WO1994010163A1 - Antimicrobial 5-hydrazino-quinolone derivatives - Google Patents

Antimicrobial 5-hydrazino-quinolone derivatives Download PDF

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Publication number
WO1994010163A1
WO1994010163A1 PCT/US1993/010091 US9310091W WO9410163A1 WO 1994010163 A1 WO1994010163 A1 WO 1994010163A1 US 9310091 W US9310091 W US 9310091W WO 9410163 A1 WO9410163 A1 WO 9410163A1
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Prior art keywords
compound
heterocyclic ring
hydrogen
alkyl
quinolone
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PCT/US1993/010091
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French (fr)
Inventor
Thomas Prosser Demuth, Jr.
Ronald Eugene White
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The Procter & Gamble Company
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Application filed by The Procter & Gamble Company filed Critical The Procter & Gamble Company
Priority to EP93924393A priority Critical patent/EP0666853A1/en
Priority to SK547-95A priority patent/SK54795A3/en
Priority to BR9307347A priority patent/BR9307347A/en
Priority to KR1019950701690A priority patent/KR950704301A/en
Priority to JP6511167A priority patent/JPH08502750A/en
Priority to PL93308671A priority patent/PL178094B1/en
Priority to AU54097/94A priority patent/AU687018B2/en
Priority to RU95110762A priority patent/RU2126000C1/en
Publication of WO1994010163A1 publication Critical patent/WO1994010163A1/en
Priority to FI952049A priority patent/FI952049A/en
Priority to NO951640A priority patent/NO951640L/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/12Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D215/00Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
    • C07D215/02Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
    • C07D215/16Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D215/48Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen
    • C07D215/54Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen attached in position 3
    • C07D215/56Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen attached in position 3 with oxygen atoms in position 4
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/04Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D513/00Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for in groups C07D463/00, C07D477/00 or C07D499/00 - C07D507/00
    • C07D513/02Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for in groups C07D463/00, C07D477/00 or C07D499/00 - C07D507/00 in which the condensed system contains two hetero rings
    • C07D513/04Ortho-condensed systems

Definitions

  • This invention relates to novel antimicrobial compounds, compositions, and methods of treatment.
  • the compounds of this invention comprise a quinolone or related heterocyclic moiety.
  • antimicrobial i.e., capable of destroying or suppressing the growth or reproduction of microorganisms, such as bacteria.
  • antibacterlals include a large variety of naturally-occurring (antibiotic), synthetic, or semi-synthetic compounds.
  • aminoglycosides ansamacrolides, beta-lactams (including penicillins and cephalosporins), lincosaminides, macrolides, nltrofurans, nucleosides, oligosaccharides, peptides and polypeptides, phenazines, polyenes, polyethers, quinolones, tetracyclines, and sulfonamides.
  • antibacterials and other antimicrobials are described in Antibiotics. Chemotherapeutics, and Antibacterial Agents for Disease Control (M. Grayson, editor, 1982), and E. Gale et al., The Molecular Basis of Antibiotic Action 2d edition (1981), both incorporated by reference herein.
  • beta-lactam antibacterials act through inhibiting the essential penicillin binding proteins (PBPs) in bacteria, which are responsible for cell wall synthesis.
  • PBPs penicillin binding proteins
  • quinolones act by inhibiting synthesis of bacterial DNA, thus preventing the bacteria from replicating.
  • the pharmacological characteristics of antibacterials and other antimicrobials also vary considerably.
  • the classes of antimicrobials may vary in their relative efficacy against different types of microorganisms, and their susceptibility to development of microbial resistance.
  • These antimicrobials may also differ in their pharmacological characteristics, such as their bioavailability, and biodistribution. Accordingly, selection of an appropriate antibacterial (or other antimicrobial) in any given clinical situation can be a complicated analysis of many factors, including the type of organism involved, the desired method of administration, and the location of the infection to be treated.
  • the pharmaceutical literature is replete with attempts to develop improved antimicrobials (i.e., compounds that have a broader scope of activity, greater potency, improved pharmacology, and/or less susceptibility to resistance development.)
  • improved antimicrobials i.e., compounds that have a broader scope of activity, greater potency, improved pharmacology, and/or less susceptibility to resistance development.
  • one group of antimicrobials that has been developed relatively recently for clinical use is the quinolones. These compounds include, for example, nalidixic acid, difloxacin, enoxacin, fleroxacin, norfloxacin, lomefloxacin, ofloxacin, ciprofloxacin, and pefloxacin. See, C. Marchbanks and M. Dudley, "New Fluoroquinolones", 7 Hospital Therapy 18 (1988); P.
  • quinolones often show reduced effectiveness against certain clinically important pathogens (for example, gram positive bacteria and/or anaerobic bacteria).
  • pathogens for example, gram positive bacteria and/or anaerobic bacteria.
  • the quinolones also have limited water solubility limiting their bioavailability and suitability for parenteral dosing. They may also produce adverse side effects, such as gastrointestinal disturbance and central nervous system effects (such as convulsions). See, M. Neuman and A.
  • the present invention provides compounds of the general structure:
  • R 1 is alkyl; alkenyl; a carbocyclic ring; a
  • heterocyclic ring or -N(R 6 )(R 7 ), where R 6 and R 7 are, independently, hydrogen, alkyl, alkenyl, a carbocyclic ring, a heterocyclic ring, or R 5 and R 7 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded; and
  • R 2 is hydrogen, halogen, lower alkyl, or lower alkoxy
  • R 1 and R 2 may together comprise a six-membered heterocyclic ring that includes N' and the carbon atom to which R 2 is bonded;
  • R 3 is a heterocyclic ring or a carbocyclic ring
  • R 4 and R 5 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded;
  • the compounds of this invention are effective antimicrobial agents against a broad range of pathogenic microorganisms.
  • Applicants have also discovered that, surprisingly, compounds of this invention offer significantly increased water solubility at physiological pH in comparison to related antimicrobials known in the art. This surprising property may allow for, among other things, improved pharmacology, including increased serum levels upon administration, ease of formulation, and a more flexible dosing regimen.
  • the present invention encompasses certain novel quinolones, methods for their manufacture, dosage forms, and methods of administering the quinolones to a human or other animal subject.
  • Specific compounds and compositions to be used in the invention must, accordingly, be pharmaceutically acceptable.
  • a "pharmaceutically-acceptable" component is one that is suitable for use with humans and/or animals without undue adverse side effects (such as toxicity, irritation, and allergic response) commensurate with a reasonable benefit/risk ratio.
  • 5-(N-heterosubstituted amino) quinolones encompass any of a variety of quinolones (and related heterocyclic moieties) having an N-heteroamino substituent at the 5-position of the quinolone moiety.
  • the 5-(N-heterosubstituted amino) quinolones of this invention include compounds of the general structure:
  • heterocyclic ring or -N(R 6 )(R 7 ) (preferably alkyl or a carbocyclic ring), where R 6 and R 7 are, independently, hydrogen, alkyl, alkenyl, a carbocyclic ring, a heterocyclic ring, or R 6 and R 7 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded; and
  • R 2 is hydrogen, halogen, lower alkyl, or lower alkoxy (preferably halogen); or
  • R 1 and R 2 may together comprise a six- membered heterocyclic ring that includes N' and the carbon atom to which R 2 is bonded;
  • R 3 is a heterocyclic ring or a carbocyclic ring
  • R 4 and R 5 are, independently, hydrogen; lower alkyl
  • R 4 and R 5 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded; and pharmaceutically-acceptable salts and biohydrolyzable esters thereof, and solvates thereof.
  • Heteroatom is a nitrogen, sulfur or oxygen atom. Groups containing one or more heteroatoms may contain different heteroatoms.
  • Alkyl is an unsubstituted or substituted saturated hydrocarbon chain radical having from 1 to 8 carbon atoms, preferably from 1 to 4 carbon atoms.
  • Preferred alkyl groups include (for example) methyl, ethyl, propyl, isopropyl, and butyl.
  • Heteroalkyl is an unsubstituted or substituted saturated chain radical having from 3 to 8 members comprising carbon atoms and one or two heteroatoms.
  • Alkenyl is an unsubstituted or substituted hydrocarbon chain radical having from 2 to 8 carbon atoms, preferably from 2 to 4 carbon atoms, and having at least one olefinic double bond
  • Carbocyclic ring is an unsubstituted or substituted, saturated, unsaturated or aromatic, hydrocarbon ring radical.
  • Carbocyclic rings are monocyclic or are fused, bridged or spiro polycyclic ring systems.
  • Monocyclic rings contain from 3 to 9 atoms, preferably 3 to 6 atoms.
  • Polycyclic rings contain from 7 to 17 atoms, preferably from 7 to 13 atoms.
  • Cycloalkyl is a saturated carbocyclic ring radical.
  • Preferred cycloalkyl groups include (for example) cyclopropyl, cyclobutyl and cyclohexyl.
  • Heterocyclic ring is an unsubstituted or substituted, saturated, unsaturated or aromatic ring radical comprised of carbon atoms and one or more heteroatoms in the ring.
  • Heterocyclic rings are monocyclic or are fused, bridged or spiro polycyclic ring systems.
  • Monocyclic rings contain from 3 to 9 atoms, preferably 3 to 6 atoms.
  • Polycyclic rings contain from 7 to 17 atoms, preferably from 7 to 13 atoms.
  • Aryl is an aromatic carbocyclic ring radical.
  • Preferred aryl groups include (for example) phenyl, tolyl, xylyl, cumenyl and naphthyl.
  • Heteroaryl is an aromatic heterocyclic ring radical.
  • Preferred heteroaryl groups include (for example) thienyl, furyl, pyrrolyl, pyridinyl, pyrazinyl, thiazolyl, pyrimidinyl, quinolinyl, and tetrazolyl.
  • Alkoxy is an oxygen radical having a hydrocarbon chain substituent, where the hydrocarbon chain is an alkyl or alkenyl (i.e., -O-alkyl or -O-alkenyl).
  • Preferred alkoxy groups include (for example) methoxy, ethoxy, propoxy and allyloxy.
  • Alkyl amino is an amino radical having one or two alkyl substituents (i.e., -N-alkyl).
  • Arylalkyl is an alkyl radical substituted with an aryl group.
  • Preferred arylalkyl groups include benzyl and phenylethyl.
  • Arylamino is an amine radical substituted with an aryl group (i.e., -NH-aryl).
  • Aryloxy is an oxygen radical having an aryl substituent (i.e., -O-aryl).
  • Preferred alkyl acyl groups include (for example) acetyl, formyl, and propionyl.
  • Halo is a chloro, bromo, fluoro or iodo atom radical. Chloro and fluoro are preferred halides.
  • a “lower” hydrocarbon moiety is a hydrocarbon chain comprised of from 1 to 6, preferably from 1 to 4, carbon atoms.
  • a "pharmaceutically-acceptable salt” is a cationic salt formed at any acidic (e.g., carboxyl) group, or an anionic salt formed at any basic (e.g., amino) group.
  • Preferred cationic salts include the alkali metal salts (such as sodium and potassium), and alkaline earth metal salts (such as magnesium and calcium).
  • Preferred anionic salts include the halides (such as chloride salts).
  • a “biohydrolyzable ester” is an ester of a 5-(N-heterosubstituted amino) quinolone that does not essentially interfere with the antimicrobial activity of the compounds, or that are readily converted in vivo by a human or lower animal subject to yield an antimicrobially-active 5-(N-heterosubstituted amino) quinolone.
  • Such esters include those that do not interfere with the biological activity of quinolone antimicrobials. Many such esters are known in the art, as described in World Patent Publication 87/05297, Johnston et al., published September 11, 1987, (incorporated by reference herein).
  • esters include lower alkyl esters, lower acyloxy-alkyl esters (such as acetoxymethyl, acetoxyethyl, aminocarbonyloxymethyl, pivaloyloxymethyl and pivaloyloxyethyl esters), lactonyl esters (such as phthalidyl and thiophthalidyl esters), lower alkoxyacyloxyalkyl esters (such as methoxycarbonyloxymethyl, ethoxycarbonyloxyethyl and isopropoxycarbonyloxyethyl esters), alkoxyalkyl esters, choline esters, and alkyl acylamino alkyl esters (such as acetamidomethyl esters).
  • lower alkyl esters such as acetoxymethyl, acetoxyethyl, aminocarbonyloxymethyl, pivaloyloxymethyl and pivaloyloxyethyl esters
  • lactonyl esters such as phthal
  • a “solvate” is a complex formed by the combination of a solute (e.g., a 5-(N-heterosubstituted amino) quinolone) and a solvent (e.g., water).
  • a solute e.g., a 5-(N-heterosubstituted amino) quinolone
  • a solvent e.g., water
  • Pharmaceutically-acceptable solvents used according to this invention include those that do not interfere with the biological activity of the quinolone antimicrobials (e.g., water, ethanol, acetic acid, N,N-dimethyl formamide).
  • substituent groups may themselves be substituted. Such substitution may be with one or more substituents.
  • substituents include those listed in C. Hansch and A. Leo, Substituent Constants for Correlation Analysis in Chemistry and Biology (1979), incorporated by reference herein.
  • Preferred substituents include (for example) alkyl, alkenyl, alkoxy, hydroxy, oxo, nitro, amino, aminoalkyl (e.g., aminomethyl, etc.), cyano, halo, carboxy, alkoxyaceyl (e.g., carboethoxy, etc.), thiol, aryl, cycloalkyl, heteroaryl, heterocycloalkyl (e.g., piperidinyl, morpholinyl, pyrrolidinyl, etc.), imino, thioxo, hydroxyalkyl, aryloxy, arylalkyl, and combinations thereof.
  • alkyl alkenyl, alkoxy, hydroxy, oxo, nitro, amino, aminoalkyl (e.g., aminomethyl, etc.), cyano, halo, carboxy, alkoxyaceyl (e.g., carboethoxy, etc.), thiol, aryl
  • R 1 , R 2 , and R 3 form any of a variety of quinolone moieties known in the art to have antimicrobial activity. Such moieties are well known in the art, as described in the following articles, all incorporated by reference herein: J. Wolfson et al., "The Fluoroquinolones: Structures, Mechanisms of Action and Resistance, and Spectra of Activity In Vitro", 28 Antimicrobial Agents and Chemotherapy 581 (1985); and T. Rosen et al., 31 J. Med Chem. 1586 (1988); T. Rosen et al., 31 J. Med. Chem. 1598 (1988); G. Klopman et al., 31 Antimicrob. Agents Chemother.
  • R 1 is preferably alkyl, alkenyl, aryl, cycloalkyl, a heterocyclic ring, or alkylamino. More preferably, R 1 is ethyl, 2-fluoroethyl, 2-hydroxyethyl, t-butyl, 4-fluorophenyl, 2,4-difluorophenyl, methylamino, 3-oxetanyl, 2-fluorocyclopropyl, bicyclo [1.1.1] pentane, vinyl, or cyclopropyl.
  • Cyclopropyl, 2-fluorocyclopropyl, t-butyl, 2-fluorocyclopropyl, and 2,4-difluorophenyl are particularly preferred R 1 groups.
  • Preferred 5-(N-heterosubstituted amino) quinolones also include those where R 1 and R 2 together comprise a 6-membered heterocyclic ring, according to the formula:
  • X is O, S, or CH 2 .
  • R 2 is preferably chlorine, fluorine, methoxy, or methyl. Fluorine and chlorine are particularly preferred R 2 groups.
  • Preferred R 3 groups include nitrogen-containing heterocyclic rings. Particularly preferred are nitrogen-containing heterocyclic rings having from 5 to 8 members.
  • the heterocyclic ring may contain additional heteroatoms, such as oxygen, sulfur, or nitrogen, preferably nitrogen.
  • Such heterocyclic groups are described in U.S. Patent 4,599,334, Petersen et al., issued July 8, 1986; and U.S. Patent 4,670,444, Grohe et al., issued June 2, 1987 (both incorporated by reference herein).
  • R 3 groups include unsubstituted or substituted pyridine, piperidine, morpholine, diazabicyclo[3.1.1]heptane, diazabicyclo[2.2.1]heptane, diazabicyclo[3.2.1]octane, diazabicyclo[2.2.2] octane, imidazolidine, and 5-amino-3-azabicyclo[4.2.0]heptane, as well as particularly preferred R 3 groups which include piperazine, 3-methylpiperazine, 3-aminopyrrolidine, 3-aminomethylpyrrolidine, N,N-dimethylaminomethylpyrrolidine, N-ethyl aminomethylpyrrolidine, 3,5-dimethylpyridine, N-methylpiperazine and 3,5-dimethylpiperazine.
  • R 4 and R 5 groups include those where R 4 and R 5 together comprise a heterocyclic ring containing the nitrogen atom to which they are bonded, those where both R 4 and R 5 are lower alkyl, those where one of R 4 or R 5 is hydrogen and the other is lower alkyl, and those where both R 4 and R 5 are hydrogen. More preferred groups are where one of R 4 or R 5 is hydrogen and the other is alkyl and those where both R 4 and R 5 are hydrogen. Particularly preferred groups are where both R 4 and R 5 are hydrogen.
  • Preferred compounds of the present invention include those having both an R 3 group that contains a basic nitrogen atom (including, for example, pyridine, piperidine, diazabicyclo-[3.1.1]heptane, diazabicyclo[2.2.1]heptane, diazabicyclo[3.2.1]octane, diazabiclyo[2.2.2]octane, and imidazolidine) and R 4 and R 5 groups that allow the nitrogen atom to which they are bonded to be basic (including, e.g., where R 4 and R 5 together comprise a heterocyclic ring containing the nitrogen to which they are bonded, both R 4 and R 5 are lower alkyl, one of R 4 and R 5 are lower alkyl and the other is hydrogen, or both R 4 and R5 are hydrogen).
  • a basic nitrogen atom including, for example, pyridine, piperidine, diazabicyclo-[3.1.1]heptane, diazabicyclo[2.2.1]heptane, diazabicy
  • Particularly preferred compounds are those where the R 3 group is one of piperazine, 3-methylpiperazine, 3-aminopyrrolidine, 3-aminomethylpyrrolidine, N,N-dimethylaminopyrrolidine, N-ethyl aminomethylpyrrolidine, N-methylpiperazine, or 3,5-dimethylpiperazine; and both R 4 and R 5 are hydrogen.
  • a "basic nitrogen atom” is one where the nitrogen atom possesses a lone pair of electrons that can be involved in ionic bonding with any of a variety of cations. It is understood in the art that the basicity of a nitrogen atom of a given moiety will depend on the nature of that nitrogen atom's covalent bonding. See, e.g., A. Streitwieser and C. Heathcock, Introduction to Organic Chemistry, 2d edition, pp. 734-40 (1981), incorporated by reference herein.
  • Preferred 5-(N-heterosubstituted amino) quinolones include:
  • lactam-quinolones encompass any of a variety of lactam moieties linked, by a linking moiety, to a quinolone moiety at the 5-position of the quinolone.
  • Lactam-quinolones include compounds having the general structure:
  • R 7 is hydrogen, hydroxy, alkoxy, nitro, cyano, halogen, alkyl, or N(R 8 )(R 9 ) (preferably hydrogen or halogen), and
  • R 8 and R 9 are, independently, R 8a , where R 8a is hydrogen, alkyl, alkenyl, carbocyclic ring, or heterocyclic ring substituents; or R 8 and R 9 together comprise a heterocyclic ring including the nitrogen to which they are bonded;
  • a 2 is N or C(R 2 ) (preferably C(R 2 )); where R 2 is hydrogen or halogen;
  • a 3 is N or (preferably) C(R 5 ); where R 5 is hydrogen;
  • R 1 is hydrogen, alkyl, a carbocyclic ring, a heterocyclic ring, alkoxy, hydroxy, alkenyl, arylalkyl, or N(R 8 )(R 9 ) (preferably alkyl or a carbocyclic ring);
  • R 3 is hydrogen, halogen, alkyl, a carbocyclic ring, or a heterocyclic ring (preferably a heterocyclic ring);
  • R 4 is hydroxy
  • R 6 is R 15 or R 16 X; where R 15 is a substituent moiety of L and is nil, alkyl, heteroalkyl, or alkenyl; R 16 is a substituent moiety of L and is alkyl, alkenyl, a carbocyclic ring or a heterocyclic ring; and X is alkyl, heteroalkyl, alkenyl, oxygen, sulfur, or NH;
  • R 1 and R 7 may together comprise a heterocyclic ring including N' and A 1 ;
  • R 2 and R 3 may together comprise -O-(CH 2 ) n -O-, where n is an integer from 1 to 4;
  • R 4 and R 5 may together comprise a heterocyclic ring including the carbon atoms to which R 4 and R 5 are bonded and the carbon atom of Formula (I) to which said carbon atoms are bonded;
  • R 1 and R 5 may together comprise a heterocyclic ring including N' and the adjacent carbon to which R 5 is bonded;
  • (II) B is a structure according to Formula (II), where L is bonded to R 14 :
  • m is an integer from 0 to 9 (preferably from 0 to 3);
  • R 17 is hydrogen, alkyl, alkenyl, heteroalkyl, heteroalkenyl, a carbocyclic ring, or a heterocyclic ring (preferably alkyl, a carbocyclic ring, or a heterocyclic ring);
  • R 18 is R 17 , -Y 1 , or -CH(Y 2 )(R 17 );
  • R 22 and R 23 are bonded (preferably R 17 or -C(R 22 )(R 23 )COOH)
  • R 20 is R 19 , halogen, -Y 1 , or -CH(Y 2 )(R 17 ) (preferably R 19 or halogen);
  • (a) p is an integer from 0 to 2 (preferably 0);
  • R 24 may comprise a moiety bonded to R 21 to form a heterocyclic ring;
  • R 25 is R 17 , NH(R 17 ), N(R 17 )(R 26 ), O(R 26 ), or S(R 26 ) (preferably R 17 , NH(R 17 ) or N(R 17 )(R 26 )).
  • R 26 is alkyl, alkenyl, a carbocyclic ring, a heterocyclic ring or (preferably) when R 25 is N(R 17 )(R 26 ), R 26 may comprise a moiety bonded to R 17 to form a heterocyclic ring; and
  • R 21 is R 29 or hydrogen; where R 29 is alkyl; alkenyl; arylalkyl; heteroalkyl; heteroalkenyl; heteroarylalkyl; a carbocyclic ring; a heterocyclic ring; or, when Y 1 is N(R 24 )R 21 and R 21 is R 29 , R 21 and R 24 may together comprise a heterocyclic ring including the nitrogen atom to which R 24 is bonded (preferably hydrogen, alkyl, a carbocyclic ring or a heterocyclic ring);
  • bond "a” is a single bond or is nil; and bond “b” is a single bond, a double bond, or is nil; except bond “a” and bond “b” are not both nil;
  • R 12 is -C(R 8a )-, or -CH 2 -R 28 - (preferably -C(R 8a )-); where R 28 is -C(R 8a ), -O-, or -N-, and R 28 is directly bonded to N" in Formula (II) to form a 5-membered ring; except, if bond "a" is nil, then R 12 is
  • X 1 is -R 21 ; -OR 30 ; -S(O) r R 30 , where r is an
  • R 30 and R 31 are, independently, alkyl, alkenyl, carbocyclic ring or heterocyclic ring substituents; or R 30 and R 31 together comprise a heterocyclic ring including the nitrogen atom to which R 30 and R 31 are bonded; or
  • R 32 is -C(R 8a )(R 21 ), -O-, or -NR 8a , and R 32 is directly bonded to N" in Formula (II) to form a 5-membered ring;
  • R 33 is hydrogen or COOH (preferably COOH), and C* is linked to
  • R 36 to form a 3-membered ring
  • R 13 is hydrogen, -SO 3 H, -PO(OR 34 )OH, -C(O)NHSO 2 N(R 34 )(R 35 ), -OSO 3 H, -CH(R 35 )COOH, or -OCH(R 34 )COOH (preferably -SO 3 H, or -C(O)NHSO 2 N(R 34 )(R 35 );
  • R 34 is hydrogen, alkyl, alkenyl, a carbocyclic ring, or a heterocyclic ring; and R 35 is hydrogen, alkyl, alkenyl, or -NHR 8a ; or (preferably), if R 13 is -C(O)NHSO 2 N(R 34 ) (R 35 ), R 34 and R 35 may together comprise a heterocyclic ring including the nitrogen to which R 34 and R 35 are bonded; and
  • R 14 is -C(R 8a )(R 38 )-W-C"'-R 37 -; or
  • W is 0; S(O) s , where s is an integer from 0 to 2 (preferably 0); or C(R 38 ), where R 38 is hydrogen, alkyl or alkoxy;
  • R 36 hydrogen; alkyl; alkenyl; -COOH; or, if R 13 is -C*(R 33 ), R 36 may be linked to C* to form a 3-membered carbocyclic ring;
  • R 37 is nil, alkyl, alkenyl, a carbocyclic ring, or a heterocyclic ring;
  • t and u are, independently, 0 or 1;
  • R 39 is alkyl, alkenyl, heteroalkyl, heteroalkenyl, a carbocyclic ring, or a heterocyclic ring (preferably alkyl or alkenyl);
  • X 2 is oxygen, or S(O) v , where v is an integer from 0 to 2 (preferably 0); (4) X 3 is nitrogen; N(R 40 ); N+(R 41 )(R 42 ); or R 43 -N(R 41 ); and is linked to R 14 by a single or double bond; or, if R 14 is nil, X 3 is linked to B by a single or double bond (preferably X 3 is nitrogen, N(R 40 ) or N+(R 41 )(R 42 )); where
  • R 41 and R 42 are, independently, hydrogen; alkyl; alkenyl; carbocyclic rings; heterocyclic rings; or, if R 6 is R 16 X, then R 41 and R 42 together with
  • Q may comprise a heterocyclic ring as R 16 ;
  • R 43 is N(R 41 ), oxygen or sulfur
  • X 4 is oxygen, sulfur, NR 40 , or R 43 -NR 41 (preferably oxygen, sulfur or NR 40 );
  • Y 3 is oxygen, sulfur, NR 40 or N+(R 41 )(R 42 );
  • Y 4 is oxygen or NR 41 (preferably oxygen);
  • Z is nil, oxygen, sulfur, nitrogen, NR 40 , or N(R 41 )-R 43 (preferably oxygen, sulfur, nitrogen or NR 40 );
  • lactam-containing moieties include cephems, isocephems, iso-oxacephems, oxacephems, carbacephems, penicillins, penems, carbapenems, and monocyclic beta-lactams. Particularly preferred are cephems, penems, carbapenems and monocyclic beta-lactams.
  • R 10 in formula (II), is any radical that may be substituted at the active stereoisomeric position of the carbon adjacent to the lactam carbonyl of an antimicrobially-active lactam.
  • antimicrobially-active lactam refers to a lactam-containing compound, without a quinolonyl substituent moiety, which has antimicrobial activity.
  • This "active" position is beta (i.e., 7-beta) for cephems, oxacephems and carbacephems (for example).
  • the active position is alpha for penems, carbapenems, clavems and clavams.
  • 5-(N-heterosubstituted amino) quinolones can be prepared by the following procedure:
  • reaction sequence can be envisioned as a nucleophilic aromatic displacement of the quinolone 5-halogen substituted by
  • 5-(N-heterosubstituted amino)quinolones can be prepared by the following procedure:
  • the reaction sequence can be envisioned as a selective nucleophilic aromatic displacement of the quinolone 5-halogen substitutent by (R 4 )(R 5 )N-NH 2 to form the 5-(N-heterosubstituted amino)quinolones.
  • the reaction can preferably be carried out in a nonpolar aprotic solvent, preferably benzene, toluene, xylene, etc., at an elevated temperature, preferably 50°C to reflux.
  • compositions of this invention comprise:
  • a “safe and effective amount" of a 5-(N-heterosubstituted amino) quinolone is an amount that is effective, to inhibit microbial growth at the site of an infection to be treated in a human or lower animal subject, without undue adverse side effects (such as toxicity, irritation, or allergic response), commensurate with a reasonable benefit/risk ratio when used in the manner of this invention.
  • the specific "safe and effective amount” will, obviously, vary with such factors as the particular condition being treated, the physical condition of the patient, the duration of treatment, the nature of concurrent therapy (if any), the specific dosage form to be used, the carrier employed, the solubility of the 5-(N-heterosubstituted amino) quinolone therein, and the dosage regimen desired for the composition.
  • compositions of this invention are preferably provided in unit dosage form.
  • a "unit dosage form” is a composition of this invention containing an amount of a 5-(N-heterosubstituted amino) quinolone that is suitable for administration to a human or lower animal subject, in a single dose, according to good medical practice.
  • These compositions preferably contain from about 30 mg to about 20,000 mg, more preferably from about 50 mg (milligrams) to about 7000 mg, more preferably from about 500 mg to about 3500 mg, of a 5-(N-heterosubstituted amino) quinolone.
  • compositions of this invention may be in any of a variety of forms, suitable (for example) for oral, rectal, topical or parenteral administration.
  • a variety of pharmaceutically-acceptable carriers well-known in the art may be used. These include solid or liquid fillers, diluents, hydrotropes, surface-active agents, and encapsulating substances.
  • Optional pharmaceutically-active materials may be included, which do not substantially interfere with the antimicrobial activity of the 5-(N-heterosubstituted amino) quinolone.
  • the amount of carrier employed in conjunction with the 5-(N-heterosubstituted amino) quinolone is sufficient to provide a practical quantity of material for administration per unit dose of the 5-(N-heterosubstituted amino) quinolones.
  • Techniques and compositions for making dosage forms useful in the methods of this invention are described in the following references, all incorporated by reference herein: 7 Modern Pharmaceutics. Chapters 9 and 10 (Banker & Rhodes, editors, 1979); Lieberman et al., Pharmaceutical Dosage Forms: Tablets (1981); and Ansel, Introduction to Pharmaceutical Dosage Forms 2d Edition (1976).
  • pharmaceutically-acceptable carriers for systemic administration include sugars, starches, cellulose and its derivatives, malt, gelatin, talc, calcium sulfate, vegetable oils, synthetic oils, polyols, alginic acid, phosphate buffer solutions, emulsifiers, isotonic saline, and pyrogen-free water.
  • Preferred carriers for parenteral administration include propylene glycol, ethyl oleate, pyrrolidone, ethanol, and sesame oil.
  • the pharmaceutically-acceptable carrier, in compositions for parenteral administration comprises at least about 90% by weight by the total composition.
  • oral dosage forms can be used, including such solid forms as tablets, capsules, granules and bulk powders. These oral forms comprise a safe and effective amount, usually at least about 5%, and preferably from about 25% to about 50%, of the 5-(N-heterosubstituted amino) quinolone. Tablets can be compressed, tablet triturates, enteric-coated, sugar-coated, film-coated, or multiple-compressed, containing suitable binders, lubricants, diluents, disintegrating agents, coloring agents, flavoring agents, flow-inducing agents, and melting agents.
  • Liquid oral dosage forms include aqueous solutions, emulsions, suspensions, solutions and/or suspensions reconstituted from non-effervescent granules, and effervescent preparations reconstituted from effervescent granules, containing suitable solvents, preservatives, emulsifying agents, suspending agents, diluents, sweeteners, melting agents, coloring agents and flavoring agents.
  • Preferred carriers for oral administration include gelatin, propylene glycol, cottonseed oil and sesame oil.
  • compositions of this invention can also be administered topically to a subject, i.e., by the direct laying on or spreading of the composition on the epidermal or epithelial tissue of the subject.
  • Such compositions include, for example, lotions, creams, solutions, gels and solids.
  • These topical compositions preferably comprise a safe and effective amount, usually at least about 0.1%, and preferably from about 1% to about 5%, of the 5-(N-heterosubstituted amino) quinolone.
  • Suitable carriers for topical administration preferably remain in place on the skin as a continuous film, and resist being removed by perspiration or immersion in water.
  • the carrier is organic in nature and capable of having dispersed or dissolved therein the 5-(N-heterosubstituted amino) quinolone.
  • the carrier may include pharmaceutically-acceptable emolients, emulsifiers, thickening agents, and solvents.
  • This invention also provides methods of treating or preventing an infectious disorder in a human or other animal subject, by administering a safe and effective amount of a 5-(N-heterosubstituted amino) quinolone to said subject.
  • an "infectious disorder” is any disorder characterized by the presence of a microbial infection.
  • Preferred methods of this invention are for the treatment of bacterial infections.
  • infectious disorders include (for example) central nervous system infections, external ear infections, infections of the middle ear (such as acute otitis media), infections of the cranial sinuses, eye infections, infections of the oral cavity (such as infections of the teeth, gums and mucosa), upper respiratory tract infections, lower respiratory tract infections, genitourinary infections, gastrointestinal infections, gynecological infections, septicemia, bone and joint infections, skin and skin structure infections, bacterial endocarditis, burns, antibacterial prophylaxis of surgery, and antibacterial prophylaxis in immunosuppressed patients (such as patients receiving cancer chemotherapy, or organ transplant patients).
  • central nervous system infections for example, central nervous system infections, external ear infections, infections of the middle ear (such as acute otitis media), infections of the cranial sinuses, eye infections, infections of the oral cavity (such as infections of the teeth, gums and mucosa), upper respiratory tract infections, lower respiratory tract infections, genitourinary infections, gastrointestinal infections,
  • the 5-(N-heterosubstituted amino) quinolones and compositions of this invention can be administered topically or systemically.
  • Systemic application includes any method of introducing the 5-(N-heterosubstituted amino) quinolone into the tissues of the body, e.g., intrathecal, epidural, intramuscular, transdermal, intravenous, intraperitoneal, subcutaneous, sublingual, rectal, and oral administration.
  • the specific dosage of antimicrobial to be administered, as well as the duration of treatment, are mutually dependent.
  • the dosage and treatment regimen will also depend upon such factors as the specific 5-(N-heterosubstituted amino) quinolone used, the resistance pattern of the infecting organism to the 5-(N-heterosubstituted amino) quinolone used, the ability of the 5-(N-heterosubstituted amino) quinolone to reach minimum inhibitory concentrations at the site of the infection, the nature and extent of other infections (if any), the personal attributes of the subject (such as weight), compliance with the treatment regimen, and the presence and severity of any side effects of the treatment.
  • Treatment regimens preferably extend from about 1 to about 56 days, preferably from about 7 to about 28 days, in duration.
  • Prophylactic regimens may extend 6 months, or longer, according to good medical practice.
  • a preferred method of parenteral administration is through intramuscular injection.
  • all formulations for parenteral administration must be sterile.
  • individual doses of from about 100 mg to about 7000 mg, preferably from about 500 mg to about 3500 mg, are acceptable.
  • a preferred method of systemic administration is oral. Individual doses of from about 100 mg to about 2500 mg, preferably from about 250 mg to about 1000 mg are preferred.
  • Topical administration can be used to deliver the 5-(N-heterosubstituted amino) quinolone systemically, or to treat a local infection.
  • the amounts of 5-(N-heterosubstituted amino) quinolone to be topically administered depends upon such factors as skin sensitivity, type and location of the tissue to be treated, the composition and carrier (if any) to be administered, the particular 5-(N-heterosubstituted amino) quinolone to be administered, as well as the particular disorder to be treated and the extent to which systemic (as distinguished from local) effects are desired.
  • a solution of approximately 207 g of pentafluorobenzoyl chloride II (0.90 mole) and 250 ml of dioxane is cooled to 15-20°C with an ice water bath and a solution of approximately 126 g of I and 90.9 g of triethylamine (0.90 mole) in 300 ml of dioxane is added dropwise over 5.5 hours.
  • the addition funnel is rinsed with an additional 50 ml of dioxane and the reaction is stirred at 20°C overnight.
  • the mixture is then vacuum filtered and the precipitate is washed twice with 100 ml portions of dioxane.
  • the filtrate is vacuum stripped at 25°C and 1000 ml of hexane is added to the residue. More precipitate is collected and added to the first batch.
  • the combined product is then resuspended in 1500 ml of hexane, stirred briefly, filtered and vacuum dried to give III.
  • the mixture is neutralized to pH 7 with approximately 5 ml of acetic acid and is extracted three times with chloroform.
  • the dried chloroform extracts are evaporated to give a slurry which is triturated with 400 ml of boiling ethanol.
  • the resulting solids are filtered at room temperature.
  • An additional wash with 100 ml of cold ethanol followed by vacuum drying gives IV.
  • a mixture of IV (22g. 0.070 mole) and 2N H 2 SO 4 (600 ml) is stirred at 100°C for 20 hours and allowed to cool to room temperature.
  • the product V is collected by filtration, washing with water.
  • a mixture of VI (4.0g, 0.0086 mole), acetonitrile (120 ml) and hydrazine monohydrate (4.0 ml, 0.082 mole) is refluxed for 2.5 hours with a solution forming.
  • the solution is diluted with acetonitrile (100 ml) and stirred for 2 hours at room temperature.
  • the precipitate is collected by filtration and heated in acetonitrile (150 ml). Some undissolved material is removed by filtration and the filtrate is stored at room temperature overnight.
  • the product VII is collected by filtration washing with acetonitrile.
  • Monoethyl hydrogenmalonate (13.2g, 0.10 mol) is dissolved in tetrahydrofuran (260 ml) and cooled to -65°C. Then 2M n-butyl lithium (100 ml, 0.20 mol) is added dropwise to maintain a temperature below -50°C. The reaction is warmed to -5°C and recooled to -65°C. Pentafluorobenzoyl chloride 1 (7.20 ml, 0.05 mol) is dissolved in tetrahydrofuran (32 ml) and is added dropwise to keep the temperature below -50°C. After the addition, the reaction was warmed to -35°C and stirred for 1 hr.
  • Aqueous HCl (13%, 316 ml) is added to the solution and stirred for 30 min.
  • the mixture is extracted with CH 2 Cl 2 and washed with aqueous NaHCO 3 followed by water.
  • the organic layer is dried with Na 2 SO 4 and concentrated to give the product 2, which exists as a mixture of keto-enol tautomers in solution.
  • Pentafluorobenzoyl acetic acid ethyl ester 2 (10g, 0.035 mol) is added to acetic anhydride (8.5 ml, 0.09 mol) and triethylortho-formate (10 ml, 0.06 mol). The reaction is heated to 110°C for 2.25 hrs. The reaction is concentrated. The product is dissolved in ethanol (250 ml) and cooled to 0°C. Then 2,4-difluoroaniline (4.7 ml, 0.046 mol) is slowly added and the ice bath is removed. The reaction is stirred overnight and concentrated to dryness under reduced pressure. The residue is triturated in petroleum ether and the product is collected by filtration to give 3 as a mixture of cis-trans isomers.
  • the vinylogous amide 3 (9.43g, 0.022 mol) is dissolved in dimethyl formamide (57.0 ml) and K 2 CO 3 (9.46g, 0.068 mol) is added. The reaction is stirred overnight and then concentrated. Methylene chloride is added and the solution is washed with water. The organic phase is dried over Na 2 SO 4 , concentrated, and vacuum dried to give the quinolone 4.
  • the ester 4 (8.49g, 0.021 mol) is placed in a solution of 8:6:1 acetic acid/water/H 2 SO 4 (309 ml) and is heated to 100oC until the reaction is complete. The solution is poured into ice water, and the precipitate is filtered. The product is recrystallized by dissolving in CH 2 Cl 2 and precipitating out with hexane. The solid is collected to afford the acid 5. The filtrate is concentrated and the residue is purified as previously from CH 2 Cl 2 to give a second crop.
  • the quinolone 5 (10g, 0.027 mol) is dissolved in dimethylformamide (60 ml) and (3S)-t-butoxycarbonyl amino
  • a mixture of methyl propiolate (983 g, 11.7 mole) and 500 ml of tetrahydrofuran is cooled to 5°C and cyclopropylamine (667 g, 11.7 mole) dissolved in 1000 ml of tetrahydrofuran is added over approximately one hour from an addition funnel at a rate to keep the temperature at 3-7°C.
  • the mixture is stirred for an additional hour at 5°C and the ice bath is removed.
  • the reaction is stirred for approximately one hour at 20-25°C at room temperature for 3 hours and is allowed to stand for about 2.5 days at room temperature.
  • the solvent is removed under reduced pressure and the residue is vacuum distilled to give I.
  • a solution of approximately 207 g of pentafluorobenzoyl chloride II (0.90 mole) and 250 ml of dioxane is cooled to 15-20°C with an ice water bath and a solution of approximately 126 g of I and 90.9 g of triethylamine (0.90 mole) in 300 ml of dioxane is added dropwise over 5.5 hours.
  • the addition funnel is rinsed with an additional 50 ml of dioxane and the reaction is stirred at 20°C overnight.
  • the mixture is then vacuum filtered and the precipitate is washed twice with 100 ml portions of dioxane.
  • the filtrate is vacuum stripped at 25°C and 1000 ml of hexane is added to the residue. More precipitate is collected and added to the first batch.
  • the combined product is then resuspended in 1500 ml of hexane, stirred briefly, filtered and vacuum dried to give III.
  • An antimicrobial composition for parenteral administration comprising: Component Amount
  • the above ingredients are mixed, forming a suspension.
  • Approximately 2.0 ml of the suspension is systemically administered, via intramuscular injection, to a human subject suffering from a lower respiratory tract infection, with Streptococcus pneumonia present. This dosage is repeated twice daily, for approximately 14 days. After 4 days, symptoms of the disease subside, indicating that the pathogen has been substantially eradicated.
  • An enteric coated antimicrobial composition for oral administration is made comprising the following core tablet:
  • the components are admixed into a bulk mixture.
  • Compressed tablets are formed, using tabletting methods known in the art.
  • the tablet is then coated with a suspension of methacrylic acid/methacrylic acid ester polymer in isopropanol/acetone.
  • a human subject having a urinary tract infection with Escherichia coli present, is orally administered two of the tablets, every 8 hours, for 14 days. Symptoms of the disease then subside, indicating substantial eradication of the pathogen.

Abstract

Antimicrobial 5-(N-heterosubstituted amino) quinolone compounds of general formula (I), wherein (1) R?1, R2 and R3¿ form any of a variety of quinolone and related heterocyclic structures similar to those known in the art to have antimicrobial activity; and (2) (a) R?4 and R5¿ are, independently, hydrogen; lower alkyl; cycloalkyl; heteroalkyl; or -C(=O)-X-R8, where X is a covalent bond, N, O, or S, and R8 is lower alkyl, lower alkenyl, arylalkyl, a carbocyclic ring, or a heterocyclic ring; or (b) R?4 and R5¿ together comprise a heterocyclic ring that includes the nitrogen to which they are bonded; and pharmaceutically-acceptable salts and biohydrolyzable esters thereof, and solvates thereof.

Description

Antimicrobial 5-hydrazino-quinolone derivatives
BACKGROUND OF THE INVENTION
This invention relates to novel antimicrobial compounds, compositions, and methods of treatment. In particular, the compounds of this invention comprise a quinolone or related heterocyclic moiety.
The chemical and medical literature describes a myriad of compounds that are said to be antimicrobial, i.e., capable of destroying or suppressing the growth or reproduction of microorganisms, such as bacteria. In particular, antibacterlals include a large variety of naturally-occurring (antibiotic), synthetic, or semi-synthetic compounds. They may be classified (for example) as the aminoglycosides, ansamacrolides, beta-lactams (including penicillins and cephalosporins), lincosaminides, macrolides, nltrofurans, nucleosides, oligosaccharides, peptides and polypeptides, phenazines, polyenes, polyethers, quinolones, tetracyclines, and sulfonamides. Such antibacterials and other antimicrobials are described in Antibiotics. Chemotherapeutics, and Antibacterial Agents for Disease Control (M. Grayson, editor, 1982), and E. Gale et al., The Molecular Basis of Antibiotic Action 2d edition (1981), both incorporated by reference herein.
The mechanism of action of these antibacterials vary. However, each can be generally classified as functioning in one or more of four ways: by inhibiting cell wall synthesis or repair; by altering cell wall permeability; by inhibiting protein synthesis; or by inhibiting synthesis of nucleic acids. For example, beta-lactam antibacterials act through inhibiting the essential penicillin binding proteins (PBPs) in bacteria, which are responsible for cell wall synthesis. On the other hand, quinolones act by inhibiting synthesis of bacterial DNA, thus preventing the bacteria from replicating.
Not surprisingly, the pharmacological characteristics of antibacterials and other antimicrobials, and their suitability for any given clinical use, also vary considerably. For example, the classes of antimicrobials (and members within a class) may vary in their relative efficacy against different types of microorganisms, and their susceptibility to development of microbial resistance. These antimicrobials may also differ in their pharmacological characteristics, such as their bioavailability, and biodistribution. Accordingly, selection of an appropriate antibacterial (or other antimicrobial) in any given clinical situation can be a complicated analysis of many factors, including the type of organism involved, the desired method of administration, and the location of the infection to be treated.
The pharmaceutical literature is replete with attempts to develop improved antimicrobials (i.e., compounds that have a broader scope of activity, greater potency, improved pharmacology, and/or less susceptibility to resistance development.) For example, one group of antimicrobials that has been developed relatively recently for clinical use is the quinolones. These compounds include, for example, nalidixic acid, difloxacin, enoxacin, fleroxacin, norfloxacin, lomefloxacin, ofloxacin, ciprofloxacin, and pefloxacin. See, C. Marchbanks and M. Dudley, "New Fluoroquinolones", 7 Hospital Therapy 18 (1988); P. Shah, "Quinolones", 31 Prog. Drug Res. 243 (1987); Quinolones - Their Future in Clinical Practice, (A. Percival, editor, Royal Society of Medical Services, 1986); and M. Parry, "Pharmacology and Clinical Uses of Quinolone Antibiotics", 116 Medical Times 39 (1988).
However, many such attempts to produce improved antimicrobials have produced equivocal results. Indeed, few antimicrobials are developed that are truly clinically-acceptable in terms of their spectrum of antimicrobial activity, avoidance of microbial resistance, and pharmacology. For example, the quinolones often show reduced effectiveness against certain clinically important pathogens (for example, gram positive bacteria and/or anaerobic bacteria). The quinolones also have limited water solubility limiting their bioavailability and suitability for parenteral dosing. They may also produce adverse side effects, such as gastrointestinal disturbance and central nervous system effects (such as convulsions). See, M. Neuman and A. Esanu, "Gaps and Perspectives of New Fluoroquinolones", 24 Drugs Exptl. Clin. Res. 385 (1988); W. Christ et al., "Specific Toxicologic Aspects of the Quinolones", 10 Rev. Infectious Diseases S141 (1988); H. Neu, "Clinical Use of the Quinolones", Lancet 1319 (1987); and "Ciprofloxacin: Panacea or Blunder Drug?", J. South Carolina Med. Assoc 131 (March 1989).
SUMMARY OF THE INVENTION
The present invention provides compounds of the general structure:
Figure imgf000005_0001
wherein
(A)(1)(a) R1 is alkyl; alkenyl; a carbocyclic ring; a
heterocyclic ring; or -N(R6)(R7), where R6 and R7 are, independently, hydrogen, alkyl, alkenyl, a carbocyclic ring, a heterocyclic ring, or R5 and R7 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded; and
(b) R2 is hydrogen, halogen, lower alkyl, or lower alkoxy; or
(2) R1 and R2 may together comprise a six-membered heterocyclic ring that includes N' and the carbon atom to which R2 is bonded;
(B) R3 is a heterocyclic ring or a carbocyclic ring; and (C)(1) R4 and R5 are, independently, hydrogen; lower alkyl; cycloalkyl; heteroalkyl; or -C(=O)-X-R8, where X is a covalent bond, N, O, or S, and R8 is lower alkyl, lower alkenyl, arylalkyl, a carbocyclic ring, or a heterocyclic ring; or
(2) R4 and R5 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded;
and pharmaceutically-acceptable salts and biohydrolyzable esters thereof, and solvates thereof.
It has been found that the compounds of this invention, and compositions containing these compounds, are effective antimicrobial agents against a broad range of pathogenic microorganisms. Applicants have also discovered that, surprisingly, compounds of this invention offer significantly increased water solubility at physiological pH in comparison to related antimicrobials known in the art. This surprising property may allow for, among other things, improved pharmacology, including increased serum levels upon administration, ease of formulation, and a more flexible dosing regimen.
DESCRIPTION OF THE INVENTION
The present invention encompasses certain novel quinolones, methods for their manufacture, dosage forms, and methods of administering the quinolones to a human or other animal subject. Specific compounds and compositions to be used in the invention must, accordingly, be pharmaceutically acceptable. As used herein, such a "pharmaceutically-acceptable" component is one that is suitable for use with humans and/or animals without undue adverse side effects (such as toxicity, irritation, and allergic response) commensurate with a reasonable benefit/risk ratio.
5-fN-heterosubstituted amino) quinolones
The compounds of this invention, herein referred to as
"5-(N-heterosubstituted amino) quinolones", encompass any of a variety of quinolones (and related heterocyclic moieties) having an N-heteroamino substituent at the 5-position of the quinolone moiety.
The 5-(N-heterosubstituted amino) quinolones of this invention include compounds of the general structure:
Figure imgf000007_0001
wherein
(A) (1 ) (a) R1 i s al kyl ; al kenyl , a carbocy
heterocyclic ring; or -N(R6)(R7) (preferably alkyl or a carbocyclic ring), where R6 and R7 are, independently, hydrogen, alkyl, alkenyl, a carbocyclic ring, a heterocyclic ring, or R6 and R7 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded; and
(b) R2 is hydrogen, halogen, lower alkyl, or lower alkoxy (preferably halogen); or
(2) (Preferably) R1 and R2 may together comprise a six- membered heterocyclic ring that includes N' and the carbon atom to which R2 is bonded;
(B) R3 is a heterocyclic ring or a carbocyclic ring
(preferably a heterocyclic ring); and
(C)(1) R4 and R5 are, independently, hydrogen; lower alkyl;
cycloalkyl; heteroalkyl; or -C(=O)-X-R8 (preferably hydrogen or lower alkyl), where X is a covalent bond, N, O, or S, and R8 is lower alkyl, lower alkenyl, arylalkyl, a carbocyclic ring, or a heterocyclic ring; or
(2) (Preferably) R4 and R5 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded; and pharmaceutically-acceptable salts and biohydrolyzable esters thereof, and solvates thereof.
Definitions and Usage of Terms:
The following is a list of definitions for terms used herein.
"Heteroatom" is a nitrogen, sulfur or oxygen atom. Groups containing one or more heteroatoms may contain different heteroatoms.
"Alkyl" is an unsubstituted or substituted saturated hydrocarbon chain radical having from 1 to 8 carbon atoms, preferably from 1 to 4 carbon atoms. Preferred alkyl groups include (for example) methyl, ethyl, propyl, isopropyl, and butyl.
"Heteroalkyl" is an unsubstituted or substituted saturated chain radical having from 3 to 8 members comprising carbon atoms and one or two heteroatoms.
"Alkenyl" is an unsubstituted or substituted hydrocarbon chain radical having from 2 to 8 carbon atoms, preferably from 2 to 4 carbon atoms, and having at least one olefinic double bond
(including, for example, vinyl, allyl and butenyl).
"Carbocyclic ring" is an unsubstituted or substituted, saturated, unsaturated or aromatic, hydrocarbon ring radical.
Carbocyclic rings are monocyclic or are fused, bridged or spiro polycyclic ring systems. Monocyclic rings contain from 3 to 9 atoms, preferably 3 to 6 atoms. Polycyclic rings contain from 7 to 17 atoms, preferably from 7 to 13 atoms.
"Cycloalkyl" is a saturated carbocyclic ring radical.
Preferred cycloalkyl groups include (for example) cyclopropyl, cyclobutyl and cyclohexyl.
"Heterocyclic ring" is an unsubstituted or substituted, saturated, unsaturated or aromatic ring radical comprised of carbon atoms and one or more heteroatoms in the ring.
Heterocyclic rings are monocyclic or are fused, bridged or spiro polycyclic ring systems. Monocyclic rings contain from 3 to 9 atoms, preferably 3 to 6 atoms. Polycyclic rings contain from 7 to 17 atoms, preferably from 7 to 13 atoms.
"Aryl" is an aromatic carbocyclic ring radical. Preferred aryl groups include (for example) phenyl, tolyl, xylyl, cumenyl and naphthyl. "Heteroaryl" is an aromatic heterocyclic ring radical. Preferred heteroaryl groups include (for example) thienyl, furyl, pyrrolyl, pyridinyl, pyrazinyl, thiazolyl, pyrimidinyl, quinolinyl, and tetrazolyl.
"Alkoxy" is an oxygen radical having a hydrocarbon chain substituent, where the hydrocarbon chain is an alkyl or alkenyl (i.e., -O-alkyl or -O-alkenyl). Preferred alkoxy groups include (for example) methoxy, ethoxy, propoxy and allyloxy.
"Alkyl amino" is an amino radical having one or two alkyl substituents (i.e., -N-alkyl).
"Arylalkyl" is an alkyl radical substituted with an aryl group. Preferred arylalkyl groups include benzyl and phenylethyl.
"Arylamino" is an amine radical substituted with an aryl group (i.e., -NH-aryl).
"Aryloxy" is an oxygen radical having an aryl substituent (i.e., -O-aryl).
"Acyl" or "carbonyl" is a radical formed by removal of the hydroxy from a carboxyl ic acid (i.e., R-C(=O)-). Preferred alkyl acyl groups include (for example) acetyl, formyl, and propionyl.
"Acyloxy" is an oxygen radical having an acyl substituent (i.e., -O-acyl); for example, -O-C(=O)-alkyl.
"Acylamino" is an amino radical having an acyl substituent (i.e., -N-acyl); for example, -NH-C(=O)-alkyl.
"Halo", "halogen", or "halide" is a chloro, bromo, fluoro or iodo atom radical. Chloro and fluoro are preferred halides.
Also, as referred to herein, a "lower" hydrocarbon moiety (e.g., "lower" alkyl) is a hydrocarbon chain comprised of from 1 to 6, preferably from 1 to 4, carbon atoms.
A "pharmaceutically-acceptable salt" is a cationic salt formed at any acidic (e.g., carboxyl) group, or an anionic salt formed at any basic (e.g., amino) group. Many such salts are known in the art, as described in World Patent Publication 87/05297, Johnston et al., published September 11, 1987 (incorporated by reference herein). Preferred cationic salts include the alkali metal salts (such as sodium and potassium), and alkaline earth metal salts (such as magnesium and calcium). Preferred anionic salts include the halides (such as chloride salts).
A "biohydrolyzable ester" is an ester of a 5-(N-heterosubstituted amino) quinolone that does not essentially interfere with the antimicrobial activity of the compounds, or that are readily converted in vivo by a human or lower animal subject to yield an antimicrobially-active 5-(N-heterosubstituted amino) quinolone. Such esters include those that do not interfere with the biological activity of quinolone antimicrobials. Many such esters are known in the art, as described in World Patent Publication 87/05297, Johnston et al., published September 11, 1987, (incorporated by reference herein). Such esters include lower alkyl esters, lower acyloxy-alkyl esters (such as acetoxymethyl, acetoxyethyl, aminocarbonyloxymethyl, pivaloyloxymethyl and pivaloyloxyethyl esters), lactonyl esters (such as phthalidyl and thiophthalidyl esters), lower alkoxyacyloxyalkyl esters (such as methoxycarbonyloxymethyl, ethoxycarbonyloxyethyl and isopropoxycarbonyloxyethyl esters), alkoxyalkyl esters, choline esters, and alkyl acylamino alkyl esters (such as acetamidomethyl esters).
A "solvate" is a complex formed by the combination of a solute (e.g., a 5-(N-heterosubstituted amino) quinolone) and a solvent (e.g., water). See J. Honig et al., The Van Nostrand Chemist's Dictionary, p. 650 (1953). Pharmaceutically-acceptable solvents used according to this invention include those that do not interfere with the biological activity of the quinolone antimicrobials (e.g., water, ethanol, acetic acid, N,N-dimethyl formamide).
As defined above and as used herein, substituent groups may themselves be substituted. Such substitution may be with one or more substituents. Such substituents include those listed in C. Hansch and A. Leo, Substituent Constants for Correlation Analysis in Chemistry and Biology (1979), incorporated by reference herein. Preferred substituents include (for example) alkyl, alkenyl, alkoxy, hydroxy, oxo, nitro, amino, aminoalkyl (e.g., aminomethyl, etc.), cyano, halo, carboxy, alkoxyaceyl (e.g., carboethoxy, etc.), thiol, aryl, cycloalkyl, heteroaryl, heterocycloalkyl (e.g., piperidinyl, morpholinyl, pyrrolidinyl, etc.), imino, thioxo, hydroxyalkyl, aryloxy, arylalkyl, and combinations thereof.
Groups R1, R2, and R3 form any of a variety of quinolone moieties known in the art to have antimicrobial activity. Such moieties are well known in the art, as described in the following articles, all incorporated by reference herein: J. Wolfson et al., "The Fluoroquinolones: Structures, Mechanisms of Action and Resistance, and Spectra of Activity In Vitro", 28 Antimicrobial Agents and Chemotherapy 581 (1985); and T. Rosen et al., 31 J. Med Chem. 1586 (1988); T. Rosen et al., 31 J. Med. Chem. 1598 (1988); G. Klopman et al., 31 Antimicrob. Agents Chemother. 1831 (1987); 31:1831-1840; J. P. Sanchez et al., 31 J. Med. Chem. 983 (1988); J. M. Domagalia et al., 31 J. Med. Chem. 991 (1988); M. P. Wentland et al., in 20 Ann. Rep. Med. Chem. 145 (D. M. Baily, editor, 1986); J. B. Cornett et al., in 21 Ann. Rep. Med. Chem. 139 (D. M. Bailey, editor, 1986); P. B. Fernandes et al., in 22 Ann. Rep. Med. Chem. 117 (D. M. Bailey, editor, 1987); R. Albrecht, 21 Prog. Drug Research 9 (1977); and P. B. Fernandes et al., in 23 Ann. Rep. Med. Chem. (R. C. Allen, editor, 1987).
R1 is preferably alkyl, alkenyl, aryl, cycloalkyl, a heterocyclic ring, or alkylamino. More preferably, R1 is ethyl, 2-fluoroethyl, 2-hydroxyethyl, t-butyl, 4-fluorophenyl, 2,4-difluorophenyl, methylamino, 3-oxetanyl, 2-fluorocyclopropyl, bicyclo [1.1.1] pentane, vinyl, or cyclopropyl. Cyclopropyl, 2-fluorocyclopropyl, t-butyl, 2-fluorocyclopropyl, and 2,4-difluorophenyl are particularly preferred R1 groups. Preferred 5-(N-heterosubstituted amino) quinolones also include those where R1 and R2 together comprise a 6-membered heterocyclic ring, according to the formula:
Figure imgf000011_0001
where X is O, S, or CH2.
R2 is preferably chlorine, fluorine, methoxy, or methyl. Fluorine and chlorine are particularly preferred R2 groups.
Preferred R3 groups include nitrogen-containing heterocyclic rings. Particularly preferred are nitrogen-containing heterocyclic rings having from 5 to 8 members. The heterocyclic ring may contain additional heteroatoms, such as oxygen, sulfur, or nitrogen, preferably nitrogen. Such heterocyclic groups are described in U.S. Patent 4,599,334, Petersen et al., issued July 8, 1986; and U.S. Patent 4,670,444, Grohe et al., issued June 2, 1987 (both incorporated by reference herein). Preferred R3 groups include unsubstituted or substituted pyridine, piperidine, morpholine, diazabicyclo[3.1.1]heptane, diazabicyclo[2.2.1]heptane, diazabicyclo[3.2.1]octane, diazabicyclo[2.2.2] octane, imidazolidine, and 5-amino-3-azabicyclo[4.2.0]heptane, as well as particularly preferred R3 groups which include piperazine, 3-methylpiperazine, 3-aminopyrrolidine, 3-aminomethylpyrrolidine, N,N-dimethylaminomethylpyrrolidine, N-ethyl aminomethylpyrrolidine, 3,5-dimethylpyridine, N-methylpiperazine and 3,5-dimethylpiperazine.
Preferred R4 and R5 groups include those where R4 and R5 together comprise a heterocyclic ring containing the nitrogen atom to which they are bonded, those where both R4 and R5 are lower alkyl, those where one of R4 or R5 is hydrogen and the other is lower alkyl, and those where both R4 and R5 are hydrogen. More preferred groups are where one of R4 or R5 is hydrogen and the other is alkyl and those where both R4 and R5 are hydrogen. Particularly preferred groups are where both R4 and R5 are hydrogen.
Preferred compounds of the present invention include those having both an R3 group that contains a basic nitrogen atom (including, for example, pyridine, piperidine, diazabicyclo-[3.1.1]heptane, diazabicyclo[2.2.1]heptane, diazabicyclo[3.2.1]octane, diazabiclyo[2.2.2]octane, and imidazolidine) and R4 and R5 groups that allow the nitrogen atom to which they are bonded to be basic (including, e.g., where R4 and R5 together comprise a heterocyclic ring containing the nitrogen to which they are bonded, both R4 and R5 are lower alkyl, one of R4 and R5 are lower alkyl and the other is hydrogen, or both R4 and R5 are hydrogen). Particularly preferred compounds are those where the R3 group is one of piperazine, 3-methylpiperazine, 3-aminopyrrolidine, 3-aminomethylpyrrolidine, N,N-dimethylaminopyrrolidine, N-ethyl aminomethylpyrrolidine, N-methylpiperazine, or 3,5-dimethylpiperazine; and both R4 and R5 are hydrogen.
As used herein, a "basic nitrogen atom" is one where the nitrogen atom possesses a lone pair of electrons that can be involved in ionic bonding with any of a variety of cations. It is understood in the art that the basicity of a nitrogen atom of a given moiety will depend on the nature of that nitrogen atom's covalent bonding. See, e.g., A. Streitwieser and C. Heathcock, Introduction to Organic Chemistry, 2d edition, pp. 734-40 (1981), incorporated by reference herein.
Preferred 5-(N-heterosubstituted amino) quinolones include:
Figure imgf000013_0001
Figure imgf000014_0001
Figure imgf000015_0001
Figure imgf000016_0001
Figure imgf000017_0001
Figure imgf000018_0001
Figure imgf000019_0001
The compounds of this invention are also useful as intermediates in the synthesis of novel lactam-quinolones. Such compounds are disclosed in International Publication No. WO 91/16327, published October 31, 1991, incorporated by reference herein. Lactam-quinolones encompass any of a variety of lactam moieties linked, by a linking moiety, to a quinolone moiety at the 5-position of the quinolone.
Lactam-quinolones include compounds having the general structure:
Q - L - B
wherein Q, L and B are defined as follows:
(I) Q is a structure according to Formula (I)
Figure imgf000019_0002
wherein (A) ( 1 ) A1 i s N or C (R7) ; where
(i) R7 is hydrogen, hydroxy, alkoxy, nitro, cyano, halogen, alkyl, or N(R8)(R9) (preferably hydrogen or halogen), and
(ii) R8 and R9 are, independently, R8a, where R8a is hydrogen, alkyl, alkenyl, carbocyclic ring, or heterocyclic ring substituents; or R8 and R9 together comprise a heterocyclic ring including the nitrogen to which they are bonded;
(2) A2 is N or C(R2) (preferably C(R2)); where R2 is hydrogen or halogen;
(3) A3 is N or (preferably) C(R5); where R5 is hydrogen;
(4) R1 is hydrogen, alkyl, a carbocyclic ring, a heterocyclic ring, alkoxy, hydroxy, alkenyl, arylalkyl, or N(R8)(R9) (preferably alkyl or a carbocyclic ring);
(5) R3 is hydrogen, halogen, alkyl, a carbocyclic ring, or a heterocyclic ring (preferably a heterocyclic ring);
(6) R4 is hydroxy; and
(7) R6 is R15 or R16X; where R15 is a substituent moiety of L and is nil, alkyl, heteroalkyl, or alkenyl; R16 is a substituent moiety of L and is alkyl, alkenyl, a carbocyclic ring or a heterocyclic ring; and X is alkyl, heteroalkyl, alkenyl, oxygen, sulfur, or NH;
(B) except that
(1) when A1 is C(R7), R1 and R7 may together comprise a heterocyclic ring including N' and A1;
(2) when A2 is C(R2), R2 and R3 may together comprise -O-(CH2)n-O-, where n is an integer from 1 to 4;
(3) when A3 is C(R5), R4 and R5 may together comprise a heterocyclic ring including the carbon atoms to which R4 and R5 are bonded and the carbon atom of Formula (I) to which said carbon atoms are bonded; and
(4) when A3 is C(R5), R1 and R5 may together comprise a heterocyclic ring including N' and the adjacent carbon to which R5 is bonded;
(II) B is a structure according to Formula (II), where L is bonded to R14:
Figure imgf000021_0001
wherein
(A) R10 is hydrogen, halogen, heteroalkyl, a carbocyclic ring, a heterocyclic ring, R8a-O-, R8aCH-N-, (R8)(R9)N-, R17-C(=CHR20)-C(=O)NH-, or (preferably) alkyl, alkenyl, R17-C(=NO-R19)-C(=O)NH-, or R18-(CH2)m-C(=O)NH-; where
(1) m is an integer from 0 to 9 (preferably from 0 to 3);
(2) R17 is hydrogen, alkyl, alkenyl, heteroalkyl, heteroalkenyl, a carbocyclic ring, or a heterocyclic ring (preferably alkyl, a carbocyclic ring, or a heterocyclic ring);
(3) R18 is R17, -Y1, or -CH(Y2)(R17);
(4) R19 is R17, arylalkyl, heteroarylalkyl, -C(R22)(R23)COOH, -C(=O)O-R17, or -C(=O)NH-R17, where R22 and R23 are, independently, R17 or together comprise a carbocyclic ring or a heterocyclic ring including the carbon atom to which
R22 and R23 are bonded (preferably R17 or -C(R22)(R23)COOH)
(5) R20 is R19, halogen, -Y1, or -CH(Y2)(R17) (preferably R19 or halogen);
(6) Y1 is -C(=O)OR21, -C(=O)R21, -N(R24)R21, or -S(O)pR29 or -OR29; and Y2 is Y1 or -OH, -SH, or -SO3H;
(a) p is an integer from 0 to 2 (preferably 0);
(b) R24 is hydrogen; alkyl; alkenyl; heteroalkyl; heteroalkenyl; a carbocyclic ring; a heterocyclic ring; -SO3H; -C(=O)R25; or, when R18 is
-CH(N(R24)R21)(R17), R24 may comprise a moiety bonded to R21 to form a heterocyclic ring; and
(c) R25 is R17, NH(R17), N(R17)(R26), O(R26), or S(R26) (preferably R17, NH(R17) or N(R17)(R26)). where R26 is alkyl, alkenyl, a carbocyclic ring, a heterocyclic ring or (preferably) when R25 is N(R17)(R26), R26 may comprise a moiety bonded to R17 to form a heterocyclic ring; and
(7) R21 is R29 or hydrogen; where R29 is alkyl; alkenyl; arylalkyl; heteroalkyl; heteroalkenyl; heteroarylalkyl; a carbocyclic ring; a heterocyclic ring; or, when Y1 is N(R24)R21 and R21 is R29, R21 and R24 may together comprise a heterocyclic ring including the nitrogen atom to which R24 is bonded (preferably hydrogen, alkyl, a carbocyclic ring or a heterocyclic ring);
(B) R11 is hydrogen, halogen, alkoxy, or R27C(=O)NH- (preferably hydrogen or alkoxy), where R27 is hydrogen or alkyl (preferably hydrogen);
(C) bond "a" is a single bond or is nil; and bond "b" is a single bond, a double bond, or is nil; except bond "a" and bond "b" are not both nil;
(D) R12 is -C(R8a)-, or -CH2-R28- (preferably -C(R8a)-); where R28 is -C(R8a), -O-, or -N-, and R28 is directly bonded to N" in Formula (II) to form a 5-membered ring; except, if bond "a" is nil, then R12 is
(1) (preferably) -C(R8a)(X1)-, where
(i) X1 is -R21; -OR30; -S(O)rR30, where r is an
integer from 0 to 2 (preferably 0); -O(C=O)R30; or N(R30)R31; and
(ii) R30 and R31 are, independently, alkyl, alkenyl, carbocyclic ring or heterocyclic ring substituents; or R30 and R31 together comprise a heterocyclic ring including the nitrogen atom to which R30 and R31 are bonded; or
(2) -CH2-R32-; where R32 is -C(R8a)(R21), -O-, or -NR8a, and R32 is directly bonded to N" in Formula (II) to form a 5-membered ring;
(E) (1) if bond "b" is a single bond, R13 is preferably
-CH(R33)-; or, -C(O)NHSO2-, if bond "a" is nil; or
-C*(R33)-, if R14 contains a R36 moiety; where R33 is hydrogen or COOH (preferably COOH), and C* is linked to
R36 to form a 3-membered ring;
(2) if bond "b" is a double bond, R13 is -C(R33)=; or (3) if bond "b" is nil, R13 is hydrogen, -SO3H, -PO(OR34)OH, -C(O)NHSO2N(R34)(R35), -OSO3H, -CH(R35)COOH, or -OCH(R34)COOH (preferably -SO3H, or -C(O)NHSO2N(R34)(R35); where R34 is hydrogen, alkyl, alkenyl, a carbocyclic ring, or a heterocyclic ring; and R35 is hydrogen, alkyl, alkenyl, or -NHR8a; or (preferably), if R13 is -C(O)NHSO2N(R34) (R35), R34 and R35 may together comprise a heterocyclic ring including the nitrogen to which R34 and R35 are bonded; and (F) (1) if bond "a" or bond "b" is nil, then R14 is nil and L is bonded directly to R12 or R13;
(2) if bond "a" and "b" are single bonds, R14 is -W-C"'=C(R8a)-R37-, or -W-C"' (R36)-R37-; or
(3) (preferably) if bond "a" is a single bond and bond "b" is a double bond, R14 is -C(R8a)(R38)-W-C"'-R37-; or
(preferably) -W-C(R8a)(R38)-C"'-R37-, or -W-C"'-R37-; where
(a) W is 0; S(O)s, where s is an integer from 0 to 2 (preferably 0); or C(R38), where R38 is hydrogen, alkyl or alkoxy;
(b) R36 hydrogen; alkyl; alkenyl; -COOH; or, if R13 is -C*(R33), R36 may be linked to C* to form a 3-membered carbocyclic ring;
(c) R37 is nil, alkyl, alkenyl, a carbocyclic ring, or a heterocyclic ring; and
(d) C'" is directly bonded to R13 to form a 5- or 6-membered ring,
and
(III) L links Q to B; and L is L', -X2 t-R39-L', or -X3 t-R39-L', where L' is Q', -X2-Q", -X3-Q", or -X4 t-C(=Y3 u)-Z-Q"
(preferably -X2-Q", -X3-Q", -X4 t-C(=Y3 u)-Z-Q");
(1) t and u are, independently, 0 or 1;
(2) R39 is alkyl, alkenyl, heteroalkyl, heteroalkenyl, a carbocyclic ring, or a heterocyclic ring (preferably alkyl or alkenyl);
(3) X2 is oxygen, or S(O)v, where v is an integer from 0 to 2 (preferably 0); (4) X3 is nitrogen; N(R40); N+(R41)(R42); or R43-N(R41); and is linked to R14 by a single or double bond; or, if R14 is nil, X3 is linked to B by a single or double bond (preferably X3 is nitrogen, N(R40) or N+(R41)(R42)); where
(a) R40 is R8a; -OR8a; or -C(=O)R8a; (preferably
R8a);
(b) R41 and R42 are, independently, hydrogen; alkyl; alkenyl; carbocyclic rings; heterocyclic rings; or, if R6 is R16X, then R41 and R42 together with
Q", may comprise a heterocyclic ring as R16;
(c) R43 is N(R41), oxygen or sulfur;
(5) X4 is oxygen, sulfur, NR40, or R43-NR41 (preferably oxygen, sulfur or NR40);
(6) Y3 is oxygen, sulfur, NR40 or N+(R41)(R42);
(7) Y4 is oxygen or NR41 (preferably oxygen);
(8) Z is nil, oxygen, sulfur, nitrogen, NR40, or N(R41)-R43 (preferably oxygen, sulfur, nitrogen or NR40);
(9) Q' is said R6 substituent of Q; and
(10) Q" is Q'; or together with X2, X3, Z or Z', is said R6 substituent of Q;
and pharmaceutically-acceptable salts and biohydrolyzable esters thereof, and hydrates thereof.
Preferred lactam-containing moieties include cephems, isocephems, iso-oxacephems, oxacephems, carbacephems, penicillins, penems, carbapenems, and monocyclic beta-lactams. Particularly preferred are cephems, penems, carbapenems and monocyclic beta-lactams.
R10, in formula (II), is any radical that may be substituted at the active stereoisomeric position of the carbon adjacent to the lactam carbonyl of an antimicrobially-active lactam. (As used herein, the term "antimicrobially-active lactam" refers to a lactam-containing compound, without a quinolonyl substituent moiety, which has antimicrobial activity.) This "active" position is beta (i.e., 7-beta) for cephems, oxacephems and carbacephems (for example). The active position is alpha for penems, carbapenems, clavems and clavams. Appropriate R10 groups will be apparent to one of ordinary skill in the art. Procedures for preparing quinolones and quinolone intermediates useful in the methods of this invention are described in the following references, all incorporated by reference herein (including articles listed within these references); 21 Progress in Drug Research, 9-104 (1977); 31 J. Med. Chem., 503-506 (1988); 32 J. Med. Chem., 1313-1318 (1989); 1987 Liebigs Ann. Chem., 871-879 (1987); 14 Drugs Exotl . Clin. Res., 379-383 (1988); 31 J. Med. Chem., 983-991 (1988); 32 J. Med. Chem., 537-542 (1989); 78 J. Pharm. Sci., 585-588 (1989); 26 J. Het. Chem., (1989); 24 J. Het. Chem., 181-185 (1987); U.S. Patent 4,599,334, 35 Chem. Pharm. Bull., 2281-2285 (1987); 29 J. Med. Chem., 2363-2369 (1986); 31 J. Med. Chem., 991-1001 (1988); 25 J. Het. Chem., 479-485 (1988); European Patent Publication 266,576; European Patent Publication 251,308, 36 Chem. Pharm. Bull., 1223-1228 (1988); European Patent Publication 227,088; European Patent Publication 227,039; European Patent Publication 228,661; 31 J. Med. Chem., 1586-1590 (1988); 31 J. Med. Chem., 1598-1611 (1988); and 23 J. Med. Chem., 1358-1363 (1980).
In general, 5-(N-heterosubstituted amino) quinolones can be prepared by the following procedure:
[5-Hal o-Quinol one] + H2N-N(R4) (R5) - ->
[5-((R4)(R5)N-NH)-Quinolone] where R4 and R5 are previously defined and [5-Halo-Quinolone] is an appropriately protected 5-halogen substituted quinolone where the halogen is preferably chloro or fluoro (preferably fluoro).
The reaction sequence can be envisioned as a nucleophilic aromatic displacement of the quinolone 5-halogen substituted by
(R4)(R5)N-NH2 to form the 5-(N-heterosubstituted amino)quinolones.
Alternatively, 5-(N-heterosubstituted amino)quinolones can be prepared by the following procedure:
[5,7-Dihalo-Quinolone] + H2N-N(R4)(R5) -->
[5-((R4)(R5)N-NH)-7-Halo-Quinolone] where R4 and R5 are previously defined and [5,7-Dihalo-Quinolone] is an appropriately protected 5- and 7- halogen substituted quinolone where the halogen at positions 5 and 7 is independently a chloro or fluoro (preferably fluoro). The reaction sequence can be envisioned as a selective nucleophilic aromatic displacement of the quinolone 5-halogen substitutent by (R4)(R5)N-NH2 to form the 5-(N-heterosubstituted amino)quinolones. The reaction can preferably be carried out in a nonpolar aprotic solvent, preferably benzene, toluene, xylene, etc., at an elevated temperature, preferably 50°C to reflux.
Compositions
The compositions of this invention comprise:
(a) a safe and effective amount of a 5-(N-heterosubstituted amino) quinolone; and
(b) a pharmaceutically-acceptable carrier.
A "safe and effective amount" of a 5-(N-heterosubstituted amino) quinolone is an amount that is effective, to inhibit microbial growth at the site of an infection to be treated in a human or lower animal subject, without undue adverse side effects (such as toxicity, irritation, or allergic response), commensurate with a reasonable benefit/risk ratio when used in the manner of this invention. The specific "safe and effective amount" will, obviously, vary with such factors as the particular condition being treated, the physical condition of the patient, the duration of treatment, the nature of concurrent therapy (if any), the specific dosage form to be used, the carrier employed, the solubility of the 5-(N-heterosubstituted amino) quinolone therein, and the dosage regimen desired for the composition.
The compositions of this invention are preferably provided in unit dosage form. As used herein, a "unit dosage form" is a composition of this invention containing an amount of a 5-(N-heterosubstituted amino) quinolone that is suitable for administration to a human or lower animal subject, in a single dose, according to good medical practice. These compositions preferably contain from about 30 mg to about 20,000 mg, more preferably from about 50 mg (milligrams) to about 7000 mg, more preferably from about 500 mg to about 3500 mg, of a 5-(N-heterosubstituted amino) quinolone.
The compositions of this invention may be in any of a variety of forms, suitable (for example) for oral, rectal, topical or parenteral administration. Depending upon the particular route of administration desired, a variety of pharmaceutically-acceptable carriers well-known in the art may be used. These include solid or liquid fillers, diluents, hydrotropes, surface-active agents, and encapsulating substances. Optional pharmaceutically-active materials may be included, which do not substantially interfere with the antimicrobial activity of the 5-(N-heterosubstituted amino) quinolone. The amount of carrier employed in conjunction with the 5-(N-heterosubstituted amino) quinolone is sufficient to provide a practical quantity of material for administration per unit dose of the 5-(N-heterosubstituted amino) quinolones. Techniques and compositions for making dosage forms useful in the methods of this invention are described in the following references, all incorporated by reference herein: 7 Modern Pharmaceutics. Chapters 9 and 10 (Banker & Rhodes, editors, 1979); Lieberman et al., Pharmaceutical Dosage Forms: Tablets (1981); and Ansel, Introduction to Pharmaceutical Dosage Forms 2d Edition (1976).
In particular, pharmaceutically-acceptable carriers for systemic administration include sugars, starches, cellulose and its derivatives, malt, gelatin, talc, calcium sulfate, vegetable oils, synthetic oils, polyols, alginic acid, phosphate buffer solutions, emulsifiers, isotonic saline, and pyrogen-free water. Preferred carriers for parenteral administration include propylene glycol, ethyl oleate, pyrrolidone, ethanol, and sesame oil. Preferably, the pharmaceutically-acceptable carrier, in compositions for parenteral administration, comprises at least about 90% by weight by the total composition.
Various oral dosage forms can be used, including such solid forms as tablets, capsules, granules and bulk powders. These oral forms comprise a safe and effective amount, usually at least about 5%, and preferably from about 25% to about 50%, of the 5-(N-heterosubstituted amino) quinolone. Tablets can be compressed, tablet triturates, enteric-coated, sugar-coated, film-coated, or multiple-compressed, containing suitable binders, lubricants, diluents, disintegrating agents, coloring agents, flavoring agents, flow-inducing agents, and melting agents. Liquid oral dosage forms include aqueous solutions, emulsions, suspensions, solutions and/or suspensions reconstituted from non-effervescent granules, and effervescent preparations reconstituted from effervescent granules, containing suitable solvents, preservatives, emulsifying agents, suspending agents, diluents, sweeteners, melting agents, coloring agents and flavoring agents. Preferred carriers for oral administration include gelatin, propylene glycol, cottonseed oil and sesame oil.
The compositions of this invention can also be administered topically to a subject, i.e., by the direct laying on or spreading of the composition on the epidermal or epithelial tissue of the subject. Such compositions include, for example, lotions, creams, solutions, gels and solids. These topical compositions preferably comprise a safe and effective amount, usually at least about 0.1%, and preferably from about 1% to about 5%, of the 5-(N-heterosubstituted amino) quinolone. Suitable carriers for topical administration preferably remain in place on the skin as a continuous film, and resist being removed by perspiration or immersion in water. Generally, the carrier is organic in nature and capable of having dispersed or dissolved therein the 5-(N-heterosubstituted amino) quinolone. The carrier may include pharmaceutically-acceptable emolients, emulsifiers, thickening agents, and solvents.
Methods of Administration
This invention also provides methods of treating or preventing an infectious disorder in a human or other animal subject, by administering a safe and effective amount of a 5-(N-heterosubstituted amino) quinolone to said subject. As used herein, an "infectious disorder" is any disorder characterized by the presence of a microbial infection. Preferred methods of this invention are for the treatment of bacterial infections. Such infectious disorders include (for example) central nervous system infections, external ear infections, infections of the middle ear (such as acute otitis media), infections of the cranial sinuses, eye infections, infections of the oral cavity (such as infections of the teeth, gums and mucosa), upper respiratory tract infections, lower respiratory tract infections, genitourinary infections, gastrointestinal infections, gynecological infections, septicemia, bone and joint infections, skin and skin structure infections, bacterial endocarditis, burns, antibacterial prophylaxis of surgery, and antibacterial prophylaxis in immunosuppressed patients (such as patients receiving cancer chemotherapy, or organ transplant patients).
The 5-(N-heterosubstituted amino) quinolones and compositions of this invention can be administered topically or systemically. Systemic application includes any method of introducing the 5-(N-heterosubstituted amino) quinolone into the tissues of the body, e.g., intrathecal, epidural, intramuscular, transdermal, intravenous, intraperitoneal, subcutaneous, sublingual, rectal, and oral administration. The specific dosage of antimicrobial to be administered, as well as the duration of treatment, are mutually dependent. The dosage and treatment regimen will also depend upon such factors as the specific 5-(N-heterosubstituted amino) quinolone used, the resistance pattern of the infecting organism to the 5-(N-heterosubstituted amino) quinolone used, the ability of the 5-(N-heterosubstituted amino) quinolone to reach minimum inhibitory concentrations at the site of the infection, the nature and extent of other infections (if any), the personal attributes of the subject (such as weight), compliance with the treatment regimen, and the presence and severity of any side effects of the treatment.
Typically, for a human adult (weighing approximately 70 kilograms), from about 75 mg to about 30,000 mg, more preferably from about 100 mg to about 20,000 mg, more preferably from about 500 mg to about 3500 mg, of 5-(N-heterosubstituted amino) quinolone are administered per day. Treatment regimens preferably extend from about 1 to about 56 days, preferably from about 7 to about 28 days, in duration. Prophylactic regimens (such as avoidance of opportunistic infections in immunocompromised patients) may extend 6 months, or longer, according to good medical practice.
A preferred method of parenteral administration is through intramuscular injection. As is known and practiced in the art, all formulations for parenteral administration must be sterile. For mammals, especially humans, (assuming an approximate body weight of 70 kilograms) individual doses of from about 100 mg to about 7000 mg, preferably from about 500 mg to about 3500 mg, are acceptable.
A preferred method of systemic administration is oral. Individual doses of from about 100 mg to about 2500 mg, preferably from about 250 mg to about 1000 mg are preferred.
Topical administration can be used to deliver the 5-(N-heterosubstituted amino) quinolone systemically, or to treat a local infection. The amounts of 5-(N-heterosubstituted amino) quinolone to be topically administered depends upon such factors as skin sensitivity, type and location of the tissue to be treated, the composition and carrier (if any) to be administered, the particular 5-(N-heterosubstituted amino) quinolone to be administered, as well as the particular disorder to be treated and the extent to which systemic (as distinguished from local) effects are desired.
The following non-limiting examples illustrate the compounds, compositions, processes, and uses of the present invention.
EXAMPLE 1
(S)-7-(3-Aminopyrrolidinyl)-1-cyclopropyl-6,8-difluoro-5-hydrazino-1,4-dihydro-4-oxo-3-quinolinecarboxylic Acid Dihydrochloride
Figure imgf000030_0001
Figure imgf000031_0001
A mixture of methyl propiolate (983 g, 11.7 mole) and 500 ml of tetrahydrofuran is cooled to 5°C and cyclopropyl amine (667 g, 11.7 mole) dissolved in 1000 ml of tetrahydrofuran is added over approximately one hour from an addition funnel at a rate to keep the temperature at 3-7°C. The mixture is stirred for an additional hour at 5°C and the ice bath is removed. The reaction is stirred for approximately one hour at„ 20-25°C at room temperature for 3 hours and is allowed to stand for about 2.5 days at room temperature. The solvent is removed under reduced pressure and the residue is vacuum distilled to give I.
A solution of approximately 207 g of pentafluorobenzoyl chloride II (0.90 mole) and 250 ml of dioxane is cooled to 15-20°C with an ice water bath and a solution of approximately 126 g of I and 90.9 g of triethylamine (0.90 mole) in 300 ml of dioxane is added dropwise over 5.5 hours. The addition funnel is rinsed with an additional 50 ml of dioxane and the reaction is stirred at 20°C overnight. The mixture is then vacuum filtered and the precipitate is washed twice with 100 ml portions of dioxane. The filtrate is vacuum stripped at 25°C and 1000 ml of hexane is added to the residue. More precipitate is collected and added to the first batch. The combined product is then resuspended in 1500 ml of hexane, stirred briefly, filtered and vacuum dried to give III.
In a 5 L three-necked round-bottom flask equipped with thermometer, argon inlet, mechanical stirrer, and an addition funnel is placed approximately 14.9 g (0.621 mole) NaH (from hexane-washed NaH/mineral oil) and 1000 ml of dimethyl formamide. This mixture is cooled to 15-20°C and approximately 181.5 g of III (0.542 mole) dissolved in 2 L of dimethylformamide is added dropwise over 3.5 hours while keeping the temperature at 15-20°C. Stirring is continued for 1.5 hours at this temperature and then the mixture is further cooled to 10° and 500 ml of ice and 1 L of water is added. The mixture is neutralized to pH 7 with approximately 5 ml of acetic acid and is extracted three times with chloroform. The dried chloroform extracts are evaporated to give a slurry which is triturated with 400 ml of boiling ethanol. The resulting solids are filtered at room temperature. An additional wash with 100 ml of cold ethanol followed by vacuum drying gives IV. A mixture of IV (22g. 0.070 mole) and 2N H2SO4 (600 ml) is stirred at 100°C for 20 hours and allowed to cool to room temperature. The product V is collected by filtration, washing with water.
To a mixture of V (18g, 0.060 mole) (3S)-t-butoxy- carbonylaminopyrrolidine (12g, 0.066 mole) and dimethylformamide (130 ml) at 54°C is added dropwise triethylamine (17 ml, 0.12 mole). The mixture is stirred at 54°C for four hours. Acetonitrile (120 ml) is added and the mixture is heated to 75°C and then allowed to cool to room temperature. The mixture is cooled to 15°C and the solid is collected by filtration, washing with acetonitrile (2 × 60 ml). The solid is stirred in acetonitrile (180 ml) for 10 minutes and the product VI is collected by filtration, washing with acetonitrile (2 × 60 ml).
A mixture of VI (4.0g, 0.0086 mole), acetonitrile (120 ml) and hydrazine monohydrate (4.0 ml, 0.082 mole) is refluxed for 2.5 hours with a solution forming. The solution is diluted with acetonitrile (100 ml) and stirred for 2 hours at room temperature. The precipitate is collected by filtration and heated in acetonitrile (150 ml). Some undissolved material is removed by filtration and the filtrate is stored at room temperature overnight. The product VII is collected by filtration washing with acetonitrile.
To a mixture of VII (4.0g, 0.0083 mole) and methylene chloride (85 ml) at room temperature is added saturated ethanol/HCl (55 ml) slowly with stirring. The mixture is stirred at room temperature for 4.5 hours and the solid is collected by filtration. This material is heated in CHCl3 (100 ml) and methanol (10 ml) is added. The mixture is cooled to room temperature and the final product (VIII) is collected by filtration, washing with CHCl3. EXAMPLE 2
(3S)-7-(3-amino-1-pyrrolidinyl)-1-(2,4,difluorophenyl)-6,8- difluoro-5-hydrazino-1,4-dihydro-4-oxo-3-quinolinecarboxylic acid dihydrochloride
Figure imgf000034_0001
Monoethyl hydrogenmalonate (13.2g, 0.10 mol) is dissolved in tetrahydrofuran (260 ml) and cooled to -65°C. Then 2M n-butyl lithium (100 ml, 0.20 mol) is added dropwise to maintain a temperature below -50°C. The reaction is warmed to -5°C and recooled to -65°C. Pentafluorobenzoyl chloride 1 (7.20 ml, 0.05 mol) is dissolved in tetrahydrofuran (32 ml) and is added dropwise to keep the temperature below -50°C. After the addition, the reaction was warmed to -35°C and stirred for 1 hr. Aqueous HCl (13%, 316 ml) is added to the solution and stirred for 30 min. The mixture is extracted with CH2Cl2 and washed with aqueous NaHCO3 followed by water. The organic layer is dried with Na2SO4 and concentrated to give the product 2, which exists as a mixture of keto-enol tautomers in solution.
Pentafluorobenzoyl acetic acid ethyl ester 2 (10g, 0.035 mol) is added to acetic anhydride (8.5 ml, 0.09 mol) and triethylortho-formate (10 ml, 0.06 mol). The reaction is heated to 110°C for 2.25 hrs. The reaction is concentrated. The product is dissolved in ethanol (250 ml) and cooled to 0°C. Then 2,4-difluoroaniline (4.7 ml, 0.046 mol) is slowly added and the ice bath is removed. The reaction is stirred overnight and concentrated to dryness under reduced pressure. The residue is triturated in petroleum ether and the product is collected by filtration to give 3 as a mixture of cis-trans isomers.
The vinylogous amide 3 (9.43g, 0.022 mol) is dissolved in dimethyl formamide (57.0 ml) and K2CO3 (9.46g, 0.068 mol) is added. The reaction is stirred overnight and then concentrated. Methylene chloride is added and the solution is washed with water. The organic phase is dried over Na2SO4, concentrated, and vacuum dried to give the quinolone 4.
The ester 4 (8.49g, 0.021 mol) is placed in a solution of 8:6:1 acetic acid/water/H2SO4 (309 ml) and is heated to 100ºC until the reaction is complete. The solution is poured into ice water, and the precipitate is filtered. The product is recrystallized by dissolving in CH2Cl2 and precipitating out with hexane. The solid is collected to afford the acid 5. The filtrate is concentrated and the residue is purified as previously from CH2Cl2 to give a second crop. The quinolone 5 (10g, 0.027 mol) is dissolved in dimethylformamide (60 ml) and (3S)-t-butoxycarbonyl amino
pyrrolidine (6.0g, 0.032 mol) was added. The reaction is heated to 55°C and triethylamine (7.5 ml, 0.054 mol) is added over 20 min. The reaction is complete in 45 min. as determined by TLC and the heat is removed. The product precipitates out of solution and is filtered. The solid is rinsed with ether. The product is dissolved in hot EtOAc and is precipitated out by the addition of hexanes. The solid is filtered and vacuum dried to afford 6.
A mixture of quinolone 6 (2.0g, 0.0037 mol), acetonitrile (60 ml) and hydrazine (0.46 ml, 0.0095 mole) is refluxed for 1.6 hrs. and cooled to room temperature. The product is collected by filtration and is recrystallized from acetonitrile to give 7.
A mixture of 7 (0.20g, 0.00036 mol) and saturated HCl/EtOH (4 ml) is stirred at room temperature for one hr. and another 4 ml of HCl/EtOH is added. The reaction is stirred for an additional 3 hrs. and the solid is collected by filtration. The solid is triturated in CH2Cl2 and is collected by filtration. The product is recrystallized from acetonitrile/H2θ to give final product.
FXAMPLE 3
1-cyclopropyl-6,8-difluoro-5-hydrazino-1,4-dihydro-4-oxo-7- piperazinyl-3-quinolinecarboxylic acid dihydrochloride
Figure imgf000037_0001
Figure imgf000038_0001
A mixture of methyl propiolate (983 g, 11.7 mole) and 500 ml of tetrahydrofuran is cooled to 5°C and cyclopropylamine (667 g, 11.7 mole) dissolved in 1000 ml of tetrahydrofuran is added over approximately one hour from an addition funnel at a rate to keep the temperature at 3-7°C. The mixture is stirred for an additional hour at 5°C and the ice bath is removed. The reaction is stirred for approximately one hour at 20-25°C at room temperature for 3 hours and is allowed to stand for about 2.5 days at room temperature. The solvent is removed under reduced pressure and the residue is vacuum distilled to give I.
A solution of approximately 207 g of pentafluorobenzoyl chloride II (0.90 mole) and 250 ml of dioxane is cooled to 15-20°C with an ice water bath and a solution of approximately 126 g of I and 90.9 g of triethylamine (0.90 mole) in 300 ml of dioxane is added dropwise over 5.5 hours. The addition funnel is rinsed with an additional 50 ml of dioxane and the reaction is stirred at 20°C overnight. The mixture is then vacuum filtered and the precipitate is washed twice with 100 ml portions of dioxane. The filtrate is vacuum stripped at 25°C and 1000 ml of hexane is added to the residue. More precipitate is collected and added to the first batch. The combined product is then resuspended in 1500 ml of hexane, stirred briefly, filtered and vacuum dried to give III.
In a 5 L three-necked round-bottom flask equipped with thermometer, argon inlet, mechanical stirrer, and an addition funnel is placed approximately 14.9 g (0.621 mole) NaH (from hexane-washed NaH/mineral oil) and 1000 ml of dimethylformamide. This mixture is cooled to 15-20°C and approximately 181.5 g of III (0.542 mole) dissolved in 2 L of dimethylformamide is added dropwise over 3.5 hours while keeping the temperature at 15-20°C. Stirring is continued for 1.5 hours at this temperature and then the mixture is further cooled to 10° and 500 ml of ice and 1 L of water is added. The mixture is neutralized to pH 7 with approximately 5 ml of acetic acid and is extracted three times with chloroform. The dried chloroform extracts are evaporated to give a slurry which is triturated with 400 ml of boiling ethanol. The resulting solids are filtered at room temperature. An additional wash with 100 ml of cold ethanol followed by vacuum drying gives IV. A stirred mixture of 1-cyclopropyl-5,6,7,8-tetrafluoro-4-oxo-3-carboxylic acid, methyl ester (compound IV) (8.2g), triethylamine (4 ml), t-butyl carbazate (3.8g), and toluene is refluxed for approximately one hour and concentrated to dryness under reduced pressure. The residue is dissolved in CH2Cl2 (200 ml) and washed with water (200 ml) and brine (200 ml). The organic phase is dried over Na2SO4, filtered and the filtrate is concentrated to dryness under reduced pressure. The residue is purified by flash chromatography (silica gel) with 5% MeOH/CH2Cl2 to give the desired C-5 substituted product V.
A mixture of approximately 3.5 g of V, tetrahydrofuran (THF) (30 ml) and 17 ml of 1 N NaOH is heated at 80°C for approximately 1.5 hours. The reaction is cooled in an ice bath and water (200 ml) is added, followed by the addition of glacial acetic acid (2.3 ml). The precipitate is filtered, washing with water and ether to give compound VI.
A mixture of approximately 2.6 g of VI, 1.3 g of 1-(t-butoxycarbonyl)piperazine, and pyridine (20 ml) is heated at 80°C for approximately one hour and the reaction mixture is concentrated to dryness under reduced pressure. The residue is dissolved in CH2Cl2 (100 ml) and washed with water, 5% citric acid, water, and brine. The organic layer is dried over Na2SO4, filtered and the filtrate is concentrated to dryness. The residue is purified by flash chromatography (silica gel) with 5% MeOH/CH2Cl2 to afford compound of VII.
To a mixture of VII (2.3 g) and CH2Cl2 (40 ml) at room temperature is added slowly approximately 28 ml of saturated ethanol/HCl. The mixture is stirred at room temperature for approximately 4.5 hours and the product is collected by filtration. The solid is heated in CHCl3 (50 ml) and methanol (10 ml) is added. The mixture is cooled to room temperature and the product is collected by filtration to give compound VIII.
EXAMPLE 4
An antimicrobial composition for parenteral administration, according to this invention, is made comprising: Component Amount
(S)-7-(3-Aminopyrrolidine)-1-cyclopropyl-6,8-difluoro-5-hydrazino-1,4-dihydro-4-oxo-3-quinoline
carboxylic acid1 100 mg/ml
carrier
Carrier:
sodium citrate buffer with (percent
by weight of carrier):
lecithin 0.48%
carboxymethylcellulose 0.53
povidone 0.50
methyl paraben 0.11
propyl paraben 0.011
1: a 5-(N-heterosubstituted amino) quinolone made according to Example I
The above ingredients are mixed, forming a suspension. Approximately 2.0 ml of the suspension is systemically administered, via intramuscular injection, to a human subject suffering from a lower respiratory tract infection, with Streptococcus pneumonia present. This dosage is repeated twice daily, for approximately 14 days. After 4 days, symptoms of the disease subside, indicating that the pathogen has been substantially eradicated.
EXAMPLE 5
An enteric coated antimicrobial composition for oral administration, according to this invention, is made comprising the following core tablet:
Component Amount (mg)
(S)-7-(3-Aminopyrrolidine)-1-cyclopropyl-6,8-difluoro-5-hydrazino-1,4-dihydro-4-oxo-3-quinoline
carboxylic acid1 350.0
starch 30.0
magnesium stearate 5.0
microcrystalline cellulose 100.0 colloidal silicon dioxide 2.5
povidone 12.5
1: a 5-(N-heterosubstituted amino) quinolone made according to Example I
The components are admixed into a bulk mixture. Compressed tablets are formed, using tabletting methods known in the art. The tablet is then coated with a suspension of methacrylic acid/methacrylic acid ester polymer in isopropanol/acetone. A human subject, having a urinary tract infection with Escherichia coli present, is orally administered two of the tablets, every 8 hours, for 14 days. Symptoms of the disease then subside, indicating substantial eradication of the pathogen.

Claims

WHAT IS CLAIMED IS:
1. Compounds of the general structure:
Figure imgf000043_0001
wherein
(A)(1)(a) R1 is alkyl; alkenyl; a carbocyclic ring; a
heterocyclic ring; or -N(R6)(R7), where R6 and R7 are, independently, hydrogen, alkyl, alkenyl, a carbocyclic ring, a heterocyclic ring, or R6 and R7 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded; and
(b) R2 is hydrogen; halogen, lower alkyl, or lower alkoxy; or
(2) R1 and R2 may together comprise a six-membered heterocyclic ring that includes N' and the carbon atom to which R2 is bonded;
(B) R3 is a heterocyclic ring or a carbocyclic ring; and (C)(1) R4 and R5 are, independently, hydrogen; lower alkyl;
cycloalkyl; heteroalkyl; or -C(=O)-X-R8, where X is a covalent bond, N, O, or S, and R8 is lower alkyl, lower alkenyl, arylalkyl, a carbocyclic ring, or a heterocyclic ring; or
(2) R4 and R5 together comprise a heterocyclic ring that includes the nitrogen to which they are bonded;
and pharmaceutically-acceptable salts and biohydrolyzable esters thereof, and solvates thereof.
2. A compound, according to Claim 1, wherein R1 is ethyl, 2-fluoroethyl, 2-hydroxyethyl, t-butyl, 4-fluorophenyl, 2,4-difluorophenyl, methylamino, cyclopropyl, or 2-fluorocyclopropyl.
3. A compound, according to Claim 1, wherein R2 is chlorine or fluorine.
4. A compound, according to Claim 1, wherein R4 is hydrogen and R5 is hydrogen or lower alkyl.
5. A compound, according to Claim 4, wherein both R4 and R5 are hydrogen.
6. A compound, according to Claim 5, wherein R3 is a heterocyclic ring.
7. A compound, according to Claim 6, wherein said heterocyclic ring is 3-aminopyrrolidine.
8. A compound, according to Claim 7, wherein R1 is cyclopropyl and R2 is fluorine.
9. A compound, according to Claim 7, wherein R1 is 2,4-difluorophenyl and R2 is fluorine.
10. A compound, according to Claim 6, wherein said heterocyclic ring is piperazine.
11. A compound, according to Claim 10, wherein R1 is cyclopropyl and R2 is fluorine.
12. A compound, according to Claim 4, wherein R5 is lower alkyl.
13. A compound, according to Claim 12, wherein R3 is a heterocyclic ring.
14. A compound, according to Claim 13, wherein said heterocyclic ring is 3-aminopyrrolidine.
15. A compound, according to Claim 14, wherein R1 is cyclopropyl and R2 is fluorine.
16. A compound, according to Claim 13, wherein said heterocyclic ring is piperazine.
17. A compound, according to Claim 16, wherein R1 is cyclopropyl and R2 is fluorine.
18. A compound selected from the group consisting of
(3S)-7-(3-amino-1-pyrrolidinyl)-1-(2,4,difluorophenyl)-6,8-difluoro-5-hydrazino-1,4-dihydro-4-oxo-3-quinolinecarboxylic acid;
(3S)-7-(3-amino-1-pyrrolidinyl)-1-cyclopropyl-6,8-difluoro-5-hydrazino-1,4-dihydro-4-oxo-3-quinolinecarboxylic acid; and
1-cyclopropyl-6,8-difluoro-5-hydrazino-1,4-dihydro-4-oxo-7-piperazinyl-3-quinollnecarboxylic acid; and
pharmaceutically-acceptable salts, biohydrolyzable esters, and solvates thereof.
19. A composition for treating or preventing an infectious disorder in a human or other animal subject, comprising:
(1) a safe and effective amount of a compound of Claim 1; and
(2) a pharmaceutically-acceptable carrier.
20. A method for preventing or treating an infectious disorder in a human or other animal subject, by administering to said subject a safe and effective amount of a compound of Claim 1.
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WO1996004286A1 (en) * 1994-08-02 1996-02-15 The Procter & Gamble Company Process for making quinolonyl lactam antimicrobials and novel intermediate compounds
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