Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Heterocyclic carbon compounds containing a hetero ring...
Patent
1997-01-16
1998-02-03
Richter, Johann
Drug, bio-affecting and body treating compositions
Designated organic active ingredient containing
Heterocyclic carbon compounds containing a hetero ring...
514210, 514319, 514330, 544224, 546206, 548953, A61K 31445, A61K 3150, C07D21108, C07D23704
Patent
active
057144850
DESCRIPTION:
BRIEF SUMMARY
BACKGROUND OF THE INVENTION
Thrombin is a serine protease present in blood plasma in the form of a precursor, prothrombin. Thrombin plays a central role in the mechanism of blood coagulation by converting the solution plasma protein, fibrinogen, into insoluble fibrin.
Edwards et al. J. Amer. Chem. Soc. (1992) vol. 114, pp. 1854-63, describes peptidyl a-ketobenzoxazoles which are reversible inhibitors of the serine proteases human leukocyte elastase and porcine pancreatic elastase.
European Publication 363 284 describes analogs of peptidase substrates in which the nitrogen atom of the scissile amide group of the substrate peptide has been replaced by hydrogen or a substituted carbonyl moiety.
Australian Publication 86245677 also describes peptidase inhibitors having an activated electrophilic ketone moiety such as fluoromethylene ketone or a-keto carboxyl derivatives.
Thrombin inhibitors described in prior publications contain sidechains of arginine and lysine. These structures show low selectivity for thrombin over other trypsin-like enzymes. Some of them show toxicity of hypotension and liver toxicity.
SUMMARY OF THE INVENTION
These compounds show selectivity for thrombin over trypsin and other trypsin-like enzymes and have oral bioavailability. Trypsin-like enzymes (such as trypsin, thrombin, factor xa, kallikrein, plasmin, urokinase, and plasminogen activator) are serine dependent enzymes that catalyze hydrolysis at arginyl and lysyl peptide bonds.
The invention includes a composition for inhibiting loss of blood platelets, inhibiting formation of blood platelet aggregates, inhibiting formation of fibrin, inhibiting thrombus formation, and inhibiting embolus formation in a mammal, comprising a compound of the invention in a pharmaceutically acceptable carrier. These compositions may optionally include anticoagulants, antiplatelet agents, and thrombolytic agents. The compositions can be added to blood, blood products, or mammalian organs in order to effect the desired inhibitions.
The invention also includes a composition for preventing or treating unstable angina, refractory angina, myocardial infarction, transient ischemic attacks, atrial fibrillation, thrombotic stroke, embolic stroke, deep vein thrombosis, disseminated intravascular coagulation, ocular build up of fibrin, and reocclusion or restenosis of recanalized vessels, in a mammal, comprising a compound of the invention in a pharmaceutically acceptable carrier. These compositions may optionally include anticoagulants, antiplatelet agents, and thrombolytic agents.
The invention also includes a method for reducing the thrombogenicity of a surface in a mammal by attaching to the surface, either covalently or noncovalently, a compound of the invention.
Some abbreviations that may appear in this application are as follows.
ABBREVIATIONS
______________________________________ Designation Protecting Group
BOC (Boc) t-butyloxycarbonyl
CBZ (Cbz) benzyloxycarbonyl(carbobenzoxy)
TBS (TBDMS) t-butyl-dimethylsilyl
Activating Group
HBT (HOBT or HOBt)
1-hydroxybenzotriazole hydrate
Designation Coupling Reagent
BOP reagent benzotriazol-1-yloxytris
(dimethylamino)phosphonium
hexafluorophosphate
BOP-Cl bis(2-oxo-3-oxazolidinyl)phosphinic
chloride
EDC 1-ethyl-3-(3-dimethylaminopropyl)
carbodiimide hydrochloride
Other
(BOC).sub. O (BOC.sub.2 O)
di-t-butyl dicarbonate
n-Bu.sub.4 N+F--
tetrabutyl ammonium fluoride
nBuLi (n-Buli) n-butyllithium
DMF dimethylformamide
Et.sub.3 N triethylamine
EtOAc ethyl acetate
TFA trifluoroacetic acid
DMAP dimethylaminopyridine
DME dimethoxyethane
LDA lithium diisopropylamide
THF tetrahydrofuran
Amino Acid
IIe Isoleucine
Phe Phenylalanine
Pro Proline
Ala Alanine
Val Valine
______________________________________
DETAILED DESCRIPTION OF THE INVENTION
Compounds of the invention have the following structure: ##STR2## wherein R.sup.1 and R.sup.2 are independently heterocyclic ring system any ting of which may be saturated or unsaturated, and which consists
REFERENCES:
patent: 2277409 (1942-03-01), Murray
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Bode et al., The EMBO Journal, vol. 8, pp. 3467-3475, "The refined 1.9 A crystal structure of human a-thrombin . . . " (1989).
Tapparelli et al., TIPS, vol. 14, pp. 366-376, "Synthetic low-molecular weight thrombin inhibitors: molecular design and pharmaceological profile . . . " (1993).
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Brady Stephen F.
Feng Dong-Mei
Freidinger Roger M.
Lumma William C.
Lyle Terry A.
Merck & Co. , Inc.
Parr Richard S.
Richter Johann
Stockton Laura L.
Winokur Melvin
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