
proteinuria (id.), and thromboemblism. Other inhibitors of VEGFR, (e.g.,
PTK787, sunitinib, and ZD6474) also induce a number of additional
off-target effects including: light-headedness, ataxia, headache, nausea,
vomiting, diarrhea, rash, subungual hemorrhage, myleosuppression,
fatigue, hypothyroidism, QT interval prolongation or heart failure. Such
effects appear to be due to nonspecific inhibition of tyrosine kinase
receptors other than the VEGFR.
[0179] In some embodiments, the compounds of the invention may
advantageously be administered without causing a substantial incidence of
either proteinuria or hypertension. In other embodiments, the compounds
of the invention may advantageously be administered without causing a
substantial incidence of an increase in the grade of proteinuria. In
other embodiments, the compounds of the invention may advantageously be
administered without causing a substantial increase in blood pressure.
[0180] In some embodiments, a substantial incidence of proteinuria, an
increase in the grade of proteinuria, or hypertension is the occurrence
of those side effects in greater than about 20% of the subjects or
patients treated. In other embodiments, a substantial incidence of either
proteinuria or hypertension is the occurrence of either of those side
effects in greater than 15% of the subjects or patients treated. In still
other embodiments, a substantial incidence of either proteinuria or
hypertension is the occurrence of those side effects in greater than 10%,
or 5% or 2% or 1% of the subjects or patients treated. Compounds of the
invention may cause minor transient changes in heart rate, blood
pressure, respiratory rate, and core body temperature. Such changes may
remain within normal limits and may be observed at dosages of 30 mg/kg or
greater.
[0181] For the purposes of this invention, a patient or subject is
considered to have hypertension when their blood pressure is greater than
150 mm Hg/100 mm Hg (systolic/diastolic). For the purpose of this
invention, hypertension is defined as an elevation of blood pressure of
20 mm Hg (diastolic), or blood pressure above 150 mm Hg/100 mm Hg
(systolic/diastolic), for more than 24 hours during which time one or
more compounds of the invention are present at or above a therapeutically
effective concentration in the plasma of a subject.
[0182] For the purposes of this invention, proteinuria is defined as an
elevation in the amount of protein found in the urine of a patient or
subject outside of the normal range during the period a compound of the
invention is present at or above a therapeutically effective
concentration in the plasma of a subject. For example, proteinuria may be
found when there is more than 0.15 grams of protein present in a 24 hour
urine sample. Grade 1 proteinuria may be found when the amount of protein
in a 24 hour urine sample is from 0.15 g to 1 g of protein in a 24 hour
urine sample, Grade 2 proteinuria may be found when the amount of protein
in a 24 hour urine sample is greater 1 g but less than 3.5 grams of
protein in a 24 hour urine sample. Grade 3 proteinuria may be found when
the amount of protein in a 24 hour urine sample is greater than 3.5 g of
protein in a 24 hour urine sample. Grade 4 proteinuria equates to
nephrotic syndrome. An elevation in the amount of protein found in the
urine of a patient or subject outside of the normal range may also be
found based upon dipstick measurements. A dipstick measurement of "1+"
equates to grade 1 proteinuria, a measure of 2+ or 3+ equates to grade 2
proteinuria, and a dipstick measure of 4+ equates to grade 3 proteinuria.
[0183] For the purposes of this invention a patient or subject may be
considered to have a risk of having a stroke when they have hypertension,
and particularly when they have hypertension and a prior medical history
of one or more strokes.
[0184] In some embodiments, the compounds of the invention may be
administered without causing a substantial incidence of grade 1
proteinuria as measured by 24 hour urine analysis or by dipstick analysis
of a urine sample. In other embodiments, compounds of the invention may
be administered without causing a substantial incidence of grade 2
proteinuria as measured by 24 hour urine analysis or by dipstick analysis
of a urine sample. In yet other embodiments, compounds of the invention
may be administered without causing an increase in a the proteinuria
status (e.g., the grade of proteinuria) of a patient from grade 1
proteinuria to grade 2 proteinuria, or from grade 2 proteinuria to grade
3 proteinuria, as measured by 24 hour urine analysis or by dipstick
analysis of a urine sample.
[0185] In one embodiment the compounds of the invention are administered
to patients having solid tumors that have one or more of high blood
pressure (hypertension), proteinuria, or risk of having a stroke.
[0186] The exact dosage will be determined by the practitioner, in light
of factors related to the subject that requires treatment. Dosage and
administration are adjusted to provide sufficient levels of the active
agent(s) or to maintain the desired effect. Factors which may be taken
into account include the severity of the disease state, general health of
the subject, age, weight, and gender of the subject, diet, time and
frequency of administration, drug combination(s), reaction sensitivities,
and tolerance/response to therapy. Long-acting pharmaceutical
compositions may be administered every 3 to 4 days, every week, or once
every two weeks depending on half-life and clearance rate of the
particular formulation.
[0187] D. Metabolites of the Compounds of the Invention
[0188] Also falling within the scope of the present invention are the in
vivo metabolic products of the compounds described herein. Such products
may result for example from the oxidation, reduction, hydrolysis,
amidation, esterification and the like of the administered compound,
primarily due to enzymatic processes. Accordingly, the invention includes
compounds produced by a process comprising contacting a compound of this
invention with a mammalian tissue or a mammal for a period of time
sufficient to yield a metabolic product thereof. Such products typically
are identified by preparing a radio-labeled (e.g. C.sup.14 or H.sup.3)
compound of the invention, administering it in a detectable dose (e.g.,
greater than about 0.5 mg/kg) to a mammal such as rat, mouse, guinea pig,
monkey, or to man, allowing sufficient time for metabolism to occur
(typically about 30 seconds to 30 hours), and isolating its conversion
products from urine, blood or other biological samples. These products
are easily isolated since they are labeled (others are isolated by the
use of antibodies capable of binding epitopes surviving in the
metabolite). The metabolite structures are determined in conventional
fashion, e.g., by MS or NMR analysis. In general, analysis of metabolites
may be done in the same way as conventional drug metabolism studies
well-known to those skilled in the art. The conversion products, so long
as they are not otherwise found in vivo, are useful in diagnostic assays
for therapeutic dosing of the compounds of the invention even if they
possess no biological activity of their own.
[0189] E. Pharmaceutical Compositions of the Invention
[0190] While it is possible for the compounds of the present invention to
be administered neat, it may be preferable to formulate the compounds as
pharmaceutical compositions. As such, in yet another aspect of the
invention, pharmaceutical compositions useful in the methods of the
invention are provided. The pharmaceutical compositions of the invention
may be formulated with pharmaceutically acceptable excipients such as
carriers, solvents, stabilizers, adjuvants, diluents, etc., depending
upon the particular mode of administration and dosage form. The
pharmaceutical compositions should generally be formulated to achieve a
physiologically compatible pH, and may range from a pH of about 3 to a pH
of about 11, preferably about pH 3 to about pH 7, depending on the
formulation and route of administration. In alternative embodiments, it
may be preferred that the pH is adjusted to a range from about pH 5.0 to
about pH 8.0.
[0191] More particularly, the pharmaceutical compositions of the invention
comprise a therapeutically or prophylactically effective amount of at
least one compound of the present invention, together with one or more
pharmaceutically acceptable excipients. Optionally, the pharmaceutical
compositions of the invention may comprise a combination of compounds of
the present invention, or may include a second active ingredient useful
in the treatment of cancer, diabetic retinopathy, or exudative macular
degeneration.
[0192] Formulations of the present invention, e.g., for parenteral or oral
administration, are most typically solids, liquid solutions, emulsions or
suspensions, while inhalable formulations for pulmonary administration
are generally liquids or powders, with powder formulations being
generally preferred. A preferred pharmaceutical composition of the
invention may also be formulated as a lyophilized solid that is
reconstituted with a physiologically compatible solvent prior to
administration. Alternative pharmaceutical compositions of the invention
may be formulated as syrups, creams, ointments, tablets, and the like.
[0193] The term "pharmaceutically acceptable excipient" refers to an
excipient for administration of a pharmaceutical agent, such as the
compounds of the present invention. The term refers to any pharmaceutical
excipient that may be administered without undue toxicity.
Pharmaceutically acceptable excipients are determined in part by the
particular composition being administered, as well as by the particular
method used to administer the composition. Accordingly, there exists a
wide variety of suitable formulations of pharmaceutical compositions of
the present invention (see, e.g., Remington's Pharmaceutical Sciences).
[0194] Suitable excipients may be carrier molecules that include large,
slowly metabolized macromolecules such as proteins, polysaccharides,
polylactic acids, polyglycolic acids, polymeric amino acids, amino acid
copolymers, and inactive virus particles. Other exemplary excipients
include antioxidants such as ascorbic acid; chelating agents such as
EDTA; carbohydrates such as dextrin, hydroxyalkylcellulose,
hydroxyalkylmethylcellulose, stearic acid; liquids such as oils, water,
saline, glycerol and ethanol; wetting or emulsifying agents; pH buffering
substances; and the like. Liposomes are also included within the
definition of pharmaceutically acceptable excipients.
[0195] The pharmaceutical compositions of the invention may be formulated
in any form suitable for the intended method of administration. When
intended for oral use for example, tablets, troches, lozenges, aqueous or
oil suspensions, non-aqueous solutions, dispersible powders or granules
(including micronized particles or nanoparticles), emulsions, hard or
soft capsules, syrups or elixirs may be prepared. Compositions intended
for oral use may be prepared according to any method known to the art for
the manufacture of pharmaceutical compositions, and such compositions may
contain one or more agents including sweetening agents, flavoring agents,
coloring agents and preserving agents, in order to provide a palatable
preparation.
[0196] Pharmaceutically acceptable excipients particularly suitable for
use in conjunction with tablets include, for example, inert diluents,
such as celluloses, calcium or sodium carbonate, lactose, calcium or
sodium phosphate; disintegrating agents, such as croscarmellose sodium,
cross-linked povidone, maize starch, or alginic acid; binding agents,
such as povidone, starch, gelatin or acacia; and lubricating agents, such
as magnesium stearate, stearic acid or talc. Tablets may be uncoated or
may be coated by known techniques including microencapsulation to delay
disintegration and adsorption in the gastrointestinal tract and thereby
provide a sustained action over a longer period. For example, a time
delay material such as glyceryl monostearate or glyceryl distearate alone
or with a wax may be employed.
[0197] Formulations for oral use may be also presented as hard gelatin
capsules where the active ingredient is mixed with an inert solid
diluent, for example celluloses, lactose, calcium phosphate or kaolin, or
as soft gelatin capsules wherein the active ingredient is mixed with
non-aqueous or oil medium, such as glycerin, propylene glycol,
polyethylene glycol, peanut oil, liquid paraffin or olive oil.
[0198] In another embodiment, pharmaceutical compositions of the invention
may be formulated as suspensions comprising a compound of the present
invention in admixture with at least one pharmaceutically acceptable
excipient suitable for the manufacture of a suspension. In yet another
embodiment, pharmaceutical compositions of the invention may be
formulated as dispersible powders and granules suitable for preparation
of a suspension by the addition of suitable excipients.
[0199] Excipients suitable for use in connection with suspensions include
suspending agents, such as sodium carboxymethylcellulose,
methylcellulose, hydroxypropyl methylcelluose, sodium alginate,
polyvinylpyrrolidone, gum tragacanth, gum acacia, dispersing or wetting
agents such as a naturally occurring phosphatide (e.g., lecithin), a
condensation product of an alkylene oxide with a fatty acid (e.g.,
polyoxyethylene stearate), a condensation product of ethylene oxide with
a long chain aliphatic alcohol (e.g., heptadecaethyleneoxycethanol), a
condensation product of ethylene oxide with a partial ester derived from
a fatty acid and a hexitol anhydride (e.g., polyoxyethylene sorbitan
monooleate); and thickening agents, such as carbomer, beeswax, hard
paraffin or cetyl alcohol. The suspensions may also contain one or more
preservatives such as acetic acid, methyl and/or n-propyl
p-hydroxy-benzoate; one or more coloring agents; one or more flavoring
agents; and one or more sweetening agents such as sucrose or saccharin.
[0200] The pharmaceutical compositions of the invention may also be in the
form of oil-in-water emulsions. The oily phase may be a vegetable oil,
such as olive oil or arachis oil, a mineral oil, such as liquid paraffin,
or a mixture of these. Suitable emulsifying agents include
naturally-occurring gums, such as gum acacia and gum tragacanth;
naturally occurring phosphatides, such as soybean lecithin, esters or
partial esters derived from fatty acids; hexitol anhydrides, such as
sorbitan monooleate; and condensation products of these partial esters
with ethylene oxide, such as polyoxyethylene sorbitan monooleate. The
emulsion may also contain sweetening and flavoring agents. Syrups and
elixirs may be formulated with sweetening agents, such as glycerol,
sorbitol or sucrose. Such formulations may also contain a demulcent, a
preservative, a flavoring or a coloring agent.
[0201] Additionally, the pharmaceutical compositions of the invention may
be in the form of a sterile injectable preparation, such as a sterile
injectable aqueous emulsion or oleaginous suspension. This emulsion or
suspension may be formulated according to the known art using those
suitable dispersing or wetting agents and suspending agents which have
been mentioned above. The sterile injectable preparation may also be a
sterile injectable solution or suspension in a non-toxic parenterally
acceptable diluent or solvent, such as a solution in 1,2-propane-diol.
The sterile injectable preparation may also be prepared as a lyophilized
powder. Among the acceptable vehicles and solvents that may be employed
are water, Ringer's solution, and isotonic sodium chloride solution. In
addition, sterile fixed oils may be employed as a solvent or suspending
medium. For this purpose any bland fixed oil may be employed including
synthetic mono- or diglycerides. In addition, fatty acids such as oleic
acid may likewise be used in the preparation of injectables.
[0202] Generally, the compounds of the present invention useful in the
methods of the present invention are substantially insoluble in water and
are sparingly soluble in most pharmaceutically acceptable protic solvents
and in vegetable oils. However, the compounds are generally soluble in
medium chain fatty acids (e.g., caprylic and capric acids) or
triglycerides and have high solubility in propylene glycol esters of
medium chain fatty acids. Also contemplated in the invention are
compounds which have been modified by substitutions or additions of
chemical or biochemical moieties which make them more suitable for
delivery (e.g., increase solubility, bioactivity, palatability, decrease
adverse reactions, etc.), for example by esterification, glycosylation,
PEGylation, etc.
[0203] In a preferred embodiment, the compounds of the present invention
may be formulated for oral administration in a lipid-based formulation
suitable for low solubility compounds. Lipid-based formulations can
generally enhance the oral bioavailability of such compounds. As such, a
preferred pharmaceutical composition of the invention comprises a
therapeutically or prophylactically effective amount of a compound of the
present invention, together with at least one pharmaceutically acceptable
excipient selected from the group consisting of: medium chain fatty acids
or propylene glycol esters thereof (e.g., propylene glycol esters of
edible fatty acids such as caprylic and capric fatty acids) and
pharmaceutically acceptable surfactants such as polyoxyl 40 hydrogenated
castor oil.
[0204] In an alternative preferred embodiment, cyclodextrins may be added
as aqueous solubility enhancers. Preferred cyclodextrins include
hydroxypropyl, hydroxyethyl, glucosyl, maltosyl and maltotriosyl
derivatives of .alpha.-, .beta.-, and .gamma.-cyclodextrin. A
particularly preferred cyclodextrin solubility enhancer is
hydroxypropyl-.beta.-cyclodextrin (HPBC), which may be added to any of
the above-described compositions to further improve the aqueous
solubility characteristics of the compounds of the present invention. In
one embodiment, the composition comprises 0.1% to 20%
hydroxypropyl-.beta.-cyclodextrin, more preferably 1% to 15%
hydroxypropyl-.beta.-cyclodextrin, and even more preferably from 2.5% to
10% hydroxypropyl-.beta.-cyclodextrin. The amount of solubility enhancer
employed will depend on the amount of the compound of the present
invention in the composition.
[0205] F. Combination Therapy
[0206] It is also possible to combine any compound of the present
invention with one or more other active ingredients or agents useful in
the treatment of cancer, including compounds, in a unitary dosage form,
or in separate dosage forms intended for simultaneous or sequential
administration to a patient in need of treatment. When administered
sequentially, the combination may be administered in two or more
administrations. In an alternative embodiment, it is possible to
administer one or more compounds of the present invention and one or more
additional active ingredients by different routes.
[0207] The skilled artisan will recognize that a variety of active
ingredients may be administered in combination with the compounds of the
present invention that may act to augment or synergistically enhance the
VEGF-inhibiting and/or anti-angiogenesis activity of the compounds of the
invention.
[0208] More specifically, for methods involving the treatment of cancer,
agents known in the art to be useful for treating cancer are provided.
Such agents include, but are not limited to, radiation therapy, agents
that cause DNA damage, agents that reduce the concentration or effect of
a growth factor, agents that inhibit angiogenesis, paclitaxel,
fluorouracil, CPT-11, a tyrosine kinase inhibitor, a COX-2 inhibitor,
thalidomide, gemcitabine, squalamine, endostatin, angiostatin, AE-941,
lenalidomide, medi-522, 2-methoxyestradiol, carboxyamidotriazole,
combretastatin A4 phosphate, SU6668, SU11248, BMS-275291, COL-3,
cilengitide, IMC-1121B, vatalanib, LY317615, VEGF Trap, ZD6474,
halofuginone, hydrobromide, celecoxib, interferon alpha, interleukin-12,
and antibodies capable of binding VEGF or a VEGF receptor, such as
bevacizumab. VEGF receptors include VEGF receptor 1, VEGF receptor 2, and
VEGF receptor 3, and the neuropilins (e.g., neurophilin-1 (np-1) and
neurorphilin-2 (np-2)). In another embodiment, the compounds of the
present invention are used in combination with an agent that blocks the
activity of a VEGF receptor. In yet another embodiment, the compounds of
the present invention can be used in combination with agents that can
block the VEGF signaling pathway. Treatment only with a factor that can
block VEGF signaling may cause an increase in VEGF concentration. In such
a case, including a compound of the present invention in the treatment
protocol can prevent the subsequent increase in VEGF levels. Similarly,
use of the compounds of the present invention in combination with an
antibody is highly preferred. Antibodies are relatively large and may not
cross tight barriers, allowing secreted VEGF to remain in areas such as
the perivascular space. Post-transcriptional control of VEGF expression
can prevent the tumor from retaining as much VEGF in the perivascular
space, in the extracellular matrix, or in other spaces and vessels that
have a physical barrier to antibodies.
[0209] According to the methods of the invention, the combination of
active ingredients may be: (1) co-formulated and administered or
delivered simultaneously in a combined formulation; (2) delivered by
alternation or in parallel as separate formulations; or (3) by any other
combination therapy regimen known in the art. When delivered in
alternation therapy, the methods of the invention may comprise
administering or delivering the active ingredients sequentially, e.g., in
separate solution, emulsion, suspension, tablets, pills or capsules, or
by different injections in separate syringes. In general, during
alternation therapy, an effective dosage of each active ingredient is
administered sequentially, i.e., serially, whereas in simultaneous
therapy, effective dosages of two or more active ingredients are
administered together. Various sequences of intermittent combination
therapy may also be used.
[0210] To assist in understanding the present invention, the following
Examples are included. The experiments relating to this invention should
not, of course, be construed as specifically limiting the invention and
such variations of the invention, now known or later developed, which
would be within the purview of one skilled in the art are considered to
fall within the scope of the invention as described herein and
hereinafter claimed.
EXAMPLES
[0211] The present invention is described in more detail with reference to
the following non-limiting examples, which are offered to more fully
illustrate the invention, but are not to be construed as limiting the
scope thereof. The examples illustrate the preparation of certain
compounds of the invention, and the testing of these compounds in vitro
and/or in vivo. Those of skill in the art will understand that the
techniques described in these examples represent techniques described by
the inventors to function well in the practice of the invention, and as
such constitute preferred modes for the practice thereof. However, it
should be appreciated that those of skill in the art should in light of
the present disclosure, appreciate that many changes can be made in the
specific methods that are disclosed and still obtain a like or similar
result without departing from the spirit and scope of the invention.
Example 1
Preparation of Compounds of the Invention
[0212] Using the schemes and procedures described above in Section B, one
may prepare certain compounds of the invention as follows. Other
preferred compounds of the invention, such as those in Table 5 below, may
be similarly prepared.
Example 1A
Compounds of Formula I, Scheme I
[0213] Certain compounds of Formula I may be prepared according to Scheme
I using free amine products/intermediates, or their salts prepared in
accordance with Procedure I. By way of example, certain free amines
(III), or their salts are prepared using Procedure I. Table 4 illustrates
certain free amines (III) or their salts, Intermediates 1-11.
TABLE-US-00001
TABLE 4
Intermediate R-of Free Amine (III) R.sub.1-of Free Amine (III)
1 Cl 4-OMe
2 Cl 2,3-difluoro
3 Cl 4-Cl
4 Cl 4-CN
5 Cl 4-F
6 Cl 4-iPr
7 Br 4-Cl
8 Br 4-Me
9 Br 4-iPr
10 Br 3-Cl
11 Br 4-OMe
12 Cl 4-(2-morpholin-4-yl-ethoxy)
(III)
##STR171##
[0214] Intermediate-1:
[0215] This intermediate is prepared using Procedure-I with
5-chlorotryptamine.HCl (5.8 g, 25 mmol), p-anisaldehyde (6.13 mL, 50
mmol) and 0.1N sulfuric acid (60 mL) to give the title compound as an
acid salt (6.1 g, 59%). ES-MS: 313 (M+H).sup.+. Alternatively, this
intermediate is prepared using Procedure-1B with 5-chlorotryptamine.HCl
(20 g, 86.5 mmol), p-anisaldehyde (15.9 mL, 130 mmol) and acetic acid
(250 mL) to give the title compound as an acid salt (25.8 g, 79%). ES-MS:
313 (M+H).sup.+.
[0216] Intermediate-2:
[0217] This intermediate is prepared using Procedure-I with
5-chlorotryptamine.HCl (116 mg, 0.5 mmol), 2,3-difluoro benzaldehyde (109
.mu.L, 1 mmol) and 0.1N sulfuric acid (2 mL) to give the title compound
as an acid salt (158 mg, 75%). ES-MS: 319 (M+H).sup.+
[0218] Intermediate-3:
[0219] This intermediate is prepared using Procedure-I with
5-chlorotryptamine.HCl (462 mg, 2 mmol), 4-chloro benzaldehyde (562 mg, 4
mmol) and 0.1N sulfuric acid (8 mL) to give the title compound as an acid
salt (825 mg, 99%). ES-MS: 317 (M+H).sup.+
[0220] Intermediate-4:
[0221] This intermediate is prepared using Procedure-I with
5-chlorotryptamine.HCl (462 mg, 2 mmol), 4-cyano benzaldehyde (525 mg, 4
mmol) and 0.1N sulfuric acid (8 mL) to give the title compound as an acid
salt (810 mg, 100%). ES-MS: 308 (M+H).sup.+
[0222] Intermediate-5:
[0223] This intermediate is prepared using Procedure-I with
5-chlorotryptamine.HCl (374 mg, 1.5 mmol), 4-fluoro benzaldehyde (322
.mu.L, 3 mmol) and 0.1N sulfuric acid (4 mL) to give the title compound
as an acid salt (250 mg, 42%). ES-MS: 301 (M+H).sup.+
[0224] Intermediate-6:
[0225] This intermediate is prepared using Procedure-I with
5-chlorotryptamine.HCl (1.15 g, 5 mmol), 4-isopropyl benzaldehyde (1.516
mL, 10 mmol) and 0.1N sulfuric acid (12 mL) to give the title compound as
an acid salt (628 mg, 30%). ES-MS: 325 (M+H).sup.+
[0226] Intermediate-7:
[0227] This intermediate is prepared using Procedure-I with
5-bromotryptamine.HCl (551 mg, 2 mmol), 4-chloro benzaldehyde (562 mg, 4
mmol) and 0.1N sulfuric acid (8 mL) to give the title compound as an acid
salt (330 mg, 36%). ES-MS: 363 (M+H).sup.+
[0228] Intermediate-8:
[0229] This intermediate is prepared using Procedure-I with
5-bromotryptamine.HCl (551 mg, 2 mmol), p-tolualdehyde (471 .mu.L, 4
mmol) and 0.1N sulfuric acid (8 mL) to give the title compound as
hydrogen sulfate salt (257 mg, 29%). ES-MS: 341 (M+H).sup.+.
Alternatively, this intermediate is prepared using Procedure-1B with
5-bromotryptamine.HCl (10 g, 36.3 mmol), p-tolualdehyde (6.41 mL, 54.5
mmol) and acetic acid (120 mL) to give the title compound as acetate salt
(14.5 g, 100%). ES-MS: 341 (M+H).sup.+
[0230] Intermediate-9 (Compound 112):
[0231] This product/intermediate is prepared using Procedure-I with
5-bromotryptamine.HCl (551 mg, 2 mmol), 4-isopropyl benzaldehyde (606
.mu.L, 4 mmol) and 0.1N sulfuric acid (8 mL) to give the title compound
as hydrogen sulfate salt (329 mg, 35%). ES-MS: 369 (M+H).sup.+.
Alternatively, this intermediate is prepared using Procedure-1B with
5-bromotryptamine.HCl (10 g, 36.3 mmol), 4-isopropyl benzaldehyde (8.24
mL, 54.5 mmol) and acetic acid (120 mL) to give the title compound as
acetate salt (13 g, 77%). ES-MS: 369 (M+H).sup.+
[0232] Intermediate-10:
[0233] This intermediate is prepared using Procedure-I with
5-bromotryptamine.HCl (551 mg, 2 mmol), 3-chloro benzaldehyde (453 .mu.L,
4 mmol) and 0.1N sulfuric acid (8 mL) to give the title compound as an
acid salt (662 mg, 72%). ES-MS: 361 (M+H).sup.+
[0234] Intermediate-11:
[0235] This intermediate is prepared using Procedure-I with
5-bromotryptamine.HCl (551 mg, 2 mmol), p-anisaldehyde (491 .mu.L, 4
mmol) and 0.1N sulfuric acid (8 mL) to give the title compound as an acid
salt (611 mg, 67%). ES-MS: 357 (M+H).sup.+
[0236] Intermediate-12:
[0237] The 4-(2-Morpholin-4-yl-ethoxy)-benzaldehyde reaction intermediate
is prepared by combining 4-hydroxybenzaldehyde (1.2 g, 10.0 mmol),
4-(2-chloroethyl)-morpholine hydrochloride (2.0 g, 11.0 mmol), potassium
carbonate (4.1 g, 30.0 mmol), and
potassium iodide (170 mg, 1 mmol) in
100 ml of acetone and heating to reflux with stirring. After all the
4-hydroxybenzaldehyde is consumed (48 hours by LC/MS), the solids are
filtered and the solvent is removed in vacuo. The yield is 4.1 g.
[0238] Then Intermediate 12 is prepared in accordance with Procedure-1B.
Thus, 5-Chlorotryptamine hydrochloride (231 mg, 1.0 mmol) is combined
with 4-(2-Morpholin-4-yl-ethoxy)-benzaldehyde (565 mg, .about.1.2 mmol)
in 3 mL of glacial acetic acid. The suspension is heated to about
120.degree. C. for 10 minutes with constant cooling and a max power of
300 W using the CEM Explorer microwave system. Acetonitrile (2 mL) is
added to the cooled reaction mixture, and the solid is filtered and
washed with 1 mL of acetonitrile to produce the acetic acid salt of
Intermediate 12
(6-Chloro-1-[4-(2-morpholin-4-yl-ethoxy)-phenyl]-2,3,4,9-tetrahydro-1H-.b-
eta.-carboline) (179 mg, 34%).
[0239] Intermediates 1-12 may then be used to prepare compounds of the
invention according to Procedures II through VII as follows.
[0240] Compound 2:
[0241] This product is prepared by Procedure-II using the Intermediate-1
(3 g, 9.6 mmol), ethyl chloroformate (1.37 mL, 14.4 mmol) and DIEA (2.5
mL, 14.4 mmol) in dichloromethane (70 mL) to give the title compound as
white powder (1.56 g, 42%). ES-MS: 385 (M+H).sup.+.
[0242] Compound 4:
[0243] This product is prepared by Procedure-II using the Intermediate-7
(72 mg, 0.2 mmol), ethyl chloroformate (29 .mu.L, 0.3 mmol) and DIEA (52
.mu.L, 0.3 mmol) in dichloromethane (2 mL) to give the title compound as
white powder (37 mg, 43%). ES-MS: 435 (M+H).sup.+.
[0244] Compound 5:
[0245] This product is prepared by the Procedure-II using the
Intermediate-2 (50 mg, 0.16 mmol), ethyl chloroformate (23 .mu.L, 0.24
mmol) and DIEA (42 .mu.L, 0.24 mmol) in dichloromethane (2 mL) to give
the title compound as white powder (25 mg, 41%). ES-MS: 391 (M+H).sup.+.
[0246] Compound 7:
[0247] This product is prepared by the Procedure-II using the
Intermediate-9 (74 mg, 0.2 mmol), ethyl chloroformate (29 .mu.L, 0.3
mmol) and DIEA (52 .mu.L, 0.3 mmol) in dichloromethane (2 mL) to give the
title compound as white powder (34 mg, 38%). ES-MS: 441 (M+H).sup.+.
[0248] Compound 8:
[0249] This product is prepared by the Procedure-II using the
Intermediate-8 (72 mg, 0.2 mmol), ethyl chloroformate (29 .mu.L, 0.3
mmol) and DIEA (52 .mu.L, 0.3 mmol) in dichloromethane (2 mL) to give the
title compound as white powder (39 mg, 47%). ES-MS: 413 (M+H).sup.+.
[0250] Compound 10:
[0251] This product is prepared by the Procedure-II using the
Intermediate-1 acetate (10.5 g, 28.2 mmol), 4-chlorophenyl chloroformate
(4.74 mL, 33.8 mmol) and DIEA (9.8 mL, 56.4 mmol) in dichloromethane (300
mL) to give the title compound as white powder (10.2 g, 78%). ES-MS: 467
(M+H).sup.+.
[0252] Compound 11:
[0253] This product is prepared by the Procedure-II using the
Intermediate-3 (63 mg, 0.2 mmol), ethyl chloroformate (29 .mu.L, 0.3
mmol) and DIEA (52 .mu.L, 0.3 mmol) in dichloromethane (2 mL) to give the
title compound as white powder (31 mg, 40%). ES-MS: 389 (M+H).sup.+.
[0254] Compound 12:
[0255] This product is prepared by the Procedure-II using the
Intermediate-4 (31 mg, 0.1 mmol), 2-chloroethyl chloroformate (16 .mu.L,
0.15 mmol) and DIEA (26 .mu.L, 0.15 mmol) in dichloromethane (2 mL) to
give the title compound as white powder (22 mg, 53%). ES-MS: 414
(M+H).sup.+.
[0256] Compound 17:
[0257] This product is prepared by the Procedure-II using the
Intermediate-1 (47 mg, 0.15 mmol), 4-methylphenyl chloroformate (33
.mu.L, 0.23 mmol) and DIEA (39 .mu.L, 0.23 mmol) in dichloromethane (2
mL) to give the title compound as white powder (34 mg, 51%). ES-MS: 447
(M+H).sup.+.
[0258] Compound 23:
[0259] This product is prepared by the Procedure-II using the
Intermediate-5 (30 mg, 0.1 mmol), ethyl chloroformate (14 .mu.L, 0.15
mmol) and DIEA (26 .mu.L, 0.15 mmol) in dichloromethane (2 mL) to give
the title compound as white powder (21 mg, 56%). ES-MS: 373 (M+H).sup.+.
[0260] Compound 25:
[0261] This product is prepared by the Procedure-VII using the
Intermediate-9 (74 mg, 0.2 mmol), 2-bromopyrimidine (48 mg, 0.3 mmol) and
triethylamine (42 .mu.L, 0.3 mmol) in DMF (2 mL) to give the title
compound (42 mg, 47%). ES-MS: 447 (M+H).sup.+.
[0262] Compound 102:
[0263] This product is prepared by the Procedure-IIIb using the
Intermediate-9 (74 mg, 0.2 mmol), acetic anhydride (47 .mu.L, 0.5 mmol)
and pyridine (41 .mu.L, 0.5 mmol) in dichloromethane (2 mL) to give the
title compound as white powder (31 mg, 38%). ES-MS: 411 (M+H).sup.+.
[0264] Compound 140:
[0265] This product is prepared by the Procedure-IV using the
Intermediate-10 (72 mg, 0.2 mmol), cyclohexyl isocyanate (26 .mu.L, 0.2
mmol) and DIEA (37 .mu.L, 0.21 mmol) in dichloromethane (2 mL) to give
the title compound as white powder (51 mg, 53%). ES-MS: 486 (M+H).sup.+.
[0266] Compound 166:
[0267] This product is prepared by the Procedure-IIIa using its free amine
intermediate (141 mg, 0.5 mmol), Boc-L-Alanine (105 mg, 0.6 mmol), DIC
(94 .mu.L, 0.6 mmol), DIEA (105 .mu.L, 0.6 mmol) and dichloromethane (4
mL) to give the title compound (105 mg, 46%). ES-MS: 420 (M+H).sup.+.
[0268] Compound 225:
[0269] This product is prepared by the Procedure-VI using its free amine
intermediate (78 mg, 0.2 mmol), methyl sulfonylchloride (16 .mu.L, 0.2
mmol) and DIEA (37 .mu.L, 0.21 mmol) and dichloromethane (2 mL) to give
the title compound (32 mg, 34%). ES-MS: 461 (M+H).sup.+.
[0270] Compound 242:
[0271] This product is prepared by the Procedure-V using its free amine
intermediate (59 mg, 0.2 mmol), cyclohexyl isothiocyanate (29 .mu.L, 0.2
mmol), DIEA (35 .mu.L, 0.2 mmol) and dichloromethane (4 mL) to give the
title compound (52 mg, 60%). ES-MS: 438 (M+H).sup.+.
[0272] Compound 279:
[0273] This product is prepared by generating Intermediate 12
(6-Chloro-1-[4-(2-morpholin-4-yl-ethoxy)-phenyl]-2,3,4,9-tetrahydro-1H-p--
carboline) using Procedure-I. Intermediate 12 is then used to generate
Compound 279
(6-Chloro-1-[4-(2-morpholin-4-yl-ethoxy)-phenyl]-1,3,4,9-tetrahydro-b-car-
boline-2-carboxylic acid ethyl ester) using Procedure-II.
[0274] In accordance with Procedure-II, Intermediate 12 (82 mg, 0.20
mmol), ethyl chloroformate (24 mg, 21 .mu.L, 0.22 mmol), and
diisopropylethylamine (175 .mu.L, 1.00 mmol) are dissolved in methylene
chloride (2 mL) and stirred at room temperature for 15 minutes to form
Compound 279. The solvent is removed under a stream of nitrogen. The
crude mixture is purified by preparative reversed phase HPLC on a C-18
column using a gradient of acetonitrile in water buffered with 0.2%
trifluoroacetic acid (TFA). The TFA salt of Compound 279 (3.7 mg, 3%) is
isolated as a yellow solid. The same procedure may be applied for other
carbamate formation reactions according to Procedure-II.
[0275] Compound 320:
[0276] This product/intermediate is prepared using Procedure-I with
5-benzyloxy tryptamine.HCl (100 mg, 0.33 mmol), pyridine-3-carboxaldehyde
(62 .mu.L, 0.66 mmol) and 0.1N sulfuric acid (2 mL) to give the title
compound as dihydrogen sulfate salt (64 mg, 55%). ES-MS: 356 (M+H).sup.+
[0277] Compound 329:
[0278] This product is prepared by the Procedure-VII using the
Intermediate-11 (71 mg, 0.2 mmol), 2-bromopyrimidine (48 mg, 0.3 mmol)
and triethylamine (42 .mu.L, 0.3 mmol) in DMF (2 mL) to give the title
compound (41 mg, 49%). ES-MS: 434 (M+H).sup.+.
[0279] Compound 330:
[0280] This product is prepared by the Procedure-II using the
Intermediate-6 (65 mg, 0.2 mmol), 2-fluoroethyl chloroformate (38 .mu.L,
0.3 mmol) and DIEA (70 .mu.L, 0.4 mmol) in dichloromethane (2 mL) to give
the title compound as white powder (34 mg, 41%). ES-MS: 415 (M+H).sup.+.
[0281] Compound 332:
[0282] This product is prepared by the Procedure-II using the
Intermediate-7 (36 mg, 0.1 mmol), 4-methoxyphenyl chloroformate (22
.mu.L, 0.15 mmol) and DIEA (26 .mu.L, 0.15 mmol) in dichloromethane (2
mL) to give the title compound as white powder (41 mg, 81%). ES-MS: 511
(M+H).sup.+.
Example 1B
Certain Starting Materials, Scheme Ia
[0283] Scheme Ia can be used when in conjunction with Scheme I (above) to
generate starting materials when R.sub.2 is a --CH.sub.2-furanyl group,
as follows. ##STR172##
[0284] 2-furaldehyde (0.05 mL, 1.1 eq) is added to a solution of
5-chlorotryptamine (114 mg, 0.586 mmol) in 2 mL of MeOH. The reaction
mixture is stirred at room temperature for about 1 hour. NaBH.sub.4 (110
mg, 5 eq) is added slowly. The reaction mixture is stirred at room
temperature for about 30 min. MeOH is evaporated and the residue is
partitioned between water and methylene chloride. The organic layer is
separated and dried over K.sub.2CO.sub.3. The collected organic layer is
concentrated to give 134.9 mg of viscous oil (84%).
Example 1C
Compounds of Formula I, Scheme Ib
[0285] Alternatively, certain compounds of Formula I may be prepared
according to Scheme Ib as follows. ##STR173##
[0286] A suspension of reaction material A (8.05 g, 35.9 mmol) and
CH.sub.3COONH.sub.4 (4.15 g, 1.5 eq) in 60 mL of CH.sub.3NO.sub.2 is
refluxed in oil bath at about 110.degree. C. After about 30 minutes, the
reaction mixture is cooled with ice-bath. The precipitated solid is
filtered and washed with water (3.times.100 mL), followed by hexane
(2.times.50 mL) to give crude indole product B. The collected solid is
dried under vacuum at about 40.degree. C. for about 30 min to give 6.97 g
of brown solid (73%). ##STR174##
[0287] A solution of indole product B (12.32 g, 46.1 mmol) in THF (130 mL)
is then treated with a solution of tetrabutylammonium borohydride (11.9
g, 1 eq) in 75 mL of THF slowly for about 60 minutes at about -5.degree.
C. The reaction is stirred at room temperature for about 1 hour and
diluted with dichloromethane (200 mL). The organic layer is washed with
water twice and brine. The combined organic layers are dried and
evaporated under vacuum. The residue is purified on silica gel to give
10.28 g of solid C (83%). ##STR175##
[0288] Ammonium chloride (9.9 mL of aqueous solution (100 mg/mL), 2 eq)
and Zn (725 mg, 1.2 eq) are then added to a solution of indole product C
(2.49 g, 9.24 mmol) in 161 mL of THF. The reaction mixture is stirred at
room temperature for about 10 min and Zn (725 mg, 1.2 eq) is then added.
After about 30 min, additional Zn (967 mg, 1.6 eq) is added and stirred
for about 2 hours, followed by the addition of further Zn (845 mg, 1.4
eq). After stirring at room temperature for about 15 min, Zn is filtered
off and the residue is concentrated and dissolved in THF. The resulting
solution is then treated with p-chlorobenzaldehyde (0.7 eq) and stirred
at room temperature for about 15 hours. The reaction mixture is
concentrated under vacuum and purified on silica gel to give 953.5 mg of
the desired nitrone product D. ##STR176##
[0289] (+)-DIP-Cl (6.93 mL, 2 eq, 85.8 mg/mL in CH.sub.2Cl.sub.2) is then
added to a solution of nitrone product D (350 mg, 0.93 mmol) in 60 mL of
dichloromethane. The reaction mixture is stirred at about -78.degree. C.
for about 10 days and quenched with a mixture of 10% NaHCO.sub.3 (7 mL)
and 10 mL of water. The aqueous layer is extracted with dichloromethane
three times. Combined organic layers are concentrated and purified on
silica gel to give the desired hydroxylamine product E (>98% ee).
##STR177##
[0290] Water (11.5 mL), NH.sub.4Cl (2.5 mL, 5 eq) and Zn (908 mg, 15 eq)
are then added to a solution of hydroxylamine product E (0.927 mmol) in
THF (28 mL). The reaction mixture is stirred at room temperature for
about 1 day. Additional THF (10 mL), NH.sub.4Cl (5 mL, 10 eq) and Zn (1.8
g, 30 eq) are then added and stirred for about another 21 hours. Again,
THF (10 mL), NH.sub.4Cl (5 mL, 10 eq) and Zn (1.8 g, 30 eq) are added and
stirred for about another 20 hours. The reaction mixture is then filtered
through celite and washed with MC. The collected dichloromethane layer is
washed with water and brine. The organic layer is dried and concentrated
to give a boron complex of beta-carboline. This product is dissolved in
20 mL of THF. This solution is loaded into prepacked cation exchange
resin (preconditioned with MeOH and THF) and washed with THF. The
combined THF solution is concentrated to give 390 mg of free amine. The
solid is then washed with ether and hexane consecutively to yield 130 mg
of the enantiomerically pure compound F.
Example 1D
Compounds of Formula I, Scheme II
[0291] Compounds of Formula I-h may be prepared according to Scheme II as
follows. ##STR178##
[0292] p-anisaldehyde (2.16 g, 15.9 mmol, 1.93 mL) is added to a
suspension of 5-Bromotryptophan A (3 g, 10.6 mmol) in 100 mL of Acetic
acid at room temperature. The reaction mixture is then heated to reflux
at about 125.degree. C. in silicon oil bath and maintained at that
temperature for about 3 hours 20 minutes. The resultant solution is
concentrated under vacuum. The residue is triturated with
dichloromethane, diethyl ether and hexane to yield a powdery brown solid.
The acetic salts of the intermediate product B is collected and washed
with hexane three times.
[0293] The intermediate product B is suspended (70 mg, 0.174 mmol) in 2 mL
of dichloromethane, and triethylamine (52.8 mg, 0.522 mmol),
5-methyl-2-aminothiazole (37.6 mg, 0.26 mmol) and PyBOP (135.8 mg, 0.26
mmol) is added to the suspension. The reaction mixture is stirred at room
temperature for about 6 hour and quenched with sat. NaHCO.sub.3 solution.
The aqueous layer is extracted with dichloromethane. The combined organic
layers are dried over K.sub.2CO.sub.3 and concentrated. Purification on
silica gel with 40% ethyl acetate in hexane yields 8.1 mg of the desired
amide C. LCMS [MH.sup.+] 498, Rt=2.54.
Example 1E
Compounds of Formula I Scheme III
[0294] Compounds of Formula I-i may be prepared according to Scheme III as
follows. ##STR179##
[0295] Tryptophan A (1.0 g, 5.0 mmol) and 3-methoxybenzaldehyde (670
.mu.L, 5.5 mmol) are suspended/dissolved in acetonitrile (100 mL) and
concentrated sulfuric acid (100 .mu.L) is added. The reaction is heated
to reflux until all the aldehyde was consumed (overnight). The solvent
was removed in vacuo and the residue was dissolved in 5 mL of ethanol.
The product was precipitated out with ether, filtered, and washed with 10
mL of ether. The desired .beta.-carboline product/intermediate B
(1-(3-Methoxy-phenyl)-2,3,4,9-tetrahydro-1H-.beta.-carboline-3-carboxylic
acid) is isolated as a beige solid (1.2 g, 76%). LC/MS RT=2.33 min.
M/Z+323, 100%.
[0296] The .beta.-carboline product/intermediate B (200 mg, 0.62 mmol) is
then dissolved in 5 mL of dry THF and cooled to about 0.degree. C.
Lithium aluminum hydride (LAH) solution (1.2 mL, 1.0M in ether, 1.2 mmol)
is added to the cooled reaction mixture under nitrogen. After the
addition is complete (about 10 minutes), the reaction is allowed to warm
to room temperature for about 4 hours. The reaction mixture is then
cooled back to 0.degree. C., and saturated sodium sulfate solution (750
.mu.L) is added and the mixture stirred for about 5 minutes at 0.degree.
C. The reaction mixture is then filtered and washed with THF (100 mL).
The solvent is removed in vacuo, and the crude product purified by
preparative HPLC. The product C
([1-(3-Methoxy-phenyl)-2,3,4,9-tetrahydro-1H-b-carbolin-3-yl]-methanol)
is isolated as a white solid (106 mg, 55%). LC/MS RT=2.25 min. M/Z+309,
100%.
Example 1F
Chemical Resolution of Compounds of the Invention
[0297] Compounds of the invention may optionally be chemical resolved to
enantiomerically pure compositions, preferably enantiomerically pure (S)
isomer compositions as follows. ##STR180##
[0298] The racemic amine A (18.21 g, 58.2 mmol) is mixed with
N-acetyl-L-phenylalanine (12.05 g, 58.2 mmol) in EtOH (1.28 L) and
refluxed to get a clear solution. The solution is then allowed to cool to
room temperature. After overnight standing, the precipitated solid is
filtered and washed with EtOH (200 mL) to give the salt B (16.4 g). The
salt B is taken in EtOAc (500 mL) and washed with aqueous 1N NaOH (300
mL.times.2) or NH.sub.4OH (200 mL.times.2), dried and evaporated to give
the S-isomer of the free amine C (7.4 g). The R-isomer is prepared by
similar procedure using N-acetyl-D-phenylalanine.
Example 1G
Further Exemplary Compounds of the Invention
[0299] By way of further non-limiting example, the following compounds
(Table 5) may be prepared by similar methodology to that described above,
as will be recognized by one of skill in the art.
TABLE-US-00002
TABLE 5
Mass Reten.
Spec Time
Compound NMR (LCMS) (min)
##STR181## 367 (CDCl3, 400 MHz), .delta. 8.16 (s, 1 H), 7.48 (s, 1 H),
7.22 (d, J = 8.8 Hz, 1 H), 7.19 (d, J = 8.8 Hz, 2H), 7.13 (d, J = 8.8 Hz,
1 H), 6.94 (s, 1 H), 6.80 (d, J = 8.8 Hz, 2 H), 3.92-3.91 (m, 1 H), 3.86
(t, J = 7.2 Hz, 2 H), 3.77 (s, 3 H), 3.46-3.39 (m, 1 H), 3.11-3.09 (m, 1
H), 2.91-2.83 (m, 3 H) 402.8 4.37
##STR182## 368 (CDCl3, 400 MHz), .delta. 8.29 (s, 1 H), 7.47-7.09 (m, 10
H), 6.98 (s, 1 H), 6.77 (d, J = 8.8 Hz, 2 H), 3.93 (dd, J = 13.6 Hz and
4.8 Hz, 1 H), 3.82- 3.80 (m, 2 H), 3.77 (s, 3 H), 3.38- 3.30 (m, 1 H),
2.69-2.65 (m, 1 H), 2.53-2.45 (m, 1 H) 430.9 4.79
##STR183## 369 (CDCl3, 400 MHz), .delta. 8.21 (s, 1 H), 7.46 (s, 1 H),
7.22 (d, J = 8.4 Hz, 1 H), 7.17 (d, J = 8.4 Hz, 2 H), 7.12 (dd, J = 8.4
Hz and 2.0 Hz, 1 H), 6.92 (s, 1 H), 6.77 (d, J = 8.4 Hz, 2 H), 3.94 (dd,
J = 13.2 Hz and 4.4 Hz, 1 H), 3.76 (s, 3 H), 3.65 (s, 3 H), 3.43-3.35 (m,
1 H), 2.87-2.62 (m, 6 H) 427.0 4.06
##STR184## 370 (CDCl3, 400 MHz), .delta. 8.23, 8.12 (s, 1 H), 7.48, 7.42
(d, J = 1.6 Hz, 1.2 Hz, 1H), 7.22-7.10 (m, 4 H), 6.94, 6.88 (s, 1 H),
6.79 (d, J = 8.8 Hz, 2 H), 5.48-5.45 (m, 1 H), 3.96-3.80 (m, 1 H), 3.77
(s, 3 H), 3.47-3.36 (m, 1 H), 3.08-2.77 (m, 2 H), 2.14, 2.09 (s, 3 H),
1.48, 1.41 (d, J = 6.8 Hz, 6.4 Hz, 3 H) 427.0 3.99
##STR185## 371 (CDCl3, 400 MHz), .delta. 7.87 (s, 1 H), 7.51 (s, 1 H),
7.47 (dd, J = 6.8 Hz and 1.6 Hz, 1 H), 7.30-7.15 (m, 6 H), 6.98 (b, 1 H),
6.76 (d, J = 8.8 Hz, 2 H), 3.80 (s, 3 H), 3.77-3.74 (m, 1 H), 3.49-3.39
(m, 1 H), 2.93-2.82 (m, 2 H) 469.0 5.27
##STR186## 372 (CDCl3, 400 MHz), .delta. 8.07 (dd, J = 7.6 Hz and 1.2
Hz, 1 H), 7.74 (s, 1 H), 7.45-7.32 (m, 4 H), 7.18 (d, J = 8.4 Hz, 1 H),
7.12 (dd, J = 8.8 Hz and 2.0 Hz, 1 H), 7.07 (d, J = 8.4 Hz, 2 H), 6.76
(d, J = 8.8 Hz, 2 H), 6.35 (s, 1 H), 3.97 (dd, J = 14.8 Hz and 5.2 Hz, 1
H), 3.77 (s, 3 H), 3.49-3.41 (m, 1 H), 2.67 (dd, J = 15.6 Hz and 3.2 Hz,
1 H), 2.57-2.53 (m, 1 H) 486.9 4.96
##STR187## 373 (CDCl3, 400 MHz), .delta. 7.95 (s, 1 H), 7.48 (s, 1 H),
7.30 (d, J = 8.4 Hz, 2 H), 7.23 (d, J = 8.8 Hz, 1 H), 7.16 (dd, J = 8.8
Hz and 1.6 Hz, 1 H), 7.05 (b, 3 H), 6.86 (d, J = 8.4 Hz, 2 H), 3.80 (s, 3
H), 3.61 (dd, J = 13.6 Hz and 5.2 Hz, 1 H), 3.52-3.44 (m, 1 H), 2.91-2.88
(m, 1 H), 2.78 (dd, J = 15.2 Hz and 3.2 Hz, 1 H) 470.8 5.01
##STR188## 374 (CDCl3, 400 MHz), .delta. 8.09 (s, 1 H), 7.45 (s, 1 H),
7.21-7.17 (m, 4 H), 7.12 (d, J = 8.8 Hz, 1 H), 6.98 (s, 1 H), 6.91 (d, J
= 4 Hz, 1 H), 6.80 (s, 1 H), 6.79 (d, J = 8.4 Hz, 2 H), 3.99 (s, 2 H),
3.96 (d, J = 4.4 Hz, 1 H), 3.77 (s, 3 H), 3.43-3.38 (m, 1 H), 2.77-2.63
(m, 2 H) 436.9 4.66
##STR189## 375 (CDCl3, 400 MHz), .delta. 8.19, 8.16 (s, 1 H), 7.48, 8.42
(s, 1 H), 7.24-7.09 (m, 6 H), 6.94 (t, J = 7.8 Hz, 2 H), 6.85 (t, J = 8.2
Hz, 2 H), 6.77 (d, J = 8.4 Hz, 1 H), 6.72 (d, J = 8.43 Hz, 1 H),
5.09-4.98 (m, 1 H), 4.39-4.17 (m, 1 H), 3.77, 3.75 (s, 3 H), 3.41- 3.28
(m, 1 H), 3.02-2.65 (m, 2 H), 1.61-1.59 (m, 3 H) 461 4.92
##STR190## 376 (CDCl3, 400 MHz), .delta. 8.39 (s, 1 H), 7.48 (s, 1 H),
7.23 (d, J = 8.4 Hz, 1 H), 7.19 (d, J = 8.4 Hz, 2 H), 7.13 (dd, J = 8.8
Hz and 1.6 Hz, 1 H), 6.89 (s, 1 H), 6.77 (d, J = 8.4 Hz, 2 H), 4.17 (q, J
= 12.8 Hz, 2 H), 3.88 (d, J = 10 Hz, 1 H), 3.75 (s, 3 H), 3.41 (s, 3 H),
3.38-3.34 (m, 1 H), 2.95-2.81 (m, 2 H) 385 3.79
##STR191## 389 (CD3OD, 400 MHz), .delta. 7.48-7.46 (m, 4 H), 7.35 (b, 1
H), 7.23 (d, J = 8.8 Hz, 1 H), 7.07 (dd, J = 8.8 Hz and 2.0 Hz, 1 H),
6.46 (b, 1 H), 4.35- 4.14 (m, 5 H), 3.52-3.47 (m, 2 H), 3.22-3.19 (m, 7
H), 2.98-2.93 (m, 3 H), 2.89 (s, 6 H), 2.67-2.63 (m, 5 H), 2.06-1.96 (m,
2 H), 1.31 (t, J = 7.2 Hz, 3 H) 538.3 4.29
##STR192## 393 (DMSO, 400 MHz), .delta. 11.00 (s, 1 H), 8.47 (s, 2 H),
7.67 (s, 1 H), 7.26 (d, J = 8.4 Hz, 1 H), 7.19 (dd, J = 8.8 Hz and 2.0
Hz, 1 H), 6.26 (b, 1 H), 4.25 (b, 1 H), 4.11 (t, J = 6.8 Hz, 2 H),
3.22-3.17 (m, 1 H), 2.86-2.81 (m, 1 H), 2.77-2.66 (m, 1 H), 2.50 (b, 3
H), 1.21 (t, J = 6.8 Hz, 3 H) 447.1 6.55
##STR193## 394 (CD3OD, 400 MHz), .delta. 8.43-8.41 (m, 4 H), 7.63 (d, J
= 1.2 Hz, 1 H), 7.22 (d, J = 8.8 Hz, 1 H), 7.19 (dd, J = 8.4 Hz and 1.6
Hz, 1 H), 7.04 (s, 1 H), 6.67 (t, J = 4.8 Hz, 1 H), 5.01 (dd, J = 14.0 Hz
and 3.6 Hz, 1 H), 3.29-3.26 (m, 1 H), 3.21 (s, 6 H), 2.91-2.86 (m, 2 H)
450.1 5.48
##STR194## 410 (DMSO, 400 MHz), .delta. 11.5, 11.05 (b, 1 H), 7.53 (d, J
= 1.6 Hz, 1 H), 7.29 (d, J = 8.8 Hz, 1 H), 7.20-7.18 (m, 6 H), 7.06 (dd,
J = 8.8 Hz and 2 Hz, 1 H), 6.93 (d, J = 7.2 Hz, 2 H), 6.45-6.37 (m, 1 H),
4.30 (b, 1 H), 3.72 (s, 3 H), 3.18 (b, 1 H), 2.82 (b, 2 H) 451.3 3.99
##STR195## HCl salt 416 (CD3OD, 400 MHz), .delta. 10.98 (b, 1 H), 7.49
(d, J = 2.0 Hz, 1 H), 7.34- 7.30 (m, 5 H), 7.25-7.21 (m, 1 H), 7.13 (dd,
J = 8.8 Hz and 2.0 Hz, 1 H), 4.81-4.79 (m, 1 H), 3.82-3.76 (m, 1 H),
3.54-3.49 (m, 1 H), 3.11-3.07 (m, 2 H), 2.91-2.87 (m, 2 H), 2.59- 2.55
(m, 1 H), 2.24-2.20 (m, 1 H) 311.1 4.39
##STR196## 420 (CD3OD, 400 MHz), .delta. 7.61 (s, 1 H), 7.46 (d, J = 8.0
Hz, 2 H), 7.38 (d, J = 8.0 Hz, 2 H), 7.19 (s, 2 H), 6.47 (s, 1 H),
4.32-4.19 (m, 5 H), 3.62 (t, J = 3.9 Hz, 2 H), 3.42 (s, 1 H), 3.19- 3.10
(m, 3 H), 2.29-2.76 (m, 2 H), 1.30 (s, 3 H) 486.6 3.45
##STR197## 425 (CD3OD, 400 MHz), .delta. 7.63 (s, 1 H), 7.49 (d, J = 8.4
Hz, 2 H), 7.42 (d, J = 8.4 Hz, 2 H), 7.19 (s, 2 H), 6.49 (b, 1 H),
4.34-4.19 (m, 4 H), 3.60 (b, 4 H), 3.29-3.17 (m, 6 H), 2.89-2.75 (m, 2
H), 1.36 (t, J = 7.2 Hz, 3 H), 1.30 (b, 3 H) 539.2 3.11
##STR198## 431 (CDCl3, 400 MHz), .delta. 8.56 (b, 1 H), 8.40 (b, 2 H),
7.68 (s, 1 H), 7.28 (d, J = 2.0 Hz, 1 H), 7.14 (d, J = 8.4 Hz, 1 H), 7.00
(d, J = 9.2 Hz, 2 H), 6.80 (d, J = 8.4 Hz, 2 H), 6.48-6.38 (m, 1 H),
4.55-4.52 (m, 1 H), 3.81-3.74 (m, 4 H), 3.24 (s, 6 H), 3.00-2.91 (m, 1
H), 2.88-2.84 (m, 1 H) 522.2 5.05
##STR199## 435 (DMSO, 400 MHz), .delta. 11.00 (s, 1 H), 8.14 (s, 2 H),
7.64 (s, 1 H), 7.23 (d, J = 8.4 Hz, 1 H), 7.18 (d, J = 8.8 Hz, 1 H), 6.14
(s, 1 H), 4.23 (b, 1 H), 4.11-4.08 (m, 2 H), 3.14-3.10 (m, 1 H), 3.08 (s,
6 H), 2.81-2.77 (m, 1 H), 2.70-2.66 (m, 1 H), 1.21 (t, J = 6.8 Hz, 3 H)
444.3 3.95
##STR200## 438 (CD3OD, 400 MHz), .delta. 7.79 (d, J = 8.4 Hz, 2 H), 7.63
(s, 1 H), 7.37 (d, J = 8.4 Hz, 2 H), 7.20 (s, 2 H), 6.51 (b, 1 H),
4.32-4.22 (m, 3 H), 3.54 (s, 3 H), 3.36 (s, 2 H), 3.30 (s, 2 H),
3.21-3.11 (m, 1 H), 2.90-2.77 (m, 2 H), 1.32 (s, 3 H) 500.1 4.35
##STR201## 439 (CDCl3, 400 MHz), .delta. 7.98, 7.81 (s, 1 H), 7.42 (s, 1
H), 7.21 (d, J = 8.4 Hz, 1 H), 7.11 (d, J = 8.4 Hz, 1 H), 5.40-5.23 (m, 3
H), 4.55-4.35 (m, 1 H), 4.20-4.11 (m, 2 H), 3.24- 3.13 (m, 1 H),
2.79-2.63 (m, 2 H), 2.22 (d, J = 6.8 Hz, 2 H), 2.08 (b, 2 H), 1.89-1.81
(m, 2 H), 1.30 (b, 3 H), 0.97 (b, 3 H) 361.2 5.95
##STR202## 441 (CD3OD, 400 MHz), .delta. 7.47 (d, J = 1.6 Hz, 1 H), 7.43
(d, J = 7.6 Hz, 2 H), 7.37 (d, J = 8.0 Hz, 2 H), 7.24 (d, J = 8.8 Hz, 1
H), 7.06 (dd, J = 8.4 Hz and 1.6 Hz, 1 H), 6.49 (b, 1 H), 4.35-4.21 (m, 3
H), 3.83 (s, 4 H), 3.19-3.10 (m, 1 H), 2.90-2.79 (m, 2 H), 1.57 (b, 6 H),
1.32 (s, 3 H) 482.1 5.11
##STR203## 442 (CDCl3, 400 MHz), .delta. 8.48-8.09 (m, 1 H), 7.44-7.42
(m, 1 H), 7.24 (t, J = 9 Hz, 1 H), 7.11-7.09 (m, 1 H), 5.59-5.40 (m, 1
H), 4.54-4.34 (m, 1 H), 4.21-4.18 (m, 2 H), 3.23-3.13 (m, 1 H), 2.87-2.81
(m, 2 H), 2.76- 263 (m, 1 H), 2.17 (s, 3 H), 2.12- 1.90 (m, 2 H),
1.42-1.24 (m, 6 H) 367.1 2.92
##STR204## 443 (CD3OD, 400 MHz), .delta. 8.62 (d, J = 4.4 Hz, 2 H), 8.59
(s, 2 H), 7.84 (s, 1 H), 7.43-7.39 (m, 2 H), 7.24 (s, 1 H), 6.88 (t, J =
8.0 Hz, 1 H), 5.24- 5.20 (m, 1 H), 3.47-3.44 (m, 1 H), 3.16 (s, 3 H),
3.11-3.05 (m, 2 H) 436.2 5.25
##STR205## 447 (CDCl3, 400 MHz), .delta. 8.12 (s, 1 H), 7.45 (s, 1 H),
7.26 (d, J = 8 Hz, 2 H), 7.18 (d, J = 8.8 Hz, 2 H), 7.14-7.12 (m, 4 H),
6.97 (s, 1 H), 6.78 (d, J = 8.8 Hz, 2 H), 3.89 (dd, J = 14 Hz and 1.2 Hz,
1 H), 3.80-3.78 (m, 5 H), 3.41-3.33 (m, 1 H), 2.73 (dd, J = 15.2 Hz and
3.2 Hz, 1 H), 2.64- 2.60 (m, 1 H) 464.9 5.11
##STR206## 453 (CD3OD, 400 MHz), .delta. 7.78 (d, J = 8.0 Hz, 2 H), 7.47
(d, J = 1.6 Hz, 1 H), 7.37 (d, J = 8.0 Hz, 2 H), 7.24 (d, J = 8.4 Hz, 1
H), 7.06 (dd, J = 8.8 Hz and 1.6 Hz, 1 H), 6.49 (b, 1 H), 4.31-4.05 (m, 8
H), 3.20-3.11 (m, 1 H), 3.00-2.77 (m, 4 H), 1.94- 1.90 (m, 2 H),
1.54-1.45 (m, 2 H), 1.31 (b, 3 H), 1.25 (t, J = 7.2 Hz, 3 H) 553.1 6.13
##STR207## 461 (CD3OD, 400 MHz), .delta. 7.80 (d, J = 8.0 Hz, 2 H), 7.48
(d, J = 1.6 Hz, 1 H), 7.38 (d, J = 8.4 Hz, 2 H), 7.25 (d, J = 8.8 Hz, 1
H), 7.07 (dd, J = 8.4 Hz and 1.6 Hz, 1 H), 6.49 (b, 1 H), 4.31-4.21 (m, 4
H), 4.06 (t, J = 8.4 Hz, 1 H), 3.74 (t, J = 8.0 Hz, 1 H), 3.51 (d, J =
5.2 Hz, 2 H), 3.21- 3.11 (m, 1 H), 2.90-2.79 (m, 2 H), 2.26 (s, 1 H),
1.39 (s, 3 H), 1.32 (s, 6 H) 454.3 5.98
##STR208## 464 (CDCl3, 400 MHz), .delta. 8.29 (b, 1 H), 7.64 (d, J = 8.0
Hz, 2 H), 7.61 (d, J = 7.2 Hz, 2 H), 7.50-7.45 (m, 5 H), 7.39 (d, J = 7.6
Hz, 1 H), 7.33 (d, J= 7.6 Hz, 2 H), 7.19 (d, J = 8.8 Hz, 1 H), 7.14 (dd,
J = 8.4 Hz and 1.6 Hz, 1 H), 7.08 (s, 1 H), 6.84 (d, J = 8 Hz, 2 H), 3.87
(d, J = 9.2 Hz, 1 H), 3.79 (s, 3 H), 3.45-3.40 (m, 1 H), 2.96- 2.94 (m, 1
H), 2.80-2.76 (m, 1 H) 493.0 5.71
##STR209## 466 (CD3OD, 400 MHz), .delta. 7.63 (s, 1 H), 7.48 (d, J = 8.4
Hz, 2 H), 7.42 (d, J = 8.0 Hz, 2 H), 7.20 (s, 2 H), 6.49 (b, 1 H),
4.33-4.22 (b, 3 H), 3.89 (t, J = 5.2 Hz, 2 H), 3.50 (b, 4 H), 3.21- 3.11
(m, 2 H), 2.91-2.78 (m, 2 H), 1.31 (s, 3 H) 555.2 3.14
##STR210## 469 (CD3OD, 400 MHz), .delta. 7.47 (d, J = 2.0 Hz, 1 H), 7.39
(s, 4 H), 7.23 (d, J = 8.8 Hz, 1 H), 7.06 (dd, J = 8.4 Hz and 2.0 Hz, 1
H), 6.49 (b, 1 H), 4.35-4.21 (m, 3 H), 3.75 (b, 2 H), 3.53 (t, J = 5.4
Hz, 2 H), 3.44 (b, 2 H), 3.26-3.30 (m, 4 H), 3.22-3.13 (m, 1 H),
2.89-2.78 (m, 2 H), 2.60 (t, J = 5.4 Hz, 4 H), 2.46 (b, 2 H), 1.32 (s, 3
H) 525.2 5.07
##STR211## 472 (CDCl3, 400 MHz), .delta. 7.80, 7.75 (s, 1 H), 7.43, 7.41
(s, 1 H), 7.21 (d, J = 8.4 Hz, 1 H), 7.10 (d, J = 8.0 Hz, 1 H), 5.43,
5.27 (d, J = 7.2 Hz, 1 H), 4.51-4.30 (m, 1 H), 4.21-4.10 (m, 2 H), 3.18
(q, J = 12.8 Hz, 1 H), 2.82- 2.76 (m, 1 H), 2.64-2.61 (m, 1 H), 1.82-1.76
(m, 2 H), 1.55-1.53 (m, 1 H), 1.29-1.24 (m, 3 H), 1.08 (b, 3 H), 0.98 (d,
J = 6.8 Hz, 3 H) 335.3 5.52
##STR212## 473 (CD3OD, 400 MHz), .delta. 7.47 (d, J = 2.0 Hz, 1 H), 7.39
(s, 4 H), 7.23 (d, J = 8.8 Hz, 1 H), 7.05 (dd, J = 8.4 Hz and 2.0 Hz, 1
H), 6.49 (b, 1 H), 4.32-4.20 (m, 3 H), 3.76 (b, 2 H), 3.46 (b, 2 H),
3.21-3.13 (m, 1 H), 2.90-2.78 (m, 2 H), 2.54 (b, 2 H), 2.49-2.43 (m, 4
H), 1.32 (b, 3 H), 1.10 (t, J = 7.2 Hz, 3 H) 495.3 4.68
##STR213## 474 ((CD3OD, 400 MHz), .delta. 7.61 (s, 1 H), 7.44 (d, J =
8.0 Hz, 2 H), 7.35 (d, J = 8.0 Hz, 2 H), 7.20-7.16 (m, 2 H), 6.45 (b, 1
H), 4.28-4.14 (m, 3 H), 4.11 (s, 2 H), 3.47 (s, 4 H), 3.26 (s, 4 H),
3.19-3.12 (m, 1 H), 2.91 (s, 3 H), 2.88-2.79 (m, 2 H), 1.30 (s, 3 H)
511.2 4.99
##STR214## 477 (CD3OD, 400 MHz), .delta. 7.48 (d, J = 1.6 Hz, 1 H), 7.34
(d, J = 8.4 Hz, 1 H), 7.12 (dd, J = 8.8 Hz and 2.0 Hz, 1 H), 4.68 (s, 1
H), 3.77-3.72 (m, 1 H), 3.47-3.44 (m, 1 H), 3.10-3.03 (m, 2 H), 2.65-2.61
(m, 1 H), 1.25 (d, J = 7.2 Hz, 3 H), 0.96 (d, J = 7.2 Hz, 3 H) 249.1 3.67
##STR215## 478 CD3OD, 400 MHz), .delta. 7.63 (s, 1 H), 7.48 (d, J = 8.0
Hz, 2 H), 7.42 (d, J = 8.0 Hz, 2 H), 7.20 (s, 2 H), 6.49 (b, 1 H),
4.32-4.21 (m, 3 H), 3.50 (b, 4 H), 3.21-3.15 (m, 3 H), 2.92 (s, 3 H),
2.90-2.73 (m, 2 H), 1.32 (s, 3 H) 525.1 3.25
##STR216## 480 (CD3OD, 400 MHz), .delta. 7.78 (d, J = 8.0 Hz, 2 H), 7.63
(s, 1 H), 7.37 (d, J = 8.4 Hz, 2 H), 7.20 (s, 2 H), 6.49 (b, 1 H),
4.31-4.22 (m, 3 H), 3.19-3.11 (m, 1 H), 2.90 (s, 3 H), 2.86-2.77 (m, 2
H), 1.32 (s, 3 H) 456.1 4.26
##STR217## 481 (CD3OD, 400 MHz), .delta. 7.48 (d, J = 2 Hz, 1 H),
7.41-7.36 (m, 4 H), 7.23 (d, J = 8.4 Hz, 1 H), 7.06 (dd, J = 8.8 Hz and
2.0 Hz, 1 H), 6.49 (b, 1 H), 4.35-4.21 (m, 3 H), 3.64 (b, 2 H), 3.45 (b,
2 H), 3.20-3.11 (m, 1 H), 2.92-2.78 (m, 2 H), 2.68 (b, 2 H), 2.55 (b, 2
H), 1.92-1.80 (m, 4 H), 1.66-1.62 (m, 1 H), 1.32-1.22 (m, 8 H) 549.3 5.29
##STR218## 483 (CD3OD, 400 MHz), .delta. 7.63 (s, 1 H), 7.41 (d, J = 8.4
Hz, 2 H), 7.37 (d, J = 8.0 Hz, 2 H), 7.19 (s, 2 H), 6.49 (b, 1 H),
4.35-4.22 (m, 3 H), 3.22- 3.13 (m, 1 H), 3.08 (s, 3 H), 2.98 (s, 3 H),
2.89-2.77 (m, 2 H), 1.32 (s, 3 H) 470.1 4.46
##STR219## 484 (CD3OD, 400 MHz), .delta. 7.63 (s, 1 H), 7.48 (d, J = 7.2
Hz, 2 H), 7.40 (d, J = 8.0 Hz, 2 H), 7.20 (s, 2 H), 6.49 (b, 1 H),
4.35-4.22 (m, 4 H), 3.82- 3.50 (m, 6 H), 3.45 (b, 1 H), 3.21- 3.11 (m, 1
H), 3.00-2.78 (m, 5 H), 2.25-2.15 (m, 2 H), 1.32 (s, 3 H) 539.2 3.02
##STR220## 485 (CDCl3, 400 MHz), .delta. 8.06 7.98 (s, 1 H), 7.50, 7.49
(s, 1 H), 7.22 (d, J = 6.0 Hz, 1 H), 7.21 (d, J = 6.4 Hz, 2 H), 7.15 (dd,
J = 8.8 Hz and 1.6 Hz, 1 H), 6.81 (d, J = 8.4 Hz, 2 H), 6.77 (s, 1 H),
3.91 (s, 3 H), 3.77 (s, 3 H), 3.72 (d, J = 5.2 Hz, 1 H), 3.51-3.43 (m, 1
H), 3.02-2.96 (m, 1 H), 2.86- 2.81 (m, 1 H) 398.9 4.18
##STR221## 486 (CDCl3, 400 MHz), .delta. 7.77, 7.70 (s, 1 H), 7.42, 7.39
(s, 1 H), 7.20 (dd, J = 8.4 Hz and 1.6 Hz, 1 H), 7.09 (d, J = 8.0 Hz, 1
H), 5.52-5.36 (m, 1 H), 4.44-4.17 (m, 3 H), 3.28-3.20 (m, 1 H), 2.88-2.77
(m, 1 H), 2.60 (d, J = 15.2 Hz, 1 H), 2.05-1.88 (m, 1 H), 1.58-1.54 (m, 1
H), 1.30-1.26 (m, 3 H), 1.04 (d, J= 2 Hz, 9 H) 349.1 6.03
##STR222## 488 (CD3OD, 400 MHz), .delta. 7.85 (d, J = 8.0 Hz, 2 H), 7.64
(s, 1 H), 7.41 (d, J = 8.4 Hz, 2 H), 7.20 (s, 2H), 6.52 (b, 1 H),
4.33-4.22 (b, 3 H), 4.07 (b, 2 H), 3.77 (t, J = 5.6 Hz, 4 H), 3.65 (b, 2
H), 3.39 (t, J = 5.6 Hz, 2 H), 3.21-3.11 (m, 3 H), 2.91-2.78 (m, 2 H),
1.32 (s, 3 H) 555.2 3.34
##STR223## 490 (CD3OD, 400 MHz), .delta. 7.81 (d, J = 8.4 Hz, 2 H), 7.63
(s, 1 H), 7.37 (d, J = 8.0 Hz, 2 H), 7.20 (s, 2 H), 6.51 (b, 1 H),
4.32-4.22 (m, 3 H), 3.69 (t, J = 5.8 Hz, 2 H), 3.48 (t, J = 5.6 Hz, 2 H),
3.21-3.11 (m, 1 H), 2.90-2.77 (m, 2 H), 1.32 (s, 3 H) 486.1 3.80
##STR224## 492 (CD3OD, 400 MHz), .delta. 7.47 (s, 1 H), 7.41-7.38 (m, 4
H), 7.23 (d, J = 8.8 Hz, 1 H), 7.06 (dd, J = 8.8 Hz and 1.6 Hz, 1 H),
6.49 (b, 1 H), 4.35- 4.21 (m, 3 H), 3.73-3.62 (m, 6 H), 3.44 (b, 2 H),
3.19-3.10 (m, 1 H), 2.91-2.78 (m, 2 H), 1.32 (b, 3 H) 468 5.52
##STR225## 494 (DMSO, 400 MHz), .delta. 11.19 (b, 1 H), 8.49 (b, 1H),
7.81 (d, J = 8.0 Hz, 2 H), 7.51 (d, J = 1.6 Hz, 1 H), 7.30 (d, J = 8.4
Hz, 2 H), 7.29 (d, J = 14.0 Hz, 1 H), 7.07 (dd, J = 8.4 Hz and 1.6 Hz, 1
H), 6.39 (b, 1 H), 4.21- 4.16 (m, 3 H), 3.93 (t, J = 6.4 Hz, 1 H), 3.74
(q, J = 6.8 Hz, 1 H), 3.59 (q, J = 6.8 Hz, 1 H), 3.28 (s, 2 H), 3.08-3.01
(m, 1 H), 2.81-2.70 (m, 2 H), 1.91-1.79 (m, 3 H), 1.59-1.52 (m, 1 H),
1.21
# (s, 3 H) 482.2 5.74
##STR226## 496 (CD3OD, 400 MHz), .delta. 11.05 (s, 1 H), 8.09 (s, 2 H),
7.64 (s, 1 H), 7.32 (b, 1 H), 7.24 (d, J = 8.4 Hz, 1 H), 7.17 (dd, J =
8.8 Hz and 2.0 Hz, 1 H), 6.24 (s, 1 H), 4.22 (b, 1 H), 4.12-4.09 (m, 2
H), 3.15-3.09 (m, 1 H), 2.83-2.65 (m, 5 H), 1.21 (t, J = 6.8 Hz, 3 H)
430.2 3.65
##STR227## HCl salt 497 (CD3OD, 400 MHz), .delta. 7.49 (d, J = 1.6 Hz, 1
H), 7.34 (d, J = 8.8 Hz, 1 H), 7.13 (dd, J = 8.8 Hz and 2.0 Hz, 1 H),
3.77-3.72 (m, 1 H), 3.52-3.45 (m, 1 H), 3.15-3.01 (m, 2 H), 2.80- 2.74
(m, 2 H), 2.60-2.52 (m, 1 H), 2.27-2.20 (m, 4 H) 281.0 3.84
##STR228## 498 (CDCl3, 400 MHz), .delta. 8.35 (b, 1 H), 7.51 (s, 1 H),
7.32-7.26 (m, 4 H), 7.20 (d, J = 8.4 Hz, 1 H), 7.13 (dd, J = 8.8 Hz and
2.4 Hz, 1 H), 6.39 (b, 1 H), 4.25-4.21 (m, 2 H), 3.80 (b, 2 H), 3.47 (b,
2 H), 3.16-3.10 (m, 1 H), 2.96-2.88 (m, 3 H), 2.79-2.75 (m, 1 H),
2.54-2.36 (m, 6 H), 1.32 (s, 3 H) 481.4 4.81
##STR229## 499 (DMSO, 400 MHz), .delta. 10.86 (s, 1 H), 8.17 (s, 1 H),
8.03 (d, J = 7.6 Hz, 1 H), 7.81 (t, J = 8.0 Hz, 1 H), 7.65 (d, J = 8.4
Hz, 1 H), 7.50 (b, 2 H), 7.26 (d, J = 8.4 Hz, 1 H), 7.02 (d, H = 8.8 Hz,
1 H), 6.24 (s, 1 H), 4.35 (b, 1 H), 4.09-4.05 (m, 2 H), 3.61- 3.49 (m, 1
H), 2.78-2.65 (m, 2 H), 1.45 (t, J = 6.8 Hz, 3 H) 423.3 5.15
##STR230## 503 (CD3OD, 400 MHz), .delta. 8.33 (s, 2 H), 7.67 (s, 1 H),
7.23 (s, 2 H), 7.05 (d, J = 8.4 Hz, 2 H), 6.91 (d, J = 8.8 Hz, 2 H),
6.54-6.38 (m, 1 H), 4.52 (b, 1 H), 3.78 (s, 3 H), 3.36-3.34 (m, 1 H),
2.99 (s, 3 H), 2.92-2.88 (m, 2 H) 508.2 5.72
##STR231## 504 (CDCl3, 400 MHz), .delta. 7.88-7.77 (m, 1 H), 7.43 (d, J
= 8.0 Hz, 1 H), 7.23 (d, J = 8.8 Hz, 1 H), 7.11 (d, J = 8.8 Hz 1 H),
5.70-7.68 (m, 2 H), 5.19-4.97 (m, 1 H), 4.60-4.38 (m, 1 H), 4.19- 4.07
(m, 2 H), 2.82-2.80 (m, 1 H), 2.68-2.64 (m, 1 H), 2.29-1.84 (m, 6 H),
1.55-1.46 (m, 1 H), 1.36-1.24 (m, 3 H) 359.1 5.65
##STR232## 505 (CD3OD, 400 MHz), .delta. 7.84 (d, J = 8.0 Hz, 2 H), 7.63
(s, 1 H), 7.38 (d, J = 8.0 Hz, 2 H), 7.20 (s, 2 H), 6.49 (b, 1 H),
4.31-4.22 (m, 3 H), 3.19-3.11 (m, 1 H), 2.89-2.77 (m, 2 H), 1.32 (s, 3 H)
442.0 4.06
##STR233## 506 (CD3OD, 400 MHz), .delta. 8.44 (s, 2 H), 7.67 (d, J = 2.0
Hz, 1 H), 7.44 (d, J = 8.8 Hz, 1 H), 7.28 (dd, J = 8.8 Hz and 2.0 Hz, 1
H), 6.52 (s, 1 H), 4.58- 4.55 (m, 1 H), 4.43-4.40 (m, 2 H), 3.41-3.31 (m,
1 H), 3.15 (s, 3 H), 3.03-3.01 (m, 2 H), 1.32 (b, 3 H) 386.3 5.32
##STR234## 508 (CDCl3, 400 MHz), .delta. 7.66 (d, J = 24.8 Hz, 1 H),
7.39-6.89 (m, 8H), 5.44-5.02 (m, 1 H), 4.49-4.10 (m, 3 H), 3.23-2.94 (m,
2 H), 2.83-2.74 (m, 1 H), 2.64-2.58 (m, 1 H), 2.26- 1.98 (m, 2 H),
1.47-1.26 (m, 6 H) 397.1 5.97
##STR235## 509 (CD3OD, 400 MHz), .delta. 7.80 (d, J = 8.4 Hz, 2 H), 7.47
(d, J = 1.6 Hz, 1 H), 7.38 (d, J = 8.0 Hz, 2 H), 7.24 (d, J = 8.8 Hz, 1
H), 7.07 (dd, J = 8.0 Hz and 1.6 Hz, 1 H), 6.49 (b, 1 H), 4.35-4.21 (m, 3
H), 3.69 (t, J = 4.6 Hz, 4 H), 3.53 (t, J = 6.8 Hz, 2 H), 3.19-3.10 (m, 1
H), 2.90-2.78 (m, 2 H), 2.59 (t, J = 6.6 Hz, 4 H), 2.53 (s, 2 H), 1.32
(s, 3 H) 511.4 5.05
##STR236## 510 (CDCl3, 400 MHz), .delta. 8.09, 7.83 (s, 1 H), 7.42 (s, 1
H), 7.21 (d, J = 8.4 Hz, 1 H), 7.09 (dd, J = 8.4 Hz and 1.2 Hz, 1 H),
5.33-5.21 (m, 1 H), 4.50-4.34 (m, 1 H), 4.21-4.10 (m, 2 H), 3.19-3.17 (m,
1 H), 2.77-2.74 (m, 1 H), 2.67-2.61 (m, 1 H), 1.81 (s, 2 H), 1.52 (s, 2
H), 1.29-1.23 (m, 3 H), 0.96 (s, 3 H) 321.4 5.19
##STR237## 511 (CDCl3, 400 MHz), .delta. 7.73-7.52 (m, 1 H), 7.47 (s, 1
H), 7.42-7.18 (m, 6 H), 7.09 (dd, J = 8.8 Hz and 2.0 Hz, 1 H), 5.41-5.26
(m, 1 H), 4.56-4.32 (m, 1 H), 4.23-4.10 (m, 2 H), 3.21 (b, 1 H),
2.85-2.72 (m, 3 H), 2.65 (d, J = 14.2 Hz, 1 H), 2.23-2.10 (m, 2 H), 1.38
(b, 3 H) 383.1 5.75
##STR238## 512 (CD3OD, 400 MHz), .delta. 7.80 (d, J = 8.4 Hz, 2 H), 7.47
(d, J = 1.6 Hz, 1 H), 7.37 (d, J = 8.0 Hz, 2 H), 7.24 (d, J = 8.8 Hz, 1
H), 7.06 (dd, J = 8.8 Hz and 2.0 Hz, 1 H), 6.50 (b, 1 H), 4.32-4.21 (m, 3
H), 3.47 (t, J = 7.2 Hz, 2 H), 3.38-3.34 (m, 4 H), 3.19-3.10 (m, 1 H),
2.89-2.78 (m, 2 H), 2.39 (t, J = 8.4 Hz, 2 H), 2.09- 2.00 (m, 2 H),
1.86-1.80 (m, 2 H), 1.32 (b, 3 H) 523.1 5.69
##STR239## 513 (CDCl3, 400 MHz), .delta. 7.81 (s, 1 H), 7.51 (d, J = 6.8
Hz, 1 H), 7.29 (dd, J = 12.0 Hz and 2.8 Hz, 1 H), 7.21 (d, J = 8.4 Hz, 1
H), 7.13 (dd, J = 8.4 Hz and 2.0 Hz, 1 H), 7.12-7.08 (m, 1 H), 7.07 (s, 1
H), 6.50 (b, 1 H), 4.49- 4.21 (m, 3 H), 3.17-3.09 (m, 1 H), 2.91-2.85 (m,
1 H), 2.77-2.73 (m, 1 H), 1.39 (s, 3 H) 361.1 5.12
##STR240## 514 (CD3OD, 400 MHz), .delta. 7.47 (d, J = 2.0 Hz, 1 H),
7.46-7.37 (m, 4 H), 7.23 (d, J = 8.4 Hz, 1 H), 7.06 (dd, J = 8.8 Hz and
2.0 Hz, 1 H), 6.49 (b, 1 H), 4.35-4.21 (m, 3 H), 3.77-3.69 (m, 2 H),
3.55-3.45 (m, 2 H), 3.20- 3.11 (m, 1 H), 2.90-2.78 (m, 3 H), 2.67-2.55
(m, 3 H), 2.39-2.31 (m, 3 H), 2.01-1.95 (m, 1 H), 1.82-1.79 (m, 1 H),
1.32 (s, 3 H) 495.3 4.67
##STR241## 515 (CDCl3, 400 MHz), .delta. 7.92, 7.82 (s, 1 H), 7.42 (s, 1
H), 7.22 (dd, J = 8.4 Hz and 1.2 Hz, 1 H), 7.10 (d, J = 8.8 Hz, 1 H),
5.31, 5.19 (s, 1 H), 4.52, 4.32 (d, J = 10.8 Hz, 1 H), 4.20- 4.12 (m, 2
H), 3.19-3.12 (m, 1 H), 2.81-2.62 (m, 2 H), 1.81 (d, J = 6.8 Hz, 2 H),
1.48-22 (m, 12 H), 0.88 (s, 3 H) 363.5 6.34
##STR242## 516 (CD3OD, 400 MHz), .delta. 7.63 (s, 1 H), 7.50 (d, J = 8.0
Hz, 2 H), 7.40 (d, J = 8.0 Hz, 2 H), 7.20 (s, 2 H), 6.49 (b, 1 H),
4.30-4.20 (m, 3 H), 3.89 (s, 2 H), 3.45 (b, 2 H), 3.20-3.10 (m, 1 H),
3.03-3.01 (m, 9 H), 2.91-2.80 (m, 2 H), 1.32 (s, 3 H) 527.1 3.16
##STR243## 517 (CD3OD, 400 MHz), .delta. 8.27 (s, 2 H), 7.52 (d, J = 2
Hz, 1 H), 7.27 (d, J = 8.8 Hz, 1 H), 7.17 (d, J = 8.8 Hz, 1 H), 7.10 (dd,
J = 8.8 Hz and 2.4 Hz, 1 H), 7.05 (d, J = 8.8 Hz, 2 H), 6.95 (d, J = 9.2
Hz, 2 H), 6.92 (s, 1 H), 6.58-6.38 (m, 1 H), 4.52 (b, 1 H), 3.80 (s, 1
H), 3.79 (s, 3 H), 3.31- 3.30 (m, 1 H), 2.95 (s, 3 H), 2.92- 2.88 (m, 1
H) 464.2 5.86
##STR244## 518 (CD3OD, 400 MHz), .delta. 8.49, 8.29 (d, J = 4.4 Hz, 2.8
Hz, 1 H), 7.82, 7.70 (t, J = 2.0 Hz, 1 H), 7.46 (s, 1 H), 7.38-7.23 (m, 5
H), 7.15 (d, J = 7.6 Hz, 1 H), 7.07 (d, J = 8.4 Hz, 1 H), 6.98 (d, J =
6.8 Hz, 1 H), 6.46 (b, 1 H), 4.35-4.21 (m, 3 H), 3.88 (t, J = 7.0 Hz, 1
H), 3.71-3.67 (m, 1 H), 3.20-3.11 (m, 3 H), 3.01-2.80 (m, 4 H), 1.32 (s,
3 H) 517.6 5.03
##STR245## 520 (DMSO, 400 MHz), .delta. 11.15 (s, 1 H), 7.51 (d, J = 2.0
Hz, 1 H), 7.42 (t, J = 7.6 Hz, 1 H), 7.35 (d, J = 7.6 Hz, 1 H), 7.30 (d,
J = 8.8 Hz, 2 H), 7.16 (s, 1 H), 7.06 (dd, J = 8.4 Hz and 2.0 Hz, 1 H),
6.36 (b, 1 H), 4.18-4.10 (m, 3 H), 3.09-3.00 (m, 1 H), 2.91- 2.64 (m, 8
H), 1.21 (t, J = 6.6 Hz, 3 H) 426.2 4.29
##STR246## 521 (CD3OD, 400 MHz), .delta. 7.81 (d, J = 8.4 Hz, 2 H), 7.47
(d, J = 1.6 Hz, 1 H), 7.39 (d, J = 8.4 Hz, 2 H), 7.24 (d, J = 8.4 Hz, 1
H), 7.07 (dd, J = 8.4 Hz and 2.0 Hz, 1 H), 6.50 (b, 1 H), 4.35-4.29 (m, 3
H), 3.70-3.60 (m, 1 H), 3.51-3.47 (m, 2 H), 3.37- 3.29 (m, 1 H),
3.19-3.11 (m, 2 H), 2.92 (s, 3 H), 2.88-2.78 (m, 2 H), 2.51-2.41 (m, 1
H), 2.29-2.20 (m, 1 H), 2.17-2.00 (m, 2 H), 1.89-1.78 (m, 2 H), 1.32 (s,
3 H) 509.4 4.99
##STR247## 523 (CDCl3, 400 MHz), .delta. 7.91, 7.72 (s, 1 H), 7.50-7.43
(s, 1 H), 7.22-7.06 (m, 6 H), 5.28-5.19 (m, 1 H), 4.64- 4.45 (m, 1 H),
4.20 (b, 2 H), 3.27- 3.10 (m, 2 H), 2.91-2.72 (m, 2 H), 2.70-2.66 (m, 1
H), 2.49-2.28 (m, 2 H), 1.38-1.24 (m, 9 H), 1.01, 0.96 (d, J = 6.8 Hz, 3
H) 439.0 6.11
##STR248## 524 (DMSO, 400 MHz), .delta. 11.10 (s, 1 H), 8.42 (s, 1 H),
7.75 (d, J = 7.2 Hz, 1 H), 7.67 (s, 1 H), 7.51 (d, J = 1.6 Hz, 1 H), 7.43
(t, J = 7.2 Hz, 1 H), 7.35 (d, J = 8.0 Hz, 1 H), 7.29 (d, J = 8.4 Hz, 1
H), 7.06 (dd, J = 8.8 Hz and 2.4 Hz, 1H), 6.39 (b, 1 H), 4.13-4.09 (m, 3
H), 3.10-3.04 (m, 1 H), 2.81-2.72 (m, 5 H), 1.21 (s, 3 H) 412.1 4.13
##STR249## 525 (CD3OD, 400 MHz), .delta. 7.53-7.46 (m, 4 H), 7.29 (b, 1
H), 7.25 (d, J = 8.8 Hz, 1 H), 7.08 (dd, J = 8.8 Hz and 2.0 Hz, 1 H),
6.49 (b, 1 H), 4.34- 4.23 (m, 3 H), 3.53-3.42 (m, 2 H), 3.18-3.12 (m, 5
H), 2.91-2.74 (m, 3 H), 1.32 (t, J = 7.2 Hz, 6 H) 4.95.3 3.46
##STR250## 526 (CD3OD, 400 MHz), .delta. 7.63 (s, 1 H), 7.51 (d, J = 8.0
Hz, 2 H), 7.41 (d, J = 8.4 Hz, 2 H), 7.19 (d, J = 1.2 Hz, 2 H), 6.46 (b,
1 H), 4.31 (s, 2 H), 4.23-4.20 (m, 3 H), 3.62-3.50 (m, 4 H), 3.19-3.11
(m, 1 H), 2.92 (s, 6 H), 2.87-2.81 (m, 2 H), 2.76 (s, 3 H), 1.31 (s, 3 H)
513.2 4.43
##STR251## 527 (CD3OD, 400 MHz), .delta. 7.47 (d, J = 2 Hz, 1 H),
7.46-7.37 (m, 4 H), 7.24 (d, J = 8.8 Hz, 1 H), 7.07 (d, J = 8.8 Hz and
2.0 Hz, 1 H), 6.49 (b, 1 H), 4.75 (b, 1 H), 4.35-4.21 (m, 3 H), 3.85 (b,
1 H), 3.64 (b, 2 H), 3.45-3.37 (m, 1 H), 3.19-3.12 (m, 4 H), 2.91-2.80
(m, 3 H), 2.28-2.00 (m, 6 H), 2.12-2.05 (m, 2 H), 1.61 (b, 2 H), 1.32 (s,
3 H) 535.3 4.94
##STR252## 528 (CDCl3, 400 MHz), .delta. 7.89-7.69 (m, 1 H), 7.43 (b, 1
H), 7.33-7.30 (m, 2 H), 7.20-7.06 (m, 4 H), 5.29-5.19 (m, 1 H), 4.64-4.45
(m, 1 H), 4.20 (b, 2 H), 3.27-3.10 (m, 2 H), 2.91- 2.72 (m, 2 H),
2.70-2.66 (m, 1 H), 2.50 (b, 2 H), 2.29 (b, 1 H), 1.32- 1.31 (m, 12 H),
1.02, 0.90 (d, J = 6.8 Hz, 3 H) 453.0 6.30
##STR253## 529 (CD3OD, 400 MHz), .delta. 7.52-7.45 (m, 4 H), 7.31 (b, 1
H), 7.25 (d, J = 8.4 Hz, 1 H), 7.08 (dd, J = 8.4 Hz and 2.0 Hz, 1 H),
6.48 (b, 1 H), 4.34- 4.23 (m, 3 H), 3.45 (b, 3 H), 3.23- 3.13 (m, 4 H),
2.92-2.80 (m, 5 H), 1.32 (s, 3 H) 481.3 3.43
##STR254## 531 (CD3OD, 400 MHz) .delta. 7.48 (d, J = 1.6 Hz, 1 H), 7.43
(d, J = 8.4 Hz, 2 H), 7.40 (d, J = 8.4 Hz, 2 H), 7.24 (d, J = 8.4 Hz, 1
H), 7.07 (dd, J = 8.4 Hz and 2.0 Hz, 1 H), 6.50 (b, 1 H), 4.35-4.29 (m, 3
H), 3.90 (b, 1 H), 3.52-3.47 (m, 3 H), 3.20-3.16 (m, 2 H), 3.01 (t, J =
12.0 Hz, 2 H), 2.91-2.79 (m, 3 H), 2.20 (b, 1 H), 2.00-1.97 (m, 3 H),
1.82-1.71 (m, 6 H), 1.56-1.48 (m, 1 H), 1.32 (b, 3 H) 549.6 5.21
##STR255## HCl salt 532 (DMSO, 400 MHz), .delta. 11.39 (s, 1 H), 9.80
(b, 1 H), 9.40 (b, 1 H), 7.52 (d, J = 1.6 Hz, 1 H), 7.48 (s, 1 H), 7.37-
7.31 (m, 4 H), 7.25-7.19 (m, 1 H), 7.00 (dd, J = 8.8 Hz and 2 Hz, 1 H),
4.76 (d, J = 5.6 Hz, 1 H), 3.61-3.53 (m, 1 H), 3.25-3.20 (m, 1 H), 2.94-
2.92 (m, 2 H), 2.13-1.97 (m, 1 H), 1.35, 12.4 (d, J = 6.8 Hz, 3 H) 325.3
4.75
##STR256## 533 (CD3OD, 400 MHz), .delta. 8.99 (s, 1 H), 7.80 (d, J = 8.0
Hz, 2 H), 7.71 (d, J = 1.2 Hz, 1 H), 7.57 (s, 1 H), 7.47 (d, J = 1.6 Hz,
1 H), 7.39 (d, J = 8.0 Hz, 2 H), 7.24 (d, J = 8.4 Hz, 1 H), 7.07 (d, J =
8.0 Hz, 1 H), 6.51 (b, 1 H), 4.32 (t, J = 4.8 Hz, 3 H), 4.23-4.21 (m, 2
H), 3.43 (t, J = 6.4 Hz, 2 H), 3.20-3.11 (m, 1 H), 2.91-2.78 (m, 2 H),
2.23-2.17 (m, 2 H), 1.32 (b, 3 H) 506.2 4.96
##STR257## 534 (CD3OD, 400 MHz), .delta. 7.79 (d, J = 8.4 Hz, 2 H), 7.48
(s, 1 H), 7.38 (d, J = 8.0 Hz, 2 H), 7.25 (d, J = 8.8 Hz, 1 H), 7.07 (dd,
J = 8.4 Hz amd 2.0 Hz, 1 H), 6.51 (b, 1 H), 4.35- 4.21 (m, 3 H), 3.67 (t,
J = 4.6 Hz, 4 H), 3.41 (q, J = 4.8 Hz, 2 H), 3.20- 3.11 (m, 1 H),
2.91-2.79 (m, 2H), 2.62 (s, 1 H), 2.46-2.42 (m, 5 H), 1.83-1.79 (m, 2 H),
1.32 (s, 3 H) 525.2 4.76
##STR258## 535 (CD3OD, 400 MHz), .delta. 7.62 (s, 1 H), 7.49 (d, J = 8.0
Hz, 2 H), 7.39 (d, J = 8.4 Hz, 2 H), 7.19 (s, 2 H), 6.48 (s, 1 H),
4.27-4.18 (m, 5 H), 3.87 (t, J = 4.6 Hz, 4 H), 3.47 (t, J = 6.8 Hz, 2 H),
3.34-3.30 (m, 2 H), 3.16-3.12 (m, 5 H), 2.89-2.75 (m, 2 H), 1.30 (s, 3 H)
541.2 3.51
##STR259## 541 (CD3OD, 400 MHz), .delta. 7.60 (s, 1 H), 7.51 (s, J = 8.0
Hz, 2 H), 7.40 (d, J = 8.0 Hz, 2 H), 7.21-7.16 (m, 2 H), 6.46 (b, 1 H),
4.41 (s, 2 H), 4.28- 4.19 (m, 3 H), 3.79-3.74 (m, 4 H), 3.51-3.49 (m, 4
H), 3.19-3.11 (m, 1 H), 2.95 (s, 3 H), 2.88-2.75 (m, 2 H), 2.30 (s, 2 H),
1.30 (s, 3 H) 525.2 4.42
##STR260## 542 (CD3OD, 400 MHz), .delta. 7.84 (d, J = 8.0 Hz, 2 H), 7.47
(d, J = 2.0 Hz, 1 H), 7.37 (d, J = 8.4 Hz, 2 H), 7.24 (d, J = 8.4 Hz, 1
H), 7.06 (dd, J = 8.4 Hz and 2.0 Hz, 1 H), 6.49 (b, 1 H), 4.35-4.16 (m, 3
H), 3.21-3.10 (m, 1 H), 2.90-2.71 (m, 2 H), 1.32 (b, 3 H) 398.1 3.95
##STR261## 547 (CDCl3, 400 MHz), .delta. 7.92-7.77 (m, 1 H), 7.42-7.39
(m, 8 H), 7.26-7.21 (m, 1 H), 7.10 (d, J = 8.4 Hz, 1 H), 5.16-4.97 (m, 1
H), 4.56-4.36 (m, 1 H), 4.19-4.11 (m, 2 H), 3.27-3.19 (m, 1 H), 2.78-2.63
(m, 2 H), 1.90 (d, J = 5.6 Hz, 1 H), 1.74 (b, 1 H), 1.49-1.26 (m, 4 H),
1.10-0.91 (m, 6 H) 335.2 5.45
##STR262## 552 (CD3OD, 400 MHz), .delta. 7.82 (s, 1 H), 7.80 (s, 1 H),
7.55-7.48 (m, 3 H), 7.23 (d, J = 8.4 Hz, 1 H), 7.07 (dd, J = 8.4 Hz and
2.0 Hz, 1H), 6.49 (b, 1 H), 4.33-4.21 (m, 3 H), 4.05 (b, 2 H), 3.5-3.73
(m, 4 H), 3.61 (b, 2 H), 3.37 (t, J = 5.8 Hz, 2 H), 3.25- 3.17 (m, 3 H),
2.92-2.80 (m, 2 H), 1.32 (s, 3 H) 511.3 3.56
##STR263## 553 (CDCl3, 400 MHz), .delta. 8.01, 7.91 (s, 1 H), 7.43 (s, 1
H), 7.23 (d, J = 8.4 Hz, 1 H), 7.11 (d, J = 7.2 Hz, 1 H), 6.71 (d, J =
7.6 Hz, 1 H), 6.63 (s, 1 H), 6.57 (d, J = 7.6 Hz, 1 H), 5.92 (s, 2 H),
5.18-5.07 (m, 1 H), 4.63-4.41 (m, 1 H), 4.30-4.11 (m, 2 H), 3.36-3.31 (m,
1 H), 2.91-2.83 (m, 2 H), 2.70-2.61 (m, 1 H), 2.38- 2.15 (m, 2 H),
1.38-1.30 (m, 3 H), 1.09-1.01 (m, 3 H) 440.9 5.75
##STR264## 556 (CD3OD, 400 MHz), .delta. 7.76 (s, 1 H), 7.75 (s, 1 H),
7.52-7.43 (m, 2 H), 7.23 (d, J = 8.4 Hz, 1 H), 7.06 (d, J = 7.6 Hz, 1 H),
6.47 (b, 1 H), 4.30- 4.21 (m, 3 H), 3.52 (s, 4 H), 3.33 (s, 3 H),
3.26-3.18 (m, 1 H), 2.91-2.80 (m, 2 H), 1.32 (s, 3 H) 456.1 4.21
##STR265## 558 (CD3OD, 400 MHz), .delta. 7.48 (s, 1 H), 7.46 (d, J = 8.8
Hz, 2 H), 7.40 (d, J = 7.6 Hz, 2 H), 7.24 (d, J = 8.4 Hz, 1 H), 7.07 (d,
J = 8.0 Hz, 1 H), 6.49 (b, 1 H), 4.35-4.21 (m, 3 H), 3.64- 3.61 (m, 2 H),
3.20-3.11 (m, 3 H), 3.01 (s, 3 H), 2.93 (s, 5 H), 2.89- 2.78 (m, 3 H),
2.12-2.05 (m, 2 H), 1.32 (s, 3 H) 497.2 4.69
##STR266## 559 (CDCl3, 400 MHz), .delta. 8.17, 8.00 (s, 1 H), 7.50 (s, 1
H), 7.23-7.13 (m, 4 H), 6.97, 6.92 (s, 1 H), 6.80 (d, J = 8.4 Hz, 2 H),
4.43, 4.34 (t, J = 7.0 Hz, 1 H), 4.03-3.98 (m, 1 H), 3.77 (s, 3 H),
3.47-3.41 (m, 1 H), 3.25-2.81 (m, 2 H), 2.23-2.06 (m, 2 H), 1.02 (t, J =
6.2 Hz, 3 H) 460.8 4.96
##STR267## 560 (DMSO, 300 MHz), .delta. 7.63 (s, 1 H), 7.49 (d, J = 6.3
Hz, 2 H), 7.42 (d, J = 6.0 Hz, 2 H), 7.20 (s, 2 H), 6.49 (s, 1 H),
4.32-4.21 (m, 3 H), 3.85 (b, 4 H), 3.39-3.30 (m, 3 H), 3.26-3.15 (m, 5
H), 2.92-2.73 (m, 9 H), 2.26- 2.20 (m, 2 H), 1.31 (s, 3 H) 596.3 4.45
##STR268## 561 (CD3OD, 400 MHz), .delta. 7.52 (d, J = 8.4 Hz, 2 H), 7.47
(s, 1 H), 7.39- 7.36 (m, 2 H), 7.24 (d, J = 8.8 Hz, 1 H), 7.06 (dd, J =
8.4 Hz and 1.6 Hz, 1 H), 6.49 (b, 1 H), 4.45-4.23 (m, 4 H), 3.84-3.45 (m,
4 H), 3.20-3.12 (m, 1 H), 2.91-2.78 (m, 2 H), 2.25- 2.10 (m, 1 H),
1.98-1.89 (m, 4 H), 1.32 (s, 3 H) 509.2 5.18
##STR269## 562 (CD3OD, 400 MHz), .delta. 7.52-7.45 (m, 4 H), 7.32 (b, 1
H), 7.25 (d, J = 8.4 Hz, 1 H), 7.08 (dd, J = 8.4 Hz and 1.6 Hz, 1 H),
6.49 (b, 1 H), 4.34- 4.23 (m, 4 H), 3.69 (s, 3 H), 3.31- 3.30 (m, 8 H),
3.21-3.12 (m, 3 H), 2.91-2.74 (m, 2 H), 1.32 (s, 3 H) 525.3 3.52
##STR270## 563 (CD3OD, 400 MHz), .delta. 7.51-7.48 (m, 3 H), 7.40 (d, J
= 8.0 Hz, 2 H), 7.24 (d, J = 8.8 Hz, 1 H), 7.07 (dd, J = 8.4 Hz and 1.2
Hz, 1 H), 6.49 (b, 1 H), 4.35-4.21 (m, 3 H), 3.89 (b, 2 H), 3.45 (b, 2
H), 3.19-3.10 (m, 1 H), 3.05-3.01 (m, 9 H), 2.81-2.78 (m, 2 H), 1.32 (b,
3 H) 483.1 4.96
##STR271## 565 (CD3OD, 400 MHz), .delta. 7.47 (d, J = 1.6 Hz, 1H), 7.35
(d, J = 8.4 Hz, 1 H), 7.12 (dd, J = 8.4 Hz and J = 2.0 Hz, 1 H), 4.87 (s,
1 H), 3.75- 3.72 (m, 1 H), 3.50-3.47 (m, 1 H), 3.09-3.03 (m, 2 H), 2.22
(dd, J = 15.6 Hz and J = 2.4 Hz, 1 H), 1.84 (dd, J = 15.6 Hz and 8.4 Hz,
1 H), 1.17 (s, 9 H) 276.9 4.00
##STR272## 567 (CD3OD, 400 MHz), .delta. 7.48 (d, J = 1.6 Hz, 1 H),
7.41-7.32 (m, 3 H), 7.23 (d, J = 8.4 Hz, 2 H), 7.07 (dd, J = 8.4 Hz and
2.0 Hz, 1 H), 6.46 (b, 1 H), 4.32-4.17 (m, 3 H), 3.80 (s, 2 H), 3.67 (t,
J = 5.0 Hz, 2 H), 3.39 (s, 3 H), 3.30-15 (m, 6 H), 2.88-2.83 (m, 6 H),
1.32 (s, 3 H) 511.4 4.71
##STR273## HCl salt 568 (DMSO, 400 MHz), .delta. 11.39 (d, J = 2.8 Hz, 1
H), 9.75 (s, 1 H), 9.34 (s, 1 H), 7.53 (s, 1 H), 7.36 (dd, J = 8.4 Hz and
4.0 Hz, 1 H), 7.10 (dd, J = 8.8 Hz and 2.0 Hz, 1 H), 4.82- 4.71 (m, 1 H),
3.62-3.56 (m, 1 H), 3.14 (b, 1 H), 3.00-2.83 (m, 2 H), 2.35-2.23 (m, 1
H), 2.18-1.82 (m, 4 H), 1.34 (q, J = 6.4 Hz, 3 H) 295.0 4.14
Example 2
Assay to Evaluate Affect on Hypoxia-Inducible Endogenous VEGF Expression
[0300] The ability of the compounds of the invention to modulate
hypoxia-inducible endogenous VEGF expression may be analyzed as follows.
VEGF protein levels may be monitored by an ELISA assay (R&D Systems).
Briefly, HeLa cells may be cultured for 24-48 hours under hypoxic
conditions (1% O.sub.2, 5% CO.sub.2, balanced with nitrogen) in the
presence or absence of a compound of the invention. The conditioned media
may then be assayed by ELISA, and the concentration of VEGF calculated
from the standard ELISA curve of each assay.
[0301] A dose-response analysis may be performed using the ELISA assay and
conditions described above. The conditions for the dose-response ELISA
are analogous to those described above. A series of, e.g., seven
different concentrations may be analyzed. In parallel, a dose-response
cytotoxicity assay may be performed using Cell Titer Glo (Promega) under
the same conditions as the ELISA to ensure that the inhibition of VEGF
expression was not due to the cytotoxicity. Dose-response curves may be
plotted using percentage inhibition versus concentration of the compound,
and EC.sub.50 and CC.sub.50 values may be generated for each compound
with the maximal inhibition set as 100% and the minimal inhibition as 0%.
Preferred compounds of the invention will have an EC.sub.50 of less than
50, preferably less than 10, more preferably less than 2, even more
preferably less than 0.5, and even more preferably less than 0.01.
[0302] FIG. 1 shows the ability of a typical compound of the invention,
Compound No. 7, to inhibit endogenous VEGF production in tumor cells
under hypoxic conditions. The ELISA EC.sub.50 is 0.0025 .mu.M, while its
CC.sub.50 (50% cytotoxicity) is greater than 0.2 .mu.M. The EC.sub.50 for
a series of preferred compounds of the invention is provided in Table 6.
TABLE-US-00003
TABLE 6
LCMS Retention
Compound LCMS [M + H] Time (min) ELISA EC50 .mu.M
1 391.20 3.67 ****
2 385.28 4.01 *****
3 479.18 4.35 *****
4 435.23 4.28 *****
5 391.28 4.05 *****
6 425.28 4.07 *****
7 443.28 4.61 *****
#8 415.26 4.25 *****
9 431.25 4.07 *****
#10 467.15 4.51 *****
11 389.24 4.24 *****
12 414.31 3.94 *****
13 411.24 4.89 *****
14 397.22 4.57 *****
15 457.3 4.24 *****
16 435.19 4.47 *****
17 447.14 4.44 *****
18 431.14 4.55 *****
19 437.26 4.54 *****
20 389.24 4.22 *****
21 391.28 4.04 *****
22 425.28 4.11 *****
23 373.23 4.04 *****
24 411.24 4.8 *****
25 449.23 4.03 *****
26 437.15 4.52 *****
27 399.25 4.11 *****
28 399.19 4.2 *****
29 435.09 4.14 *****
30 413.22 4.42 *****
31 423.17 4.32 *****
32 467.25 4.26 *****
33 457.15 4.29 *****
34 383.19 4.42 *****
35 425.28 4.14 *****
36 383.2 4.37 *****
37 423.3 4.24 *****
38 355.24 4.07 *****
39 391.28 4.12 *****
40 403.15 4.45 *****
41 449.11 4.59 *****
42 383.19 4.44 *****
43 371.31 3.89 *****
44 479.18 4.35 *****
45 394.16 4.09 *****
46 421.19 4.22 ****
47 449.07 4.54 ****
48 403.32 4.2 ****
49 403.15 4.51 ****
50 405.18 3.81 ****
51 373.23 4.11 ****
52 355.3 4.07 ****
53 375.26 3.92 ****
54 435.23 4.3 ****
55 425.27 4.26 ****
56 414.14 4.19 ****
57 399.19 4.2 ****
58 469.22 4.32 ****
59 444.12 4.12 ****
60 433.17 4.27 ****
61 419.28 4.04 ****
62 409.14 4.22 ****
63 435.09 4.16 ****
64 435.12 4.27 ****
65 387.2 3.95 ****
66 414.17 4.24 ****
67 429.3 4.47 ****
68 359.19 3.89 ****
69 449.08 4.55 ****
70 375.25 4.19 ****
71 394.16 4.12 ****
72 403.15 4.49 ****
73 381.09 3.59 ****
#74 400.15 4.05 ****
75 387.22 4.29 ****
76 449.26 4.3 ****
77 391.28 4.19 ****
78 435.12 4.24 ****
79 437.19 4.49 ****
80 437.2 3.84 ****
81 375.03 3.57 ****
82 391.28 4.05 ****
83 425.28 4.16 ****
84 359.22 3.95 ****
85 437.15 4.44 ****
86 399.19 4.22 ****
87 403.15 4.44 ****
88 399.19 4.17 ****
89 434.07 4.04 ****
90 387.23 4.26 ****
91 369.27 4.17 ****
92 377.29 4.04 ****
93 435.23 4.29 ****
94 369.17 4.24 ****
95 449.06 4.51 ****
96 341.27 3.89 ****
97 387.19 4.2 ****
98 405.18 3.79 ****
99 469.22 4.29 ****
100 461.32 4.61 ****
101 369.17 4.26 ****
102 413.28 4.02 ****
103 407.1 4.05 ****
104 375.27 4.11 ****
105 387.21 4.19 ****
106 373.18 4.04 ****
107 385.28 4.02 ****
108 359.16 3.92 ****
109 369.34 4.16 ****
110 374.24 3.07 ****
111 386.19 3.89 ****
112 369.27 2.63 ****
113 399.13 4.01 ****
114 389.3 4.05 ****
115 435.13 4.14 ****
116 407.16 4.09 ****
117 419.28 4.05 ****
118 366.29 3.79 ****
119 521.19 4.16 ****
120 380.31 3.92 ****
121 403.32 4.27 ****
122 383.31 4.37 ****
123 319.2 2.19 ****
124 351.14 2.53 ***
125 409.3 4.14 ***
126 423.3 3.95 ***
127 371.31 3.9 ***
128 371.31 3.62 ***
129 449.13 3.81 ***
130 401.23 3.56 ***
131 385.22 3.74 ***
132 363.06 2.31 ***
133 385.15 3.86 ***
134 377.3 4.04 ***
135 397.15 2.42 ***
136 443.33 4.11 ***
137 361.07 2.53 ***
138 345.07 3.15 ***
139 400.27 4.01 ***
140 488.23 4.36 ***
141 425.21 4.37 ***
142 462.15 4.11 ***
143 369.23 3.74 ***
144 415.33 3.84 ***
145 361.3 4.39 ***
146 400.21 3.81 ***
147 438.21 3.97 ***
148 469.01 4.42 ***
149 425.25 4.24 ***
150 504.2 4.68 ***
151 397.01 2.44 ***
152 369.21 3.59 ***
153 372.21 2.36 ***
154 377.29 3.97 ***
155 363.11 2.32 ***
156 341.21 2.46 ***
157 407.14 1.78 ***
158 428.11 3.85 ***
159 351.13 2.47 ***
160 450.15 3.95 ***
161 363.05 2.32 ***
162 325.26 2.66 ***
163 319.2 2.24 ***
164 462.19 3.87 ***
165 371.31 3.65 ***
166 354.28 (-Boc) 3.95 ***
167 432.16 3.87 ***
168 351.08 2.4 ***
169 385.35 4.09 ***
170 351.07 2.51 ***
171 363.09 2.68 **
172 384.21 3.52 **
173 319.2 2.24 **
174 N/A 2.38 **
175 443.33 4.09 **
176 417.30 2.77 **
177 398.17 3.67 **
178 363.11 2.31 **
179 450.14 3.89 **
180 421.19 2.65 **
181 363.15 2.46 **
182 419.14 4.14 **
183 389.29 4.14 **
184 431.27 4.1 **
185 328.02 2.41 **
186 462.19 3.81 **
187 443.28 3.99 **
188 446.19 3.81 **
189 405.19 3.8 **
190 317.16 2.7 **
191 369.23 3.89 **
192 495.28 4.89 **
193 297.2 2.53 **
194 319.21 2.19 **
195 494.25 2.79 **
196 419.22 4.09 **
197 317.16 2.41 **
198 317.08 2.53 **
199 448.24 3.95 **
200 363.09 2.45 **
201 365.09 2.36 **
202 464.2 4.32 **
203 301.18 2.27 **
204 429.23 3.57 **
205 301.15 2.27 **
206 476.3 4.33 **
207 395.17 2.55 **
208 367.36 2.72 **
209 353.33 3.97 **
210 313.21 2.33 **
211 415.26 4.07 **
212 389.2 2.88 **
213 407.1 2.46 **
214 357.07 2.48 **
215 319.23 2.24 **
216 283.1 2.41 **
217 418.17 3.62 **
218 435.23 3.77 **
220 308.23 2.37 **
221 460.29 4.05 **
222 365.11 2.52 **
223 441.02 2.6 **
224 341.27 2.6 **
225 467.25 4.18 **
226 369.34 4.01 **
227 327.16 2.26 **
228 369.34 2.64 **
229 373.29 4.04 *
230 401.23 3.2 *
231 313.12 2.43 *
232 433.25 2.73 *
233 430.28 (-Boc) 4.34 *
234 351.17 2.4 *
235 351.25 3.79 *
236 379.35 2.74 *
237 439.11 4.41 *
238 479.24 3.77 *
239 328.16 2.35 *
240 307.27 3.87 *
241 523.19 3.7 *
242 438.27 4.14 *
243 323.20 3.49 *
244 512 2.27 *
245 485 2.62 *
246 498 2.54 *
247 471 2.36 *
248 283.23 2.24 *
249 339.17 3.07 *
250 355.30 3.57 *
251 297.26 2.26 *
252 341.21 2.44 *
253 301.27 2.29 *
254 301.25 2.27 *
255 281.31 2.2 *
256 345.2 2.26 *
257 335.21 2.34 *
258 459.27 3.72 *
259 479.24 3.52 *
260 287.26 2.36 *
261 287.26 2.56 *
262 380.24 3.92 *
263 503.50 3.20 *
264 369.36 2.52 *
265 355.26 2.54 *
266 355.26 2.42 *
267 370.22 3.61 *
268 355.26 2.42 *
269 355.27 2.37 *
270 370.23 3.19 *
271 369.34 2.62 *
272 374.31 2.90 *
273 492.25 2.76 *
274 451.30 3.17 *
275 374.31 2.61 *
276 374.31 2.72 *
277 349.28 1.5 *
278 457.28 4.11 *
279 *****
280 407.10 3.92 *
281 508.15 4.74 *
282 507.08 4.42 *
283 422.32 3.86 *
284 373.29 4.01 *
285 385.24 2.25 *
286 297.2 2.52 *
287 289.22 2.48 *
288 461.26 2.57 *
289 380.29 3.82 *
290 396.27 3.60 *
291 299.17 2.43 *
292 385.18 2.6 *
293 413.22 3.8 *
294 340.25 2.27 *
295 404.34 3.84 *
296 299.17 2.23 *
297 326.24 2.4 *
298 235.13 2.18 *
299 351.16 2.62 *
300 401 2.57 *
301 313.21 2.35 *
302 398.28 3.74 *
303 355.22 2.58 *
304 440.32 4.09 *
305 341.08 2.48 *
306 364.3 3.65 *
307 350.32 3.35 *
308 432.27 3.92 *
309 474.26 3.02 ****
310 289.03 2.35 *
311 345.19 2.58 *
312 420.28 4.12 *
313 279.28 2.18 *
314 293.24 2.20 *
315 297.26 2.17 *
316 472.26 3.85 *
317 428.25 3.95 *
318 309 2.25 *
319 284.09 2.1 *
320 356.21 2.37 *
321 279.2 2.1 *
322 279.2 1.76 *
323 309.23 1.82 *
324 280.19 1.76 *
325 279.2 1.76 *
326 263.17 1.93 *
327 343.18 2.33 *
328 .about.0.005 4.16 *
329 0.0036 4.26 *
330 0.0047 4.24 *
331 .about.0.010 2.94 *
#332 .about.0.010 4 *
333 410.27 3.64 **
334 426.24 3.39 *
335 466.23 4.64 ***
336 438.31 4.31 **
337 454.24 4.63 ***
338 474.32 4.33 **
339 412.3 3.83 *
340 446.33 4.49 *
341 447.26 4.25 ***
342 371.31 3.88 ***
343 371.31 3.61 *
344 459.31 4.91 ****
345 383.35 4.44 ****
346 587 4.04 ****
347 451.16 3.93 *****
348 479.28 4.13 *****
349 481.21 3.74 ****
350 462.17 3.66 *****
351 471.17 3.93 ****
352 403.29 3.98 ****
353 497.16 3.94 *****
354 525.2 4.19 *****
355 511.21 3.81 *****
356 490.3 3.93 **
357 534.23 3.93 ***
358 433.2 3.45 ***
359 511.25 3.64 ***
360 516 3.82 ****
361 474.26 3.02 ****
362 427 4.2 *****
363 412.4 1.80 *
364 484.3 2.49 *****
365 457.3 4.06 ***
366 553.3 4.42 *
367 402.8 4.37 ****
368 430.9 4.79 **
369 427.0 4.06 **
370 427.0 3.99 *****
371 469.0 5.27 ***
372 486.9 4.96 *
373 470.8 5.01 ***
374 436.9 4.66 ***
375 461 4.92 **
376 385 3.79 **
377 n/d n/d *
378 n/d n/d *
379 n/d n/d *
380 n/d n/d *
381 n/d n/d *
382 n/d n/d *
383 417.2 4.93 *****
384 403.22 4.65 *****
385 509.51 2.57 ****
386 465.26 2.52 *****
387 465.26 2.52 *****
388 495.4 3.94 *****
389 538.3 4.29 *****
390 480.5 3.23 *****
391 562.55 3.63 *****
392 443.4 3.88 *****
393 447.1 6.55 *****
394 450.1 5.48 *****
395 481.32 3.51 *****
396 411.3 3.99 *****
397 535.3 4.29 *****
398 481.3 4.23 *****
399 429.3 3.81 *****
400 493.3 4.43 *****
401 451.3 3.99 *****
402 494.4 3.71 *****
403 479.3 4.23 *****
404 473.6 3.78 *****
405 551.17 4.58 *****
406 425.4 4.13 *****
407 457.4 4.04 *****
408 425.4 4.09 *****
409 477.4 4.18 *****
410 451.3 3.99 *****
411 443.4 3.86 *****
412 473.4 4.23 *****
413 459.3 4.16 *****
414 439.4 4.31 *****
415 637.64 2.82 *****
416 311.1 4.39 *****
417 562.47 4.15 *****
418 511.3 4.13 *****
419 491.4 3.98 *****
420 486.6 3.45 *****
421 553.30 4.05 *****
422 359.29 4.17 *****
423 447.4 3.56 *****
424 594.2 [M - H] 4.58 *****
425 539.2 3.11 *****
426 535.27 4.29 *****
427 554.3 4.45 *****
428 563.55 4.64 *****
429 564.42 2.77 *****
430 431.3 3.41 *****
431 522.2 5.05 *****
432 489.4 4.14 *****
433 578.44 2.82 *****
434 467.18 4.11 *****
435 444.3 3.95 *****
436 477.4 3.93 *****
437 543.4 3.92 *****
438 500.1 4.35 *****
439 361.2 5.95 *****
440 536.43 3.95 *****
441 482.1 5.11 ****
442 367.1 2.92 ****
443 436.2 5.25 ****
444 455.28 3.73 ****
445 478 3.67 ****
446 383.3 4.10 ****
447 464.9 5.11 ****
448 501.27 3.65 ****
449 482.24 2.62 ****
450 587 4.04 ****
451 644.3 [M - H] 4.80 ****
452 439.3 3.56 ****
453 553.1 6.13 ****
454 579.3 2.75 ****
455 583 3.84 ****
456 474.3 2.44 ****
457 455 3.4 ****
458 456.3 2.51 ****
459 470.3 2.61 ****
460 509.30 4.16 ****
461 454.3 5.98 ****
462 580.56 2.85 ****
463 495.44 4.13 ****
464 493.0 5.71 ****
465 507.4 3.98 ****
466 555.2 3.14 ****
467 524.2 4.02 ****
468 582.2 2.81 ****
469 525.2 5.07 ****
470 554.3 3.90 ****
471 620.18 3.85 ****
472 335.3 5.52 ****
473 495.3 4.68 ***
474 511.2 4.99 ***
475 483 3.87 ***
476 400 3.45 ***
477 249.1 3.67 ***
478 525.1 3.25 ***
479 538.3 2.76 ***
480 456.1 4.26 ***
481 549.3 5.29 ***
482 522.3 3.95 ***
483 470.1 4.46 ***
484 539.2 3.02 ***
485 398.9 4.18 ***
486 349.1 6.03 ***
487 505 3.66 ***
488 555.2 3.34 ***
489 538.3 4.15 ***
490 486.1 3.80 ***
491 537.31 2.64 ***
492 468 5.52 ***
493 504.3 2.68 ***
494 482.2 5.74 ***
495 403.3 4.16 ***
496 430.2 3.65 ***
497 281.0 3.84 ***
498 481.4 4.81 ***
499 423.3 5.15 ***
500 506.29 3.85 ***
501 534.3 2.68 ***
502 518.3 2.76 ***
503 508.2 5.72 ***
504 359.1 5.65 ***
505 442.0 4.06 ***
506 386.3 5.32 ***
507 450 3.19 ***
508 397.1 5.97 ***
509 511.4 5.05 ***
510 321.4 5.19 ***
511 383.1 5.75 ***
512 523.1 5.69 ***
513 361.1 5.12 ***
514 495.3 4.67 ***
515 363.5 6.34 **
516 527.1 3.16 **
517 464.2 5.86 **
518 517.6 5.03 **
519 527.2 3.88 **
520 426.2 4.29 **
521 509.4 4.99 **
522 383.3 4.10 **
523 439.0 6.11 **
524 412.1 4.13 **
525 4.95.3 3.46 **
526 513.2 4.43 **
527 535.3 4.94 **
528 453.0 6.30 **
529 481.3 3.43 **
530 466.28 3.21 **
531 549.6 5.21 **
532 325.3 4.75 **
533 506.2 4.96 **
534 525.2 4.76 **
535 541.2 3.51 **
536 482.29 3.29 **
537 476.3 2.51 **
538 516.37 3.49 **
539 337.3 [M - H] 2.14 **
540 428.28 3.43 **
541 525.2 4.42 **
542 398.1 3.95 **
543 466.34 3.29 **
544 723.58 3.92 *****
545 466.31 3.28 **
546 426.3 2.26 **
547 335.2 5.45 **
548 516.37 3.46 **
549 414 2.89 **
550 496 4.58 **
551 544.5 2.78 **
552 511.3 3.56 **
553 440.9 5.75 **
554 482.32 3.41 **
555 372 2.89 **
556 456.1 4.21 **
557 538.4 3.71 **
558 497.2 4.69 **
559 460.8 4.96 **
560 596.3 4.45 *
561 509.2 5.18 *
562 525.3 3.52 *
563 483.1 4.96 *
564 432 2.18 *
565 276.9 4.00 *
566 384.4 1.73 *
567 511.4 4.71 *
568 295.0 4.14 *
569 480.21 3.50 *****
570 549.22 4.59 *****
571 497.13 3.50 **
572 525.29 4.14 *****
573 341.34 2.14 ****
574 427.37 2.23 *
575 437.33 3.16 **
576 575.43 3.71 ***
577 453.28 3.34 ***
578 610.45 3.94 ***
579 481.32 3.51 *****
580 495.29 3.64 *****
581 465.34 3.64 *
582 516.34 3.31 *
583 512.26 3.39 ***
584 466.37 3.34 ***
585 516.33 3.46 ***
586 387.27 2.13 *****
587 467.29 3.66 ***
588 455.26 3.69 ***
589 471.3 3.83 ***
590 495.31 3.64 ****
591 541.35 3.73 *****
592 523.42 3.58 *****
593 541.38 3.69 ****
594 505.38 3.83 ***
595 431.21 4.01 ****
596 431.24 3.99 *****
597 445.24 4.19 *****
598 459.24 4.36 *****
599 513.17 4.19 ****
600 479.23 3.99 *****
601 504.21 3.79 ****
602 493.2 4.18 ****
603 513.16 4.19 ****
604 446.18 2.86 *
605 503.23 3.84 *****
606 461.19 3.46 ***
607 442.25 3.46 ***
608 489.2 3.72 ***
609 433.27 3.98 **
610 n/d n/d ****
611 n/d n/d **
612 491.23 3.56 ***
613 513.14 4.18 ****
614 463 3.88 **
615 381 3.48 ***
616 540 4.17 **
617 621.57 4.13 ****
618 493.6 2.63 *****
619 521.6 2.80 *****
620 445.5 3.23 ****
621 459.5 3.40 *****
622 459.5 3.38 *****
623 473.5 3.57 *****
624 479.5 3.28 ****
625 507.6 3.53 *****
626 493.6 3.48 ****
627 511.6 3.53 *****
628 527.4 3.62 ***
629 527.5 3.72 *****
630 573.5 3.75 *****
631 507.6 3.65 *****
632 538.6 3.53 ****
633 443.5 3.32 *****
634 457.6 3.30 *****
635 523.6 3.47 ****
636 463.6 3.12 *****
637 621.62 2.77 *****
638 580.56 2.80 *****
639 496.54 3.28 *****
640 552.64 2.48 ****
641 445.55 4.13 *****
642 381.49 3.97 *****
643 397.47 3.95 *****
644 395.45 3.78 *****
645 521.15 4.17 *****
646 531.11 4.58 ****
647 505.18 4.7 *****
648 437.19 4.15 ****
649 477.21 4.1 *****
650 487.18 4.3 ****
651 548.3 2.53 ****
652 419.23 4.15 ****
653 449.24 4.12 ****
654 433.26 4.3 *****
655 453.19 4.33 ****
656 444.17 4.02 *****
657 464.22 4.08 *****
658 461.6 4.30 *****
659 489.7 4.78 *****
660 543.7 4.92 *****
661 459.5 3.63 *****
662 471.5 3.87 *****
663 491.6 3.63 *****
664 507.6 3.80 *****
665 485.6 3.85 ****
666 485.6 3.83 *****
667 486.6 3.95 *****
668 503.6 3.58 *****
669 521.6 3.88 *****
670 521.6 4.02 *****
671 501.6 4.13 *****
672 501.6 4.10 *****
673 539.6 4.02
674 555.6 4.13 ****
675 555.6 4.22 ****
676 535.6 4.05 ****
677 535.6 4.15 ****
678 551.6 3.98 ***
679 487.6 3.93 ****
680 599.5 4.27 *****
681 566.6 4.02 ****
682 496.5 2.13 **
683 486.5 2.03 ***
684 484.6 2.67 ***
685 514.6 2.15 ***
686 512.6 2.12 ****
687 510.6 2.13 ***
688 525.6 1.85 ***
689 494.5 3.12 ***
690 524.6 2.32 ***
691 514.6 2.23 ***
692 512.6 2.35 ***
693 542.6 2.35 ****
694 540.6 2.27 ****
695 538.6 2.35 ****
696 553.6 2.07 ***
697 522.6 3.95 *****
698 578.5 2.43 ****
699 568.5 2.35 ****
700 566.6 2.45 ****
701 596.6 2.47 ****
702 594.6 2.43 ****
703 592.6 2.48 ****
704 607.6 2.20 ***
705 575.5 2.47 ****
706 576.5 3.58 *****
707 477.51 2.77 *****
708 491.53 2.73 *****
709 503.55 2.68 *****
710 495.45 4.42 *****
711 475.51 4.62 *****
712 513.50 4.42 *****
713 529.46 4.62 ****
714 509.51 4.43 *****
715 482.46 4.28 *****
716 457.47 4.05 ****
717 459.59 4.33 *****
718 491.5 4.10 *****
719 527.5 4.47 *****
720 489.5 4.75 *****
721 517.5 4.26 *****
722 519.5 3.84 *****
723 555.4 4.09 (non polar) *****
724 541.54 2.90 *****
725 478.47 3.58 *****
726 516.5 2.67 **
727 526.5 2.78 ****
728 544.5 2.80 ***
729 542.5 2.72 *****
730 540.5 2.83 ****
731 555.6 2.43 ***
732 580.6 2.40 ***
733 523.5 2.78 *****
734 524.5 3.40 *****
735 552.5 2.98 *****
736 562.5 3.15 *****
737 580.6 3.17 ****
738 578.5 3.02 *****
739 576.6 3.17 *****
740 591.6 2.75 ***
741 616.5 2.62 ***
742 559.5 3.13 *****
743 560.5 3.83 *****
744 514.6 2.80 *****
745 524.6 2.92 *****
746 512.5 2.93 *****
747 542.6 2.93 *****
748 540.5 2.85 *****
749 538.6 2.93 *****
750 553.6 2.55 *****
751 521.5 2.92 ****
752 522.5 3.87 *****
753 542.6 2.98 ****
754 552.6 n/d *****
755 540.6 3.17 ****
756 570.6 3.17 ****
757 568.6 3.07 *****
758 566.6 3.17 ***
759 581.6 2.78 ***
760 549.6 3.13 *****
761 550.5 4.17 *****
762 544.5 2.68 ****
763 554.5 2.77 *****
764 542.6 2.78 ****
765 572.5 2.75 ****
766 570.6 2.70 *****
767 568.6 2.82 ****
768 583.6 2.47 ****
769 608.6 2.38 ***
770 551.5 2.73 *****
771 552.5 3.65 *****
772 580.5 3.03 *****
773 590.6 3.12 *****
774 578.5 3.12 ****
775 608.6 3.05 *****
776 606.5 3.05 *****
777 604.6 3.12 *****
778 619.6 2.77 *****
779 644.5 2.63 ***
780 587.5 3.10 *****
781 588.5 4.05 *****
782 596.5 3.10 *****
783 606.5 3.18 *****
784 594.5 3.27 *****
785 624.5 3.22 *****
786 622.5 3.12 *****
787 620.5 3.20 *****
788 635.6 2.85 ****
789 660.5 2.68 ***
790 603.5 3.22 *****
791 604.5 4.25 *****
792 480.50 2.98 *****
793 494.50 2.97 ****
794 494.50 2.97 ***
795 496.48 2.97 ****
796 563.50 2.41 ****
797 522.48 2.50 *****
798 538.48 2.92 *****
799 535.49 2.35 ***
800 503.40 2.52 ****
801 504.43 3.42 *****
802 504.42 3.37 *****
803 579.48 2.42 ****
804 538.48 2.43 *****
805 584.50 2.52 *****
806 554.40 2.47 *****
807 540.47 2.50 *****
808 551.48 2.33 ****
809 516.45 2.47 *****
810 520.40 3.21 *****
811 520.40 3.12 *****
812 466.4 3.27 *****
813 466.4 3.18 *****
814 465.4 2.38 *****
815 465.4 3.45 *****
#816 497.4 2.70 *****
#817 511.4 2.62 *****
#818 491.4 2.43 ****
819 494.4 3.53 *****
820 494.4 3.47 ****
821 493.4 2.55 ****
822 493.4 3.73 *****
#823 525.4 2.95 *****
#824 539.4 2.83 *****
#825 519.4 2.58 *
826 496.4 3.07 ***
827 496.4 2.98 ****
828 495.4 2.32 ***
829 495.4 3.28 ***
#830 527.4 2.53 *****
#831 541.4 2.50 *****
#832 521.4 2.35
833 532.4 3.50 ***
834 532.4 3.42 ****
835 531.4 2.57 ***
836 531.4 3.67 ****
#837 563.4 2.93 *****
#838 577.4 2.82 *****
839 548.3 3.63 ****
840 548.3 3.58 ****
#841 579.3 3.08 *****
#842 593.3 2.95 *****
#843 573.4 2.75 *****
844 451.91 3.58 ***
845 648.48 4.45 ***
846 526.45 2.57 ***
847 568.37 3.40 ****
848 585.30 3.57 *****
849 604.37 3.52 ****
850 540.39 2.60 ***
851 495.06 4.37 *****
852 539.08 4.17 *****
853 549.09 4.38 *****
854 523.17 4.73 *****
855 455.19 4.15 ****
856 495.18 4.10 *****
857 505.16 4.30 *****
858 566.3 2.57 *****
859 437.22 4.15 *****
860 467.2 4.13 *****
861 451.12 4.10 ****
862 471.17 4.32 *****
863 514.55 4.38 *****
864 462.28 4.00 ****
865 483.12 4.08 ****
866 447.37 4.04 *****
867 577.43 2.85 ****
868 477.14 4.37 *****
869 504.53 3.62 *****
870 493.55 2.80 *****
871 489.54 2.72 *****
872 493.55 2.80 *****
873 503.54 2.73 *****
874 479.2 2.74 *****
875 425.52 4.27 *****
876 492.52 3.57 *****
877 489.54 2.72 *****
878 508.55 3.82 *****
879 507.55 2.90 *****
880 459.49 4.24 *****
881 471.45 4.22 *****
882 542.51 3.87 *****
883 494.50 3.67 *****
884 544.27 2.79 *****
885 490.54 3.54 *****
886 494.57 3.68 *****
887 521.62 2.93 *****
888 558.54 3.70 *****
889 545.55 2.93 *****
890 490.49 3.48 *****
891 528.49 3.69 *****
892 546.50 3.75 *****
893 461.49 4.36 *****
894 580.47 2.72 *****
895 491.51 2.77 *****
896 576.49 4.00 *****
897 504.51 3.52 *****
898 457.53 4.25 *****
899 481.37 4.17 *****
900 541.55 3.00 *****
901 575.54 2.98 *****
902 471.49 4.12 *****
903 621.39 2.72 *****
904 596.54 2.85 *****
905 542.54 3.78 *****
906 489.53 4.82 *****
907 514.47 3.54 *****
908 582.43 2.79 *****
909 514.21 2.75 *****
910 539.45 3.97 *****
911 527.45 2.88 *****
912 530.53 2.67 *****
913 626.6 2.88 *****
914 514.55 2.60 *****
915 509.56 4.63 *****
916 626.40 2.82 *****
917 561.46 2.95 *****
918 642.56 2.85 *****
919 543.45 4.82 *****
920 557.57 2.87 *****
921 527.39 4.52 *****
922 561.53 2.85 *****
923 612.51 2.92 *****
924 498.20 2.71 *****
925 596.54 2.88 *****
926 5.62 3.85 *****
927 540.65 4.25 *****
928 510.52 3.10 *****
929 506.46 2.95 *****
930 500.48 2.83 *****
931 467.39 4.17 *****
932 548.49 3.17 *****
933 596.37 2.79 *****
934 561.53 2.95 *****
935 496.54 3.37 *****
936 582.6 2.83 *****
937 555.61 2.55 *****
938 582.53 2.85 *****
939 560.63 2.68 *****
940 541.43 2.45 *****
941 562.55 3.63 *****
942 623.35 2.73 ****
943 499 2.72 ****
944 525.56 4.36 ****
945 509.43 4.73 ****
946 566.53 2.77 ****
947 510 2.44 ****
948 482.47 2.88 ****
949 524.55 3.22 ****
950 506.46 2.87 ****
951 544.53 3.27 ****
952 530.53 3.12 ****
953 552.46 2.90 ****
954 403 4.11 ****
955 397 3.9 ****
956 484.55 2.42 ****
957 495.52 2.62 ****
958 542.36 3.84 ****
959 496.24 2.81 ****
960 639.57 2.70 ****
961 593.52 2.64 ****
962 516.59 2.65 ****
963 593.61 2.72 ****
964 598.55 2.83 ****
965 544.53 3.15 ****
966 564.45 3.32 ****
967 491.57 4.00 ****
968 512.51 2.73 ****
969 492.46 2.90 ****
970 609.54 2.72 ****
971 468.46 2.78 ****
972 496.47 3.02 ****
973 578.47 3.80 ****
974 528.34 3.79 ***
975 431.5 3.10 ***
976 564.46 3.23 ***
977 568.53 2.85 ***
978 578.45 3.30 ***
979 470.55 2.45 ***
980 527.61 2.50 ***
981 560.51 3.12 ***
982 425.60 3.78 ***
983 375.37 2.27 ***
984 5.06.19 3.97 **
985 407.31 1.82 *
986 531.56 2.17 *
987 497.1 4.4 *****
988 605.62 2.52 *****
989 564.61 2.55 *****
990 610.62 2.67 *****
991 580.58 2.60 ***
992 566.61 2.60 ***
993 577.61 2.45 *****
994 545.54 2.57 *****
995 546.57 3.53 *****
996 578.46 3.71 *****
#(S) Isomer prepared and tested.
Wherein:
1 star, >1 uM (1000 nM)
2 stars, 0.2 to 1 uM (200 nM to 1000 nM)
3 stars, 0.04 uM to 0.2 uM (40 nM to 200 nM)
4 stars, 0.008 uM to 0.04 uM (8 nM to 40 nM)
5 stars, <0.008 uM (<8 nM)
Example 3
Compounds of the Invention Inhibit VEGF Expression and Tumor Growth, and
Inhibit Angiogenesis, in an In Vivo Tumor Growth PD Model
[0303] Compounds of the invention also show activity in the following
pharmacodynamic model that assesses tumor VEGF levels. Briefly, HT1080
cells (a human fibrosarcoma cell line) may be implanted subcutaneously in
nude mice. After seven days, mice may be administrated compounds orally
at a desired dosage range, e.g., 200 mg/kg/day, for seven days. The
tumors may then be excised from mice, weighed and homogenized in Tris-HCl
buffer containing proteinase inhibitors. Moulder et al., Cancer Res.
61(24):8887-95 (2001). Tumor VEGF levels are subsequently measured using
a human VEGF ELISA kit (R&D System). Protein concentrations of the
homogenates are measured with a Bio-Rad Protein assay kit and tumor VEGF
levels are normalized to the protein concentrations.
[0304] Preferred compounds of the invention, when used for one week on a
100 mm.sup.3 tumor, will generally inhibit tumor growth by at least 50%,
as compared to the vehicle-treated control groups. In similarly conducted
experiments, compounds of the invention are shown to reduce lung cancer
tumor growth (at a dosage of 3 mg/kg, twice a day, or 30 mg/kg, twice a
day) (FIG. 2), Ewing's sarcoma and neuroblastoma tumor growth (at a
dosage of 30 mg/kg, once a day) (FIG. 3), fibrosarcoma tumor growth (at a
dosage of 10 mg/kg 3.times./week) (FIG. 4), and human skin malignant
melanoma (at a dosage of 10 mg/kg 5.times./week) (FIG. 5) as compared to
vehicle. Furthermore, the compounds of the invention are shown to reduce
VEGF plasma and tumor levels in fibrosarcoma tumors as compared to
vehicle (at a dosage of 10 mg/kg 3.times./week) (FIG. 6). The compounds
of the invention also inhibit tumor growth when administered together
with other cancer agents, such as 5-FU (fluorouracil) in a colon cancer
tumor (FIG. 7), taxol (paclitaxel) in a human cervical carcinoma (FIG.
8), and Avastin (bevacizumab) (FIG. 9). Furthermore, as shown in FIG. 10,
the compounds of the invention also reduce tumor and plasma VEGF levels
when administered together with another cancer agent (such as Avastin).
[0305] The tumors excised from the mice can also be used in
immunochemistry experiments to determine levels of angiogenesis. As seen
in FIG. 11, when antibodies to Collagen IV are used, angiogenesis is
shown to be inhibited by the administration of a compound of the
invention in Ewing's sarcoma (SK-NEP-1) and neuroblastoma (SY5Y and NGP)
tumors. SK-NEP-1 cells were previously believed to be a useful Wilms
tumor model. More recent genotyping, however, suggest that the cells,
which may have characteristics of both transformed cell/tumor type, are
useful as a Ewing's sarcoma model.
Example 4
Compounds of the Invention do not Affect VEGF mRNA Levels
[0306] Human solid tumor cells are treated with various concentrations of
a compound of the present invention or a control under hypoxic
conditions. Actinomycin D blocks transcription and is used as a control.
Total RNA is isolated using the RNeasy kit (Qiagen, Inc., Valencia,
Calif., USA) or an acid-guanidinium thiocyanate-phenol-chloroform based
method (See Chomczynski, P. and Sacchi, N., Anal. Biochem. 162: 156
(1987), hereby incorporated by reference).
[0307] Concentration of total RNA can be determined using the
RiboGreen.RTM. fluorescent dye (Molecular Probes, Inc., Eugene, Oreg.,
USA) with the VersaFluor Fluorometer System (BioRad, Hercules, Calif.,
USA). Quality and integrity of total RNA can be assessed on 1%
formaldehyde-agarose gels. First-strand cDNA was synthesized using 1
.mu.g of total RNA (DNase-treated) in a 20 .mu.l reverse transcriptase
reaction mixture (Leclerc G J, Barredo J C, Clin. Cancer Res. 2001,
7:942-951, which is hereby incorporated by reference). A region of the
VEGF mRNA is amplified using PCR primers. The cDNA amplified fragment
(approximately 300 basepairs) is cloned into a vector such as the
pCR2.1-TOPO vector (Invitrogen, Carlsbad, Calif., USA) to generate a
plasmid. Serial ten-fold dilutions (104 to 109 molecules) of this plasmid
are used as a reference molecule for standard curve calculation. All
Real-Time PCR reactions are performed in a 25 .mu.l mixture containing
1/20 volume of cDNA preparation (1 .mu.l), 1.times.SYBR Green buffer (PE
Applied Biosystems, Foster City, Calif., USA), 4 mM MgCl2, 0.2 .mu.M of
each VEGF primer used above, 0.2 mM dNTPs mix and 0.025 Unit of AmpliTaq
Gold.RTM. thermostable DNA polymerase (Applied Biosystems, Foster City,
Calif., USA). Real-Time quantitations are performed using the BIO-RAD
iCycler iQ system (BioRad, Hercules, Calif., USA). The fluorescence
threshold value can be calculated using the iCycle iQ system software.
Using similar methodologies, the data shown in FIG. 12 was obtained, and
shows that a compound of the present invention does not affect VEGF mRNA
levels
Example 5
Compounds of the Invention do not Affect the Activity of PDE5
[0308] The compounds of the invention are tested to assess their affect on
phosphodiesterase 5 (PDE5) activity. The affect on PDE5 activity is
determined using the High-Efficiency Fluorescence Polarization Assay
(HEFP) kit from Molecular Devices. The HEFP assay measures the activity
of PDE-5 by using fluorescein-labeled derivatives of cGMP as a substrate.
When hydrolyzed by PDE-5, fluorescein-labeled cGMP derivatives are able
to bind to a binding reagent. The cGMP substrate:binding reagent complex
results in a highly polarized fluorescent state.
[0309] FIG. 13 shows the results of the compounds of the invention on
PDE-5 activity. After combining recombinant PDE5 (CalBioChem) and the
cGMP substrate, the mixture is incubated at room temperature for 45
minutes in the presence or absence of compounds or a positive control
(Tadalafil). The reaction is stopped upon addition of the binding
reagent. Fluorescence polarization is determined on a Viewlux using a
setting recommended by the manufacturer. As is evident from FIG. 13, the
compounds of the invention do not inhibit the activity of PDE-5 in
comparison to the positive control.
Example 6
Effects on VEGF Production Induced by Hypoxia in Keratinocytes
[0310] Compounds of the invention reduce the hypoxia induced production of
VEGF from keratinocytes. In the absence of one or more compounds of the
invention, media from hypoxic keratinocytes cell culture has substantial
concentrations of VEGF concentration (mean 1413, pg/mL). Treatment with a
compound of the invention induces a dose-dependent reduction in VEGF
concentrations in the media production, resulting in a maximal 57%
decrease in the VEGF concentration (to a mean of 606 pg/mL). By contrast,
media from normoxic cells has a relatively low concentrations of VEGF
(mean 242 pg/mL) in the absence of a compound of the invention and showed
only a 21% decrease in the concentration of VEGF found in the
kerationcyte culture media concentrations (to a mean of 192 pg/mL) in the
presence of a compound of the invention. No cytotoxicity was observed at
any concentration tested.
[0311] All VEGF measurements are conducted by ELISA assay and the data is
presented as the mean+/-the standard error (SE). See FIG. 14.
Example 7
Plasma Concentrations of VEGF and Compounds of the Invention in Healthy
Human Subjects Following a Single Dose of Compound
[0312] Groups of normal healthy human volunteers (six per group) are
administered a single oral dose (0.03, 0.10, 0.30, 1.00, or 3.00 mg/kg)
of a compound of the invention. Two volunteers receive placebo. At the
indicated times after administration samples of venous blood are
withdrawn from the volunteers and the plasma concentration of the
compound in each sample is determined using liquid chromatography and
tandem mass spectroscopy (LC-MS/MS). Mean plasma concentrations of
compound are plotted versus time along with the standard deviation of the
values. See FIG. 15. Mean plasma concentrations of VEGF (FIG. 16, panel
A) and the change in VEGF relative to baseline measurements (FIG. 16,
panel B) are plotted versus time along with the standard error of the
values for the 0.0 and 3.0 mg/kg groups.
Example 8
Plasma Concentrations of VEGF and Compounds of the Invention in Healthy
Human Subjects with Dosing Twice Daily Over Multiple Days
[0313] Groups of normal healthy human volunteers (8 per group, 3 male and
3 female receiving drug, 1 placebo per gender at each dose level, 24
individuals total) are administered oral doses (0.03, 0.60, or 1.20
mg/kg) of a compound of the invention twice daily for seven days. Vital
signs (including pulse and blood pressure) and samples for urinalysis are
collected at baseline and repeatedly during the study. Samples of venous
blood are withdrawn from the volunteers prior to administration of the
first dose. Samples of venous blood are also withdrawn at multiple times
on the first and seventh day, before the morning and evening doses on
days two through six of the study, then at 6, 12, 24 and 36 hours after
administration of the last dose of the compound, and once on days 14 and
21 of the study. The plasma concentration of the compound in each sample
is determined using liquid chromatography and tandem mass spectroscopy
(LC-MS/MS). While side effects including headache, dizziness, nausea,
vomiting and stomach discomfort are observed, no serious, dose limiting,
or definitive drug-related events, such as the development of
hypertension or proteinuria are observed. All side effects are reversible
and there is no correlation of any side effect with dose. Mean plasma
concentrations of compound are plotted versus time along with the
standard deviation of the values for study days 1 and 7. See FIG. 17. The
mean plasma and serum VEGF levels, along with the standard deviations, on
days 1 and 7 are plotted vs. time at each does level. See FIG. 18. Vital
sign and urinalysis data indicate the compounds of the invention do not
give rise to hypertension or proteinuria (data not shown).
Example 9
Plasma Concentrations Over Multiple Days with Dosing Thrice Daily
[0314] Groups of normal healthy human volunteers (eight per group) are
administered oral doses of 1.6 mg/kg of a compound of the invention three
times daily for seven days. Samples of venous blood are withdrawn from
the volunteers prior to administration of the first dose. Samples of
venous blood are withdrawn at multiple times on the first and seventh
day, before the morning and evening doses on days two through six of the
study, at 6, 12, 24, and 36 hours after administration of the last dose
of the compound and once on days 14 and 21 of the study. The plasma
and/or serum concentration of the compound in each sample is determined
using liquid chromatography and tandem mass spectroscopy (LC-MS/MS).
While side effects including headache, dizziness, nausea, vomiting and
stomach discomfort are observed, no serious, dose limiting, or definitive
drug-related events, such as the development of hypertension or
proteinuria are observed. In addition, no bleeding, clotting,
hypertension or proteinuria are observed. All side effects are reversible
and there is no correlation of any side effect with dose. Mean plasma
compound concentrations are plotted versus time along with the standard
deviation of the values. See FIG. 19. The mean plasma and serum VEGF
levels, along with the standard deviations, on days 1 and 7 are plotted
vs. time are plotted. See FIG. 18, the lines labeled 1.6 mg/kg TID (n=6).
[0315] The discussion above provides illustrative features and embodiments
of the present invention, but the invention is not limited to the
particular features and embodiments disclosed. Those skilled in the
relevant arts will readily appreciate that variations to the disclosed
features and embodiments may be made without departing from the spirit
and scope of the present invention. For example, one or more of the
disclosed features or embodiments may be combined with one or more other
features or embodiments.
[0316] All publications and patent applications cited herein are
incorporated by reference to the same extent as if each individual
publication or patent application was specifically and individually
indicated to be incorporated by reference.
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