[0001] This invention relates to a novel class of lipidated guanidino derivatives of glycopeptide
antibiotics. This invention also provides formulations and compositions comprising
such compounds. The compounds, formulations and compositions may be used as a medicament,
such as in the treatment of bacterial infection.
BACKGROUND
[0002] In pursuing antibiotics with activity against Gram-positive bacteria, the bacterial
cell wall, often referred to as the peptidoglycan layer, presents an attractive target.
Critical to peptidoglycan biosynthesis is lipid II, the penultimate bacterial cell
wall building block. A number of natural product antibiotics operate by specifically
binding to lipid II (
Grein, F., et al. (2019) Docking on Lipid II-A Widespread Mechanism for Potent Bactericidal
Activities of Antibiotic Peptides, J Mol Biol.;
Oppedijk, S. F., et al. (2016) Hit 'em where it hurts: The growing and structurally
diverse family of peptides that target lipid-II, Biochim Biophys Acta 1858, 947-957). Prominent among these is the clinically used glycopeptide vancomycin which binds
tightly to the terminal d-Ala-d-Ala motif of the lipid II pentapeptide.
[0003] Increasingly, resistance to vancomycin is encountered as many bacterial strains have
emerged that can employ a lipid II variant containing a d-Ala-d-Lac terminated pentapeptide.
This d-Lac for d-Ala mutation lowers the affinity of vancomycin for lipid II and in
doing so greatly reduces it antibacterial effect (
Healy, V. L., et al. (2000) Vancomycin resistance in enterococci: reprogramming of
the D-ala-D-Ala ligases in bacterial peptidoglycan biosynthesis, Chem Biol 7, R109-119;
Blaskovich, M. A. T., et al. (2018) Developments in Glycopeptide Antibiotics, ACS
Infect Dis 4, 715-735;
Willyard, C. (2017) The drug-resistant bacteria that pose the greatest health threats,
Nature 543, 15). The development of new glycopeptide antibiotics with enhanced antibacterial activity
thus continues to be of great importance.
WO 00/39156 describes a wide of possible substitutions to the glycosidic amine of Vancomycin.
WO 01/81373 discloses that the glycosidic amine in Vancomycin derivatives may be replaced by
guanidine.
CHUN-MAN HUANG ET AL: "Teicoplanin Reprogrammed with the N-Acyl-Glucosamine Pharmacophore
at the Penultimate Residue of Aglycone Acquires Broad-Spectrum Antimicrobial Activities
Effectively Killing Gram-Positive and -Negative Pathogens", ACS INFECTIOUS DISEASES,
vol. 5, no. 3, 1 January 2019, pages 430-442, describe a Teicoplanin derivative in which the free amine group is converted to
a guanidine group.
DONGLIANG GUAN ET AL: "Extra Sugar on Vancomycin: New Analogues for Combating Multidrug-Resistant
Staphylococcus aureus and Vancomycin-Resistant Enterococci", JOURNAL OF MEDICINAL
CHEMISTRY, vol. 61, no. 1, 2 January 2018, pages 286-304, describe Vancomycin derivatives with various modifications to the glycosidic amine.
[0004] An object of the invention is to provide compounds that are useful in the treatment
of bacterial infections, in particular for the treatment of infections that are resistant
to existing antibiotics, such as vancomycin.
BRIEF SUMMARY OF THE DISCLOSURE
[0005] The invention provides compounds that are useful in the treatment of bacterial infection.
For example, the compounds may be useful in the treatment of an infection by Gram-positive
bacteria. Compounds of the invention are lipidated glycopeptides, where the lipid
moiety is attached to the glycan moiety via a linker and a guanidino moiety.
[0006] The invention provides in a first aspect a compound of formula I:

wherein:
R1 is a lipid;
R2 is selected from -H or a lipid;
R3, R4 and L are defined in the appended claim 1,
or a pharmaceutically acceptable salt, stereoisomer, or solvate thereof.
[0007] A second aspect of the invention provides a formulation of the invention comprising
compound of the invention and optionally a pharmaceutically acceptable carrier. The
formulation may be a parenteral formulation or an oral formulation. The formulation
may be a parenteral formulation, such as a formulation for intravenous injection.
[0008] A third aspect provides a compound or formulation of the invention for use as a medicament.
[0009] A fourth aspect provides a compound or formulation of the invention for use in the
treatment of a bacterial infection. The bacterial infection may be an infection by
Gram-positive bacteria. The Gram-positive bacteria may be from at least one of the
following families
Staphylococcus (e.g.
S.
aureus, S. epidermidis, S. saprophyticus)
, Streptococcus (e.g.
Strep. pyogenes, Strep. agalactiae, Strep. viridans, Strep. pneumonia)
, Enterococus (e.g.
E. faecalis)
, Bacillus, Clostridia, Listeria and
Corynebacterium. The bacteria (e.g. Gram-positive bacteria) may be resistant to treatment with at
least one other antibiotic (e.g. methicillin, vancomycin). The bacterial infection
may be an infection by vancomycin-resistant
Enterococcus (VRE), methicillin-resistant
S.
aureus (MRSA), or vancomycin-resistant
S.
aureus (VRSA). The bacterial infection may be selected from skin and structure infections,
lower respiratory tract infections, bacteremia, sepsis, septicemia, infective endocarditis,
peritonitis, enterocolitis mastitis,
Clostridium difficile infection-associated diarrhoea and colitis.
BRIEF DESCRIPTION OF THE DRAWINGS
[0010] Embodiments of the invention are further described hereinafter with reference to
the accompanying drawings, in which:
Figure 1 illustrates the results obtained when selected compounds were assessed using
a hemolysis assay.
Figure 2 illustrates the results obtained with a UDP-MurNAc-pentapeptide accumulation
assay for selected compounds. All of the compounds resulted in accumulation of UDP-MurNAc-pentapeptide,
demonstrating that the compounds interfere with peptidoglycan cell wall biosynthesis
in Gram-positive bacteria.
Figure 3 illustrates the results obtained when selected compounds were assessed using
a resistance development serial passage assay. A) Daily fold-increase of MIC compared
to initial MIC against MRSA USA 300 grown in sub-lethal concentrations of daptomycin,
compound 5 or compound 16 over 30 days. B) . Daily fold-increase of MIC compared to initial MIC against VRE
E155 grown in sub-lethal concentrations of daptomycin, compound 5 or compound 16 over 30 days.
Figure 4 illustrates the results obtained when selected compounds were assessed using
a time kill assay. A) Bactericidal activity of vancomycin, telavancin, daptomycin
(left), compound 5 and compound 16 (right) against VRE E155 as measured by agar plate dilution colony count of samples
at different time intervals. B) Bactericidal activity of vancomycin, telavancin, daptomycin
(left) and compound 5 (right) against MRSA USA300 as measured by agar plate dilution
colony count of samples at different time intervals.
Figure 5 illustrates the pharmacokinetic profile of blood concentrations of a selected
compound over a time period of 8 hours.
Figure 6 illustrates the results obtained in an efficacy study for selected compounds
against MRSA USA300 strain NRS384.
DETAILED DESCRIPTION
[0011] Throughout the description and claims of this specification, the words "comprise"
and "contain" and variations of them mean "including but not limited to", and they
are not intended to (and do not) exclude other moieties, additives, components, integers
or steps. Throughout the description and claims of this specification, the singular
encompasses the plural unless the context otherwise requires. In particular, where
the indefinite article is used, the specification is to be understood as contemplating
plurality as well as singularity, unless the context requires otherwise.
DEFINITIONS
[0012] The following explanations of terms and methods are provided to better describe the
present disclosure and to guide those of ordinary skill in the art in the practice
of the present disclosure. The references to methods of treatment in the subsequent
paragraphs of this description are to be interpreted as references to the compounds,
pharmaceutical compositions and medicaments of the present invention for use in a
method for treatment of the human (or animal) body by therapy.
[0013] The invention concerns amongst other things the treatment of a disease. The term
"treatment", and the therapies encompassed by this invention, include the following
and combinations thereof: (1) hindering, e.g. delaying initiation and/or progression
of, an event, state, disorder or condition, for example arresting, reducing or delaying
the development of the event, state, disorder or condition, or a relapse thereof in
case of maintenance treatment or secondary prophylaxis, or of at least one clinical
or subclinical symptom thereof; (2) preventing or delaying the appearance of clinical
symptoms of an event, state, disorder or condition developing in an animal (e.g. human)
that may be afflicted with or predisposed to the state, disorder or condition but
does not yet experience or display clinical or subclinical symptoms of the state,
disorder or condition; and/or (3) relieving and/or curing an event, state, disorder
or condition (
e.
g., causing regression of the event, state, disorder or condition or at least one of
its clinical or subclinical symptoms, curing a patient or putting a patient into remission).
The benefit to a patient to be treated may be either statistically significant or
at least perceptible to the patient or to the physician. It will be understood that
a medicament will not necessarily produce a clinical effect in each patient to whom
it is administered; thus, in any individual patient or even in a particular patient
population, a treatment may fail or be successful only in part, and the meanings of
the terms "treatment" and "prophylaxis" and of cognate terms are to be understood
accordingly. The compositions and methods described herein are of use for therapy
and/or prophylaxis of the mentioned conditions.
[0014] The term "prophylaxis" includes reference to treatment therapies for the purpose
of preserving health or inhibiting or delaying the initiation and/or progression of
an event, state, disorder or condition, for example for the purpose of reducing the
chance of an event, state, disorder or condition occurring. The outcome of the prophylaxis
may be, for example, preservation of health or delaying the initiation and/or progression
of an event, state, disorder or condition. It will be recalled that, in any individual
patient or even in a particular patient population, a treatment may fail, and this
paragraph is to be understood accordingly.
[0015] The term "antibiotic" refers to a compound that inhibits the growth of or destroys
microorganisms, such as bacteria (e.g. Gram-positive bacteria, or Gram-negative bacteria).
An "antibacterial" is an antibiotic that is active against bacteria. Compounds of
the invention are antibacterial, in particular with activity against Gram-positive
bacteria. Gram-positive bacteria include
Staphylococcus (e.g.
S.
aureus, S. epidermidis, S. saprophyticus)
, Streptococcus (e.g.
Strep. pyogenes, Strep. agalactiae, Strep. viridans, Strep. pneumonia)
, Enterococus, Bacillus, Clostridia, Listeria and
Corynebacterium.
[0016] The term "alkyl" as used herein includes reference to a straight or branched chain
alkyl moiety having up to 20 (e.g. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14,
15, 16, 17, 18, 19 or 20) carbon atoms. The term includes reference to, for example,
methyl, ethyl, propyl (n-propyl or isopropyl), butyl (n-butyl, sec-butyl or tert-butyl),
pentyl, hexyl and the like. In particular, alkyl may be a "C
1-C
10 alkyl", i.e. an alkyl having 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 carbon atoms; "C
1-C
6 alkyl", i.e. an alkyl having 1, 2, 3, 4, 5 or 6 carbon atoms; "C
1-C
4 alkyl", i.e. an alkyl having 1, 2, 3 or 4 carbon atoms; a "C
1-C
6 alkyl", i.e. an alkyl having 1, 2, 3, 4, 5 or 6 carbon atoms; or a "C
1-C
3 alkyl", i.e. an alkyl having 1, 2 or 3 carbon atoms. The term "lower alkyl" includes
reference to alkyl groups having 1, 2, 3 or 4 carbon atoms.
[0017] The term "alkenyl" as used herein includes reference to a straight or branched chain
alkenyl moiety having up to 20 (e.g. 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15,
16, 17, 18, 19 or 20) carbon atoms. The term includes reference to, for example, ethenyl,
propenyl, butenyl, pentenyl, hexenyl and the like. In particular, alkenyl may be a
"C
2-C
10 alkenyl", i.e. an alkenyl having 2, 3, 4, 5, 6, 7, 8, 9 or 10 carbon atoms; "C
2-C
6 alkyl", i.e. an alkenyl having 2, 3, 4, 5 or 6 carbon atoms; "C
2-C
4 alkyl", i.e. an alkenyl having 1, 2, 3 or 4 carbon atoms; The term "lower alkenyl"
includes reference to alkyl groups having 2, 3 or 4 carbon atoms. The alkenyl may
be monounsaturated (i.e. comprise a single carbon carbon double bond) or polyunsaturated
(i.e. comprise a two or more carbon carbon double bonds, e.g. 2, 3 or 4 carbon carbon
double bonds). For example, an alkenyl may be an alkadienyl, alkatrienyl, etc..
[0018] The term "alkylene" by itself or as part of another substituent means a divalent
radical derived from an alkyl, as exemplified, but not limited, by -CH2CH2CH2CH2-.
Typically, an alkyl (or alkylene) group will have from 1 to 24 carbon atoms, with
those groups having 10 or fewer carbon atoms being preferred in the present invention.
A "lower alkyl" or "lower alkylene" is a shorter chain alkyl or alkylene group, generally
having eight or fewer carbon atoms.
[0019] The term "cycloalkyl" as used herein includes reference to an alicyclic moiety having
3, 4, 5 or 6 carbon atoms. The group may be a bridged or polycyclic ring system. More
often cycloalkyl groups are monocyclic. This term includes reference to groups such
as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl and the like.
[0020] The term "heteroalkyl," by itself or in combination with another term, means, unless
otherwise stated, a stable straight or branched chain, or cyclic hydrocarbon radical,
or combinations thereof, consisting of at least one carbon atoms and at least one
heteroatom selected from the group consisting of O, N, P, Si and S, and wherein the
nitrogen and sulfur atoms may optionally be oxidized and the nitrogen heteroatom may
optionally be quaternized. The heteroatom(s) O, N, P, S and Si may be placed at any
interior position of the heteroalkyl group or at the position at which the alkyl group
is attached to the remainder of the molecule. Examples include, but are not limited
to, -CH
2-CH
2-O-CH
3, -CH
2-CH
2-NH-CH
3, -CH
2-CH
2-N(CH
3)-CH
3, -CH
2-S-CH
2-CH
3, -CH
2-CH
2,-S(O)-CH
3, -CH
2-CH
2-S(O)
2-CH
3, - CH=CH-O-CH
3, -Si(CH
3)
3, -CH
2-CH=N-OCH
3, -CH=CH-N(CH
3)-CH
3, O-CH
3, -O-CH
2-CH
3, and -CN. Up to two heteroatoms may be consecutive, such as, for example, -CH
2-NH-OCH
3 and -CH
2-O-Si(CH
3)
3. Similarly, the term "heteroalkylene" by itself or as part of another substituent
means a divalent radical derived from heteroalkyl, as exemplified, but not limited
by, -CH
2-CH
2-S-CH
2-CH
2- and -CH
2-S-CH
2-CH
2-NH-CH
2-. For heteroalkylene groups, heteroatoms can also occupy either or both of the chain
termini (
e.
g., alkyleneoxy, alkylenedioxy, alkyleneamino, alkylenediamino, and the like). Still
further, for alkylene and heteroalkylene linking groups, no orientation of the linking
group is implied by the direction in which the formula of the linking group is written.
For example, the formula - C(O)
2R'- represents both -C(O)
2R'- and -R'C(O)
2-. As described above, heteroalkyl groups, as used herein, include those groups that
are attached to the remainder of the molecule through a heteroatom, such as -C(O)R',
-C(O)NR', -NR'R", -OR', -SR', and/or-SO
2R'. Where "heteroalkyl" is recited, followed by recitations of specific heteroalkyl
groups, such as -NR'R" or the like, it will be understood that the terms heteroalkyl
and -NR'R" are not redundant or mutually exclusive. Rather, the specific heteroalkyl
groups are recited to add clarity. Thus, the term "heteroalkyl" should not be interpreted
herein as excluding specific heteroalkyl groups, such as -NR'R" or the like.
[0021] The term "heterocycloalkyl" as used herein includes reference to a saturated heterocyclic
moiety having 3, 4, 5, 6 or 7 ring carbon atoms and 1, 2, 3, 4 or 5 ring heteroatoms
selected from nitrogen, oxygen, phosphorus and sulphur. For example, a heterocycloalkyl
may comprise 3, 4, or 5 ring carbon atoms and 1 or 2 ring heteroatoms selected from
nitrogen and oxygen. The group may be a polycyclic ring system but more often is monocyclic.
This term includes reference to groups such as azetidinyl, pyrrolidinyl, tetrahydrofuranyl,
piperidinyl, oxiranyl, pyrazolidinyl, imidazolyl, indolizidinyl, piperazinyl, thiazolidinyl,
morpholinyl, thiomorpholinyl, quinolizidinyl and the like.
[0022] The terms "halo" or "halogen" as used herein includes reference to F, Cl, Br or I,
for example F, Cl or Br. In a particular class of embodiments, halogen is F or CI,
of which F is more common.
[0023] The terms "halo" or "halogen," by themselves or as part of another substituent, mean,
unless otherwise stated, a fluorine, chlorine, bromine, or iodine atom. Additionally,
terms such as "haloalkyl," are meant to include monohaloalkyl and polyhaloalkyl. For
example, the term "haloalkyl" refers to an alkyl group where one or more hydrogen
atoms are substituted by a corresponding number of halogens. For example, the term
"halo(C
1-C
4)alkyl" is mean to include, but not be limited to, trifluoromethyl, 2,2,2-trifluoroethyl,
4-chlorobutyl, 3-bromopropyl, and the like.
[0024] The term "alkoxy" as used herein include reference to -O-alkyl, wherein alkyl is
straight or branched chain and comprises 1, 2, 3, 4, 5 or 6 carbon atoms. In one class
of embodiments, alkoxy has 1, 2, 3 or 4 carbon atoms, e.g. 1, 2 or 3 carbon atoms.
This term includes reference to, for example, methoxy, ethoxy, propoxy, isopropoxy,
butoxy, tert-butoxy, pentoxy, hexoxy and the like. The term "lower alkoxy" includes
reference to alkoxy groups having 1, 2, 3 or 4 carbon atoms.
[0025] The term "haloalkoxy" as used herein refers to an alkoxy group where one or more
hydrogen atoms are substituted by a corresponding number of halogens.
[0026] The term "aryl" means, unless otherwise stated, a polyunsaturated, aromatic, hydrocarbon
substituent which can be a single ring or multiple rings (preferably from 1 to 3 rings)
which are fused together or linked covalently. The term "heteroaryl" refers to aryl
groups (or rings) that contain from one to four heteroatoms selected from N, O, and
S, wherein the nitrogen and sulfur atoms are optionally oxidized, and the nitrogen
atom(s) are optionally quaternized. A heteroaryl group can be attached to the remainder
of the molecule through a carbon or heteroatom. Non-limiting examples of aryl and
heteroaryl groups include phenyl, 1-naphthyl, 2-naphthyl, 4-biphenyl, 1-pyrrolyl,
2-pyrrolyl, 3-pyrrolyl, 3-pyrazolyl, 2-imidazolyl, 4-imidazolyl, pyrazinyl, 2-oxazolyl,
4-oxazolyl, 2-phenyl-4-oxazolyl, 5-oxazolyl, 3-isoxazolyl, 4-isoxazolyl, 5-isoxazolyl,
2-thiazolyl, 4-thiazolyl, 5-thiazolyl, 2-furyl, 3-furyl, 2-thienyl, 3-thienyl, 2-pyridyl,
3-pyridyl, 4-pyridyl, 2-pyrimidyl, 4-pyrimidyl, 5-benzothiazolyl, purinyl, 2-benzimidazolyl,
5-indolyl, 1-isoquinolyl, 5-isoquinolyl, 2-quinoxalinyl, 5-quinoxalinyl, 3-quinolyl,
and 6-quinolyl. Substituents for each of the above noted aryl and heteroaryl ring
systems are selected from the group of acceptable substituents described below. "Arylene"
and "heteroarylene" refers to a divalent radical derived from an aryl and heteroaryl,
respectively.
[0027] The term "lipid" with reference to a substituent as used herein represents a moiety
that is typically hydrophobic. A lipid may comprise substituted or unsubstituted alkyl,
alkenyl, cycloalkyl, bridged cycloalkyl, (alkyl)cycloalkyl, (alkyl) bridged cycloalkyl,
(alkyl)cycloalkenyl, and/or alkylaryl groups. For example, a lipid may comprise substituted
or unsubstituted alkyl, alkenyl, (alkyl)cycloalkyl, (alkyl)cycloalkenyl, and/or alkylaryl
groups. Exemplary substituents include -OH, =O, -CN, -halo, -NH
2, -NH(C
1-C
6 alkyl), -N(C
1-C
4 alkyl)
2, -phenyl, -phenyl-halo; for example -OH, =O, -CN, -halo, -NH
2, -NH(C
1-C
6 alkyl), - N(C
1-C
4 alkyl)
2. The backbone of the substituted or unsubstituted lipid may also be interrupted by
a disulfide linkage (-S-S-), thioether linkage (-S-), ether linkage -O- or ester (-C(O)O-).
[0028] Each of the above terms (
e.
g., "alkyl," "cycloalkyl," "heteroalkyl," "aryl" and "heteroaryl"), unless otherwise
noted, are meant to include both substituted and unsubstituted forms of the indicated
radical. Where a substituent is R-substituted (e.g. an R
x-substituted alkyl, where "x" is an integer), the substituent may be substituted with
one or more R groups as allowed by chemical valency rules where each R group is optionally
different (e.g. an R
x-substituted alkyl may include multiple R
x groups wherein each R
x group is optionally different). Certain examples of substituents for each type of
radical are provided below.
[0029] The term "substituted" as used herein in reference to a moiety means that one or
more, especially up to 5, more especially 1, 2 or 3, of the hydrogen atoms in said
moiety are replaced independently of each other by the corresponding number of the
described substituents. Unless otherwise specified, exemplary substituents include
-OH, -CN, -NH
2, - NH(C
1-C
6 alkyl), -N(C
1-C
4 alkyl)
2, =O, -halo, -C
1-C
6 alkyl, -C
2-C
6 alkenyl, -C
1-C
6 haloalkyl, - C
1-C
6 haloalkoxy and-C
2-C
6 haloalkenyl, -C
1-C
6 alkylcarboxylic acid (e.g. -CH
3COOH or - COOH). Where the substituent is a -C
1-C
6 alkyl or -C
1-C
6 haloalkyl, the C
1-C
6 chain is optionally interrupted by an ether linkage (-O-) or an ester linkage (-C(O)O-).
Exemplary substituents for a substituted alkyl may include -OH, -CN, -NH
2, =O, -halo, -CO
2H, -C
1-C
6 haloalkyl, -C
1-C
6 haloalkoxy and-C
2-C
6haloalkenyl, -C
1-C
6 alkylcarboxylic acid (e.g. - CH
3COOH or -COOH). For example, exemplary substituents for an alkyl may include -OH,
-CN, -NH
2, =O, -halo.
[0030] It will, of course, be understood that substituents are only at positions where they
are chemically possible, the person skilled in the art being able to decide (either
experimentally or theoretically) without inappropriate effort whether a particular
substitution is possible. For example, amino or hydroxy groups with free hydrogen
may be unstable if bound to carbon atoms with unsaturated (e.g. olefinic) bonds. Additionally,
it will of course be understood that the substituents described herein may themselves
be substituted by any substituent, subject to the aforementioned restriction to appropriate
substitutions as recognised by the skilled person.
[0031] Where steric issues determine placement of substituents on a group, the isomer having
the lowest conformational energy may be preferred.
[0032] Where a compound, moiety, process or product is described as "optionally" having
a feature, the disclosure includes such a compound, moiety, process or product having
that feature and also such a compound, moiety, process or product not having that
feature. Thus, when a moiety is described as "optionally substituted", the disclosure
comprises the unsubstituted moiety and the substituted moiety.
[0033] Where two or more moieties are described as being "independently" or "each independently"
selected from a list of atoms or groups, this means that the moieties may be the same
or different. The identity of each moiety is therefore independent of the identities
of the one or more other moieties.
[0034] The term "pharmaceutically acceptable" as used herein includes reference to those
compounds, materials, compositions, and/or dosage forms which are, within the scope
of sound medical judgment, suitable for use in contact with the tissues of human beings
or animals without excessive toxicity, irritation, allergic response, or other problem
or complication, commensurate with a reasonable benefit/risk ratio. This term includes
acceptability for both human and veterinary purposes.
[0035] The term "pharmaceutically acceptable salts" is meant to include salts of the active
compounds which are prepared with relatively nontoxic acids or bases, depending on
the particular substituents found on the compounds described herein. When compounds
of the present invention contain relatively acidic functionalities, base addition
salts can be obtained by contacting the neutral form of such compounds with a sufficient
amount of the desired base, either neat or in a suitable inert solvent. Examples of
pharmaceutically acceptable base addition salts include sodium, potassium, calcium,
ammonium, organic amino, or magnesium salt, or a similar salt. When compounds of the
present invention contain relatively basic functionalities, acid addition salts can
be obtained by contacting the neutral form of such compounds with a sufficient amount
of the desired acid, either neat or in a suitable inert solvent. Examples of pharmaceutically
acceptable acid addition salts include those derived from inorganic acids like hydrochloric,
hydrobromic, nitric, carbonic, monohydrogencarbonic, phosphoric, monohydrogenphosphoric,
dihydrogenphosphoric, sulfuric, monohydrogensulfuric, hydriodic, or phosphorous acids
and the like, as well as the salts derived from relatively nontoxic organic acids
like acetic, propionic, isobutyric, maleic, malonic, benzoic, succinic, suberic, fumaric,
lactic, mandelic, phthalic, benzenesulfonic, p-tolylsulfonic, citric, tartaric, methanesulfonic,
and the like. Also included are salts of amino acids such as arginate and the like,
and salts of organic acids like glucuronic or galacturonic acids and the like (
see, for example,
Berge et al., "Pharmaceutical Salts", Journal of Pharmaceutical Science, 1977, 66,
1-19). Certain specific compounds of the present invention contain both basic and acidic
functionalities that allow the compounds to be converted into either base or acid
addition salts.
[0036] The neutral forms of the compounds are preferably regenerated by contacting the salt
with a base or acid and isolating the parent compound in the conventional manner.
The parent form of the compound differs from the various salt forms in certain physical
properties, such as solubility in polar solvents.
[0037] Certain compounds of the present invention can exist in unsolvated forms as well
as solvated forms, including hydrated forms. In general, the solvated forms are equivalent
to unsolvated forms and are encompassed within the scope of the present invention.
Certain compounds of the present invention may exist in multiple crystalline or amorphous
forms. In general, all physical forms are equivalent for the uses contemplated by
the present invention and are intended to be within the scope of the present invention.
[0038] Certain compounds of the present invention possess asymmetric carbon atoms (optical
centres) or double bonds; the racemates, diastereomers, tautomers, geometric isomers
and individual isomers are encompassed within the scope of the present invention.
The compounds of the present invention do not include those which are known in the
art to be too unstable to synthesize and/or isolate.
[0039] The symbol

denotes a point of attachment of a moiety to the remainder of a compound.
[0040] The term "prodrug" as used herein represents compounds which are transformed
in vivo to the parent compound or other active compound, for example, by hydrolysis in blood.
An example of such a prodrug is a pharmaceutically acceptable ester of a carboxylic
acid. A thorough discussion is provided in
T. Higuchi and V. Stella, Pro-drugs as Novel Delivery Systems, Vol. 14 of the A.C.S.
Symposium Series, Edward B. Roche, ed., Bioreversible Carriers in Drug Design, American
Pharmaceutical Association and Pergamon Press, 1987;
H Bundgaard, ed, Design of Prodrugs, Elsevier, 1985; and
Judkins, et al. Synthetic Communications, 26(23), 4351-4367 (1996); and
The organic chemistry of drug design and drug action by Richard B Silverman in particular
pages 497 to 546. Compounds may represent prodrugs (e.g. comprising a latent MBL inhibitor), where
hydrolysis of a β-lactam results in release and activation of the latent MBL inhibitor.
[0041] The term "pharmaceutical formulation" as used herein includes reference to a formulation
comprising at least one active compound and optionally one or more additional pharmaceutically
acceptable ingredients, for example a pharmaceutically acceptable carrier. Where a
pharmaceutical formulation comprises two or more active compounds, or comprises at
least one active compound and one or more additional pharmaceutically acceptable ingredients,
the pharmaceutical formulation is also a pharmaceutical composition. Unless the context
indicates otherwise, all references to a "formulation" herein are references to a
pharmaceutical formulation.
[0042] The term "product" or "product of the invention" as used herein includes reference
to any product containing a compound of the present invention. In particular, the
term product relates to compositions and formulations containing a compound of the
present invention, such as a pharmaceutical composition, for example.
[0043] The term "therapeutically effective amount" as used herein refers to an amount of
a drug, or pharmaceutical agent that, within the scope of sound pharmacological judgment,
is calculated to (or will) provide a desired therapeutic response in a mammal (animal
or human). The therapeutic response may for example serve to cure, delay the progression
of or prevent a disease, disorder or condition.
[0044] The following abbreviations are used herein:
- Alloc
- allyloxycarbonyl
- ATCC
- American Type Culture Collection
- BBO
- Broadband Observe
- CFU
- colony forming units
- CLSI
- Clinical & Laboratory Standards Institute
- d
- doublet
- dd
- doublet of doublets
- dt
- doublet of triplets
- DCM
- dichloromethane
- DIPEA
- di-isopropylethylamine
- DMF
- dimethylformamide
- DMSO
- dimethylsulfoxide
- EDC
- 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide
- EtOAc
- ethyl acetate
- EtOH
- ethanol
- eq
- equivalent
- FBS
- fetal bovine serum
- Gal
- galactose
- GaINAc
- N-acetylgalactosamine
- Glc
- glucose
- GIcNAc
- N-acetylglucosamine
- h
- sextet
- HEPA
- high-efficiency particulate air
- HPLC
- high-performance liquid chromatography
- HR-MS
- high-resolution mass spectrometry
- LC
- liquid chromatography
- m
- multiplet
- Man
- mannose
- ManNAc
- N-acetylmannoseamine
- MeCN
- acetonitrile
- MeOH
- methanol
- MIC
- minimum inhibitory concentration
- MRSA
- methicillin resistant Staphylococcus aureus
- MSSA
- methicillin sensitive Staphylococcus aureus
- MTT
- 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
- MurNAc
- N-Acetylmuramic acid
- m/z
- mass-to-charge ratio
- NEt3
- triethylamine
- NLD
- The Netherlands
- NMR
- nuclear magnetic resonance
- p80
- polysorbate 80
- PBS
- phosphate buffered saline
- PE
- petroleum ether
- PFGE
- pulsed field gel electrophoresis
- PK
- pharmacokinetic
- pp
- pentapeptide
- ppm
- parts per million
- rpm
- rounds per minute
- RT
- room temperature
- RP-HPLC
- reverse phase high-performance liquid chromatography
- s
- singlet
- SD
- standard deviation
- t
- triplet
- THF
- tetrahydrofuran
- TLC
- thin layer chromatography
- TMS
- trimethylsilyl
- TSB
- tryptic soy broth
- UDP
- uridine diphosphate
- UV
- ultraviolet
- VISA
- vancomycin intermediate Staphylococcus aureus
- VRE
- vancomycin resistant Enterococci
- VRSA
- vancomycin resistant Staphylococcus aureus
- VSE
- vancomycin sensitive Enterococci
COMPOUNDS
[0045] In one aspect, the invention provides compounds of formula I as previously described
or a pharmaceutically acceptable salt, stereoisomer or solvate thereof. The compounds
of formula I represent lipidated glycopeptides, where the lipid moiety/moieties (R
1 and optionally R
2) is attached to the glycan moiety via a linker (-L
1-) and a guanidino moiety. The glycopeptide portion of the compound represents a substituted
vancomycin, with optional additional substitutions R
3 and R
4.
[0046] R
1 is a lipid. R
1 may be selected from substituted or unsubstituted -C
4-C
20 cycloalkyl (e.g. bridged cycloalkyl), substituted or unsubstituted -C
1-C
4 alkyl-C
4-C
20 cycloalkyl (e.g. bridged cycloalkyl), substituted or unsubstituted -C
4-C
20 alkyl, substituted or unsubstituted -C
4-C
20 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl, -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 0 to 20, -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl. R
1 may be selected from substituted or unsubstituted -C
4-C
20 alkyl, substituted or unsubstituted -C
4-C
20 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl, -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 0 to 20, -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl. R
1 may be selected from substituted or unsubstituted -C
4-C
16 cycloalkyl (e.g. bridged cycloalkyl), substituted or unsubstituted -C
1-C
4 alkyl-C
4-C
16 cycloalkyl (e.g. bridged cycloalkyl), substituted or unsubstituted -C
4-C
16 alkyl, substituted or unsubstituted -C
4-C
16 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl, -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 0 to 14, -C
2-C
8 alkyl-S-S-C
2-C
8 alkyl. R
1 may be selected from substituted or unsubstituted -C
4-C
16 alkyl, substituted or unsubstituted -C
4-C
16 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl, -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 0 to 14, -C
2-C
8 alkyl-S-S-C
2-C
8 alkyl. R
1 may be selected from -C
4-C
16 cycloalkyl (e.g. bridged cycloalkyl), -C
1-C
4 alkyl-C
4-C
16 cycloalkyl (e.g. bridged cycloalkyl), -C
4-C
16 alkyl, -C
6-C
18 alkenyl and substituted (e.g. halo substituted) or unsubstituted -C
1-C
4 alkylbisphenyl. R
1 may be selected from -C
4-C
16 alkyl, -C
6-C
18 alkenyl and substituted (e.g. halo substituted) or unsubstituted -C
1-C
4 alkylbisphenyl. R
1 may be selected from -C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl), -C
1-C
4 alkyl-C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl), -C
6-C
14 alkyl, -C
6-C
16 alkenyl and substituted or unsubstituted -C
1-C
4 alkylbisphenyl. R
1 may be selected from -C
6-C
14 alkyl, -C
6-C
16 alkenyl and substituted or unsubstituted -C
1-C
4 alkylbisphenyl. R
1 may be selected from -C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl), -CH
2-C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl), -C
6-C
14 alkyl, -geranyl, - farnesyl and -chlorobisphenyl. R
1 may be selected from -C
6-C
14 alkyl, -C
1-C
4 adamantyl, -adamantyl, -geranyl, -farnesyl and -chlorobisphenyl. R
1 may be selected from -C
6-C
14 alkyl, -geranyl, -farnesyl and -chlorobisphenyl.
[0047] R
1 may be substituted or unsubstituted -C
4-C
20 alkyl, for example substituted or unsubstituted -C
4-C
16 alkyl. R
1 may be unsubstituted -C
4-C
20 alkyl, for example unsubstituted -C
4-C
16 alkyl. R
1 may be substituted or unsubstituted -C
4-C
20 alkenyl, for example substituted or unsubstituted -C
6-C
18 alkenyl. R
1 may be unsubstituted -C
4-C
20 alkenyl, for example unsubstituted -C
6-C
18 alkenyl. R
1 may be substituted or unsubstituted -C
1-C
4 alkylaryl. R
1 may be unsubstituted -C
1-C
4 alkylaryl, wherein the aryl substituent may be a biaryl. R
1 may be substituted -C
1-C
4 alkylaryl, wherein the aryl substituent may be a halo-subsituted biaryl, e.g. chlorobisphenyl.
R
1 may be substituted CH
2-alkylarl, wherein the aryl substituent may be a halo-subsituted biaryl, e.g. chlorobisphenyl.
R
1 may be -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 0 to 20. m may be 2. m may
be 3. n may be selected from 2 to 16, e.g. n may be selected from 4 to 12. m may be
2 and n may be selected from 2 to 16. m may be 3 and n may be selected from 2 to 16.
R
1 may be -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl, for example -C
2-C
10 alkylS-S-C
2-C
10 alkyl; e.g. -C
2-C
8 alkyl-S-S-C
2-C
8 alkyl. R
1 may be substituted or unsubstituted - C
4-C
20 cycloalkyl, for example substituted or unsubstituted -C
4-C
16 cycloalkyl or substituted or unsubstituted -C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl). R
1 may be unsubstituted -C
4-C
20 cycloalkyl, for example unsubstituted -C
4-C
16 alkyl or unsubstituted -C
6-C
14 cycloalkyl. R
1 may be an unsubstituted bridged -C
6-C
14 cycloalkyl. R
1 may be an unsubstituted bridged C
10 cycloalkyl, e.g. adamantyl. R
1 may be substituted or unsubstituted -C
1-C
4 alkyl-C
4-C
20 cycloalkyl, for example substituted or unsubstituted -C
1-C
4 alkyl-C
4-C
16 cycloalkyl or substituted or unsubstituted -C
1-C
4 alkyl-C
6-C
14 cycloalkyl. R
1 may be unsubstituted -C
1-C
4 alkyl-C
4-C
20 cycloalkyl, for example unsubstituted -C
1-C
4 alkyl-C
4-C
16 cycloalkyl or unsubstituted -C
1-C
4 alkyl-C
6-C
14 cycloalkyl. R
1 may be unsubstituted -C
1-C
4 alkyl-C
6-C
14 cycloalkyl, wherein the cycloalkyl is bridged. R
1 may an unsubstituted -C
1-C
4 alkyl-C
10 cycloalkyl, wherein the cycloalkyl is bridged, e.g. -C
1-C
4 alkyl-adamantyl. R
1 may be unsubsituted -CH
2 -C
10 cycloalkyl, wherein the cycloalkyl is bridged, e.g. -CH
2-adamantyl.
[0048] When R
1 is a substituted moiety, it may be substituted by at least one -OH, =O, -CN , -halo,
-NH
2, -NH(C
1-C
6 alkyl), -N(C
1-C
4 alkyl)
2; for example it may be substituted by at least one -OH, =O, -CN, -halo. When R
1 is a substituted or unsubstituted alkyl, the carbon backbone of the alkyl may be
interrupted by at least one disulfide linkage (-S-S-), thioether linkage (-S-), ether
linkage -O- or ester linkage (-C(O)O-).
[0049] R
2 is selected from -H or a lipid. R
2 may be -H. R
2 may be a lipid. R
2 may be selected from -H, substituted or unsubstituted -C
4-C
20 alkyl, substituted or unsubstituted -C
4-C
20 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl, -C
1-C
4 alkyl-[O(CH
2)
p]
q-O(CH
2)
p-1CH
3, where p is selected from 2 and 3 and q is selected from 0 to 20, -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl. R
2 may be selected from -H, substituted or unsubstituted -C
4-C
16 alkyl, substituted or unsubstituted -C
4-C
16 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl, -C
1-C
4 alkyl-[O(CH
2)
p]
q-O(CH
2)
p-1CH
3, where p is selected from 2 and 3 and q is selected from 0 to 14, -C
2-C
8 alkyl-S-S-C
2-C
8 alkyl. R
2 may be selected from -H, -C
4-C
12 alkyl, -C
4-C
12 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl, and -C
1-C
4 alkyl-[O(CH
2)
p]
q-O(CH
2)
p-1CH
3, where p is selected from 2 and 3 and q is selected from 0 to 20. R
2 may be selected from -H, -C
4-C
12 alkyl, and -C
4-C
12 alkenyl. R
2 may be selected from -H, -C
4-C
16 alkyl, -C
6-C
18 alkenyl and substituted (e.g. halo substituted) or unsubstituted -C
1-C
4 alkylbisphenyl. R
2 may be selected from -H, -C
6-C
14 alkyl, -C
6-C
16 alkenyl and substituted or unsubstituted -C
1-C
4 alkylbisphenyl. R
2 may be selected from -C
6-C
14 alkyl, -geranyl, -farnesyl and - chlorobisphenyl.
[0050] Where R
2 is a lipid, R
2 may be selected from substituted or unsubstituted -C
4-C
20 cycloalkyl (e.g. bridged cycloalkyl), substituted or unsubstituted -C
1-C
4 alkyl-C
4-C
20 cycloalkyl (e.g. bridged cycloalkyl), substituted or unsubstituted -C
4-C
20 alkyl, substituted or unsubstituted -C
4-C
20 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl, -C
1-C
4 alkyl-[O(CH
2)
p]
q-O(CH
2)
p-1CH
3, where p is selected from 2 and 3 and q is selected from 0 to 20, -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl. R
2 may be selected from substituted or unsubstituted -C
4-C
20 alkyl, substituted or unsubstituted -C
4-C
20 alkenyl, substituted or unsubstituted -C
1-C
4 alkyl-[O(CH
2)
p]
q-O(CH
2)
p-1CH
3, where p is selected from 2 and 3 and q is selected from 0 to 20, -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl. R
2 may be selected from substituted or unsubstituted -C
4-C
16 cycloalkyl (e.g. bridged cycloalkyl), substituted or unsubstituted -C
1-C
4 alkyl-C
4-C
16 cycloalkyl (e.g. bridged cycloalkyl), substituted or unsubstituted -C
4-C
16 alkyl, substituted or unsubstituted -C
4-C
16 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl-C
1-C
4 alkyl-[O(CH
2)
p]
q-O(CH
2)
p-1CH
3, where p is selected from 2 and 3 and q is selected from 0 to 14, - C
2-C
8 alkyl-S-S-C
2-C
8 alkyl. R
2 may be selected from substituted or unsubstituted -C
4-C
16 alkyl, substituted or unsubstituted -C
4-C
16 alkenyl, substituted or unsubstituted -C
1-C
4 alkyl-[O(CH
2)
p]
q-O(CH
2)
p-1CH
3, where p is selected from 2 and 3 and q is selected from 0 to 14, -C
2-C
8 alkyl-S-S-C
2-C
8 alkyl. R
2 may be selected from -C
4-C
16 cycloalkyl (e.g. bridged cycloalkyl), -C
1-C
4 alkyl-C
4-C
16 cycloalkyl (e.g. bridged cycloalkyl), -C
4-C
16 alkyl, -C
6-C
18 alkenyl and substituted (e.g. halo substituted) or unsubstituted -C
1-C
4 alkylbisphenyl. R
2 may be selected from -C
4-C
16 alkyl, -C
6-C
18 alkenyl and substituted (e.g. halo substituted) or unsubstituted -C
1-C
4 alkylbisphenyl. R
2 may be selected from -C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl), -C
1-C
4 alkyl-C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl), -C
6-C
14 alkyl, -C
6-C
16 alkenyl and substituted or unsubstituted -C
1-C
4 alkylbisphenyl. R
2 may be selected from -C
6-C
14 alkyl, -C
6-C
16 alkenyl and substituted or unsubstituted -C
1-C
4 alkylbisphenyl. R
2 may be selected from -C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl, such as adamantyl), -CH
2-C
6-C
14 cycloalkyl (e.g. bridged cycloalkyl, such as adamantyl), -C
6-C
14 alkyl, -geranyl, -farnesyl and -chlorobisphenyl.
[0051] R
2 may be selected from -H, -C
6-C
14 alkyl, -C
1-C
4 adamantyl, -adamantyl, -geranyl, -farnesyl and -chlorobisphenyl. R
1 may be selected from -H, -C
6-C
14 alkyl, -geranyl, - farnesyl and -chlorobisphenyl.
[0052] R
2 may be -H. R
2 may be substituted or unsubstituted -C
4-C
20 alkyl, for example substituted or unsubstituted -C
4-C
16 alkyl. R
2 may be substituted or unsubstituted -C
2-C
14 alkyl, for example substituted or unsubstituted -C
4-C
12 alkyl, e.g. -C
4-C
10 alkyl. R
2 may be unsubstituted -C
4-C
20 alkyl, for example unsubstituted -C
4-C
16 alkyl. R
2 may be substituted or unsubstituted -C
4-C
20 alkenyl, for example substituted or unsubstituted -C
6-C
18 alkenyl. R
2 may be unsubstituted -C
4-C
20 alkenyl, for example unsubstituted -C
6-C
18 alkenyl. R
2 may be substituted or unsubstituted -C
1-C
4 alkylaryl. R
2 may be -C
1-C
4 alkyl-[O(CH
2)
p]
q-O(CH
2)
p-1CH
3, where p is selected from 2 and 3 and q is selected from 0 to 20. p may be 2. p may
be 3. q may be selected from 2 to 16, e.g. q may be selected from 4 to 12. p may be
2 and q may be selected from 2 to 16. p may be 3 and q may be selected from 2 to 16.
R
2 may be -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl, for example -C
2-C
10 alkyl-S-S-C
2-C
10 alkyl; e.g. -C
2-C
8 alkyl-S-S-C
2-C
8 alkyl.
[0053] When R
2 is a substituted moiety, it may be substituted by at least one -OH, =O, -CN, -halo,
-NH
2, -NH(C
1-C
6 alkyl), -N(C
1-C
4 alkyl)
2; for example it may be substituted by at least one -OH, =O, -CN, -halo. When R
2 is a substituted or unsubstituted alkyl, the carbon backbone of the alkyl may be
interrupted by at least one disulfide linkage (-S-S-), thioether linkage (-S-), ether
linkage -O- or ester linkage(-C(O)O-).
[0054] Each of R
1 and R
2 may be independently selected from substituted or unsubstituted -C
2-C
12 alkyl, substituted or unsubstituted -C
2-C
12 alkenyl, -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 0 to 20, and -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl. Each of R
1 and R
2 may be independently selected from - C
2-C
12 alkyl, -C
2-C
12 alkenyl, -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 0 to 20, and -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl. Each of R
1 and R
2 may be independently selected from -C
2-C
10 alkyl, -C
2-C
10 alkenyl, -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 2 to 16, and -C
2-C
10 alkyl-S-S-C
2-C
10 alkyl. Each of R
1 and R
2 may be independently selected from -C
2-C
10 alkyl, -C
2-C
10 alkenyl and -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 2 to 16. Each of R
1 and R
2 may be independently selected from substituted or unsubstituted -C
2-C
12 alkyl and substituted or unsubstituted -C
2-C
12 alkenyl. Each of R
1 and R
2 may be independently selected from -C
2-C
12 alkyl and -C
2-C
12 alkenyl. Each of R
1 and R
2 may be independently selected from substituted or unsubstituted -C
2-C
10 alkyl and substituted or unsubstituted -C
2-C
10 alkenyl. Each of R
1 and R
2 may be independently selected from -C
2-C
10 alkyl and -C
2-C
10 alkenyl. Each of R
1 and R
2 may be independently selected from substituted or unsubstituted -C
4-C
10 alkyl and substituted or unsubstituted -C
4-C
10 alkenyl. Each of R
1 and R
2 may be independently selected from -C
4-C
10 alkyl and -C
4-C
10 alkenyl. Each of R
1 and R
2 may be independently selected from substituted or unsubstituted -C
4-C
8 alkyl and substituted or unsubstituted -C
4-C
8 alkenyl. Each of R
1 and R
2 may be independently selected from -C
4-C
8 alkyl and -C
4-C
8 alkenyl.
[0055] Each of R
1 and R
2 may be substituted or unsubstituted -C
2-C
12 alkyl. Each of R
1 and R
2 may be -C
2-C
12 alkyl. Each of R
1 and R
2 may be substituted or unsubstituted -C
2-C
10 alkyl. Each of R
1 and R
2 may be -C
2-C
10 alkyl. Each of R
1 and R
2 may be substituted or unsubstituted -C
4-C
10 alkyl. Each of R
1 and R
2 may be -C
4-C
10 alkyl. Each of R
1 and R
2 may be substituted or unsubstituted -C
4-C
8 alkyl. Each of R
1 and R
2 may be -C
4-C
8 alkyl. Each of R
1 and R
2 may be substituted or unsubstituted -C
2-C
12 alkenyl. Each of R
1 and R
2 may be -C
2-C
12 alkenyl. Each of R
1 and R
2 may be substituted or unsubstituted -C
2-C
10 alkenyl. Each of R
1 and R
2 may be -C
2-C
10 alkenyl. Each of R
1 and R
2 may be substituted or unsubstituted -C
4-C
10 alkenyl. Each of R
1 and R
2 may be -C
4-C
10 alkenyl. Each of R
1 and R
2 may be substituted or unsubstituted -C
4-C
8 alkenyl. Each of R
1 and R
2 may be -C
4-C
8 alkenyl. Each of R
1 and R
2 may be -C
1-C
4 alkyl-[O(CH
2)
m]
n-O(CH
2)
m-1CH
3, where m is selected from 2 and 3 and n is selected from 0 to 20. m may be 2. m may
be 3. n may be selected from 2 to 16, e.g. n may be selected from 4 to 12. m may be
2 and n may be selected from 2 to 16. m may be 3 and n may be selected from 2 to 16.
Each of R
1 and R
2 may be -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl, for example -C
2-C
10 alkyl-S-S-C
2-C
10 alkyl; e.g. -C
2-C
8 alkyl-S-S-C
2-C
8 alkyl.
[0056] R
1 and R
2 may be the same, e.g. R
1 and R
2 may each be the same substituted or unsubstituted -C
2-C
12 alkyl. R
1 and R
2 may be different, e.g. R
2 may be -H and R
1 may be another substituent as specified elsewhere herein.
[0058] R
2 may be selected from H,

or

[0059] R
1 may be selected from

and R
2 may be H. R
1 may be

and R
2 may be

R
1 may be

and R
2 may be

R
1 may be

and R
2 may be

[0060] R
3 is selected from -OH, substituted or unsubstituted -C
1-C
20 alkyl, substituted or unsubstituted -C
2-C
20 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl and carbohydrate. The substituted -C
1-C
20 alkyl may be, for example, -NHCH
2CH
2CH
2N(CH
3)
2, or

The carbohydrate is selected from -(NHCH
2CH
2)
x-Glc, -(NHCH
2CH
2)
x-Gal, - (NHCH
2CH
2)
x-Man, -(NHCH
2CH
2)
x-GlcNAc, -(NHCH
2CH
2)
x-MurNAc, -(NHCH
2CH
2)
x-ManNAc, -(NHCH
2CH
2)
x-GalNAc, -(NHCH
2CH
2)
x-cellbiose and -(NHCH
2CH
2)
x-maltose, where x is 0 or 1. R
3 may be selected from -OH, -C
1-C
20 alkyl, -C
2-C
20 alkenyl, -C
1-C
4 alkylaryl and carbohydrate. R
3 may be selected from -OH, substituted or unsubstituted -C
1-C
10 alkyl, substituted or unsubstituted -C
2-C
10 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl and carbohydrate. R
3 may be selected from -OH, -C
1-C
10 alkyl, -C
2-C
10 alkenyl, -C
1-C
4 alkylaryl and carbohydrate. R
3 may be selected from -OH, -NHCH
2CH
2CH
2N(CH
3)
2,

-(NHCH
2CH
2)
x-Glc, -(NHCH
2CH
2)
x-Gal, -(NHCH
2CH
2)
x-Man, -(NHCH
2CH
2)
x-GlcNAc, -(NHCH
2CH
2)
x-MurNAc, -(NHCH
2CH
2)
x-ManNAc, -(NHCH
2CH
2)
x-GalNAc, - (NHCH
2CH
2)
x-cellbiose and -(NHCH
2CH
2)
x-maltose, where x is 0 or 1. x may be 0. x may be 1.
[0061] R
3 may be -OH. R
3 may be substituted or unsubstituted -C
1-C
20 alkyl; for example substituted or unsubstituted C
1-C
10 alkyl, e.g. substituted or unsubstituted C
1-C
6 alkyl. R
3 may be -C
1-C
20 alkyl; for example C
1-C
10 alkyl, e.g. C
1-C
6 alkyl. R
3 may be substituted or unsubstituted -C
2-C
20 alkenyl; for example substituted or unsubstituted C
2-C
10 alkenyl, e.g. substituted or unsubstituted C
2-C
6 alkenyl. R
3 may be -C
2-C
20 alkenyl; for example C
2-C
10 alkenyl, e.g. C
2-C
6 alkenyl. R
3 may be substituted or unsubstituted -C
1-C
4 alkylaryl, for example -C
1-C
4 alkylaryl. R
3 may be carbohydrate (e.g. comprising a glycan selected from Glc, Gal, Man, GlcNAc,
MurNAc, ManNAc, GaINAc, cellbiose and maltose), optionally comprising a linker such
as -NHCH
2CH
2-. R
3 may be -NHCH
2CH
2CH
2N(CH
3)
2. R
3 may be

R
3 may be -(NHCH
2CH
2)
x-Glc. R
3 may be -(NHCH
2CH
2)
x-Gal. R
3 may be - (NHCH
2CH
2)
x-Man. R
3 may be -(NHCH
2CH
2)
x-GlcNAc. R
3 may be -(NHCH
2CH
2)
x-MurNAc. R
3 may be -(NHCH
2CH
2)
x-ManNAc. R
3 may be -(NHCH
2CH
2)
x-GalNAc. R
3 may be - (NHCH
2CH
2)
x-cellbiose. R
3 may be -(NHCH
2CH
2)
x-maltose. x may be 0. x may be 1.
[0062] R
4 may be selected from -H, substituted or unsubstituted -C
1-C
20 alkyl, substituted or unsubstituted -C
2-C
20 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl and carbohydrate. The substituted -C
1-C
20 alkyl may be substituted with one or more nitrogen, phosphorous or oxygen; for example,
the substituted -C
1-C
20 alkyl may be -CH
2NHCH
2P(O)(OH)
2, -CH
2N(CH
2PO
3H
2)
2, -CH
2NHCH
2CH
2CH
2N(CH
3)
2, -CH
2NHCH
2CH
2COOH, -CH
2N(CH
3)CH
2(CH(OH))
4CH
2OH, -CH
2NHCH(COOH)CH
2COOH, -CH
2NH(CH
2CH
2OH)
2. The carbohydrate is selected from -(NHCH
2CH
2)
y-Glc, -(NHCH
2CH
2)
y-Gal, -(NHCH
2CH
2)
y-Man, -(NHCH
2CH
2)
y-GlcNAc, -(NHCH
2CH
2)
y-MurNAc, -(NHCH
2CH
2)
y-ManNac, -(NHCH
2CH
2)
y-GalNAc, -(NHCH
2CH
2)
y-cellbiose and - (NHCH
2CH
2)
y-maltose, where y is 0 or 1. R
4 may be selected from -H, -C
1-C
20 alkyl, -C
2-C
20 alkenyl, -C
1-C
4 alkylaryl and carbohydrate. R
4 may be selected from -H, substituted or unsubstituted -C
1-C
10 alkyl, substituted or unsubstituted -C
2-C
10 alkenyl, substituted or unsubstituted -C
1-C
4 alkylaryl and carbohydrate. R
4 is selected from -H, -CH
2NHCH
2P(O)(OH)
2, -CH
2N(CH
2PO
3H
2)
2, -CH
2NHCH
2CH
2CH
2N(CH
3)
2, -CH
2NHCH
2CH
2COOH, -CH
2N(CH
3)CH
2(CH(OH))
4CH
2OH, -CH
2NHCH(COOH)CH
2COOH, -CH
2NH(CH
2CH
2OH)
2, -(NHCH
2CH
2)
y-Glc, -(NHCH
2CH
2)
y-Gal, -(NHCH
2CH
2)
y-Man, -(NHCH
2CH
2)
y-GlcNAc, -(NHCH
2CH
2)
y-MurNAc, -(NHCH
2CH
2)
y-ManNac, -(NHCH
2CH
2)
y-GaINAc, -(NHCH
2CH
2)
y-cellbiose and -(NHCH
2CH
2)
y-maltose, where y is 0 or 1. y may be 0. y may be 1.
[0063] R
4 may be -H. R
4 may be substituted or unsubstituted -C
1-C
20 alkyl; for example substituted or unsubstituted C
1-C
10 alkyl, e.g. substituted or unsubstituted C
1-C
6 alkyl. R
4 may be -C
1-C
20 alkyl; for example C
1-C
10 alkyl, e.g. C
1-C
6 alkyl. R
4 may be substituted or unsubstituted -C
2-C
20 alkenyl; for example substituted or unsubstituted C
2-C
10 alkenyl, e.g. substituted or unsubstituted C
2-C
6 alkenyl. R
4 may be -C
2-C
20 alkenyl; for example C
2-C
10 alkenyl, e.g. C
2-C
6 alkenyl. R
4 may be substituted or unsubstituted -C
1-C
4 alkylaryl, for example -C
1-C
4 alkylaryl. R
4 may be carbohydrate (e.g. comprising a glycan selected from Glc, Gal, Man, GlcNAc,
MurNAc, ManNAc, GaINAc, cellbiose and maltose), optionally comprising a linker such
as -NHCH
2CH
2-. R
4 may be -CH
2NHCH
2P(O)(OH)
2. R
4 may be -CH
2N(CH
2PO
3H
2)
2. R
4 may be -CH
2NHCH
2CH
2CH
2N(CH
3)
2. R
4 may be -CH
2NHCH
2CH
2COOH. R
4 may be -CH
2N(CH
3)CH
2(CH(OH))
4CH
2OH. R
4 may be -CH
2NHCH(COOH)CH
2COOH. R
4 may be -CH
2NH(CH
2CH
2OH)
2. R
4 may be -NHCH
2CH
2)
y-Glc. R
4 may be -(NHCH
2CH
2)
y-Gal. R
4 may be -(NHCH
2CH
2)
y-Man. R
4 may be -(NHCH
2CH
2)
y-GlcNAc. R
4 may be -(NHCH
2CH
2)
y-MurNAc. R
4 may be -(NHCH
2CH
2)
y-ManNac. R
4 may be -(NHCH
2CH
2)
y-GalNAc. R
4 may be -(NHCH
2CH
2)
y-cellbiose. R
4 may be -(NHCH
2CH
2)
y-maltose. y may be 0. y may be 1.
[0064] L
1 is a linker selected from -C
1-C
20 alkylene-, -C
2-C
20 alkenylene-, -(C
1-C
4 alkyl)arylene-, -C
2-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, -C
2-C
12 alkyl-S-S-C
1-C
12 alkyl-, -C(O)C
1-C
20 alkylene-, -C(O)C
2-C
20 alkenylene-, -C(O)(C
1-C
4 alkyl)arylene-, -C(O)C
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, -C(O)NHC
1-C
20 alkylene-, -C(O)NHC
2-C
20 alkenylene-, --C(O)NH(C
1-C
4 alkyl)arylene-, -C(O)NHC
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, -C(S)NHC
1-C
20 alkylene-, - C(S)NHC
2-C
20 alkenylene-, -C(S)NH(C
1-C
4 alkyl)arylene- and -C(S)NHC
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, where r is selected from 2 and 3 and s is selected from 0 to 20. L
1 may be selected from -C
2-C
12 alkylene-, -C
2-C
12 alkenylene-, -(C
1-C
4 alkyl)arylene-, -C
2-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, -C
2-C
10 alkyl-S-S-C
1-C
10 alkyl-, -C(O)C
1-C
12 alkylene-, -C(O)C
2-C
12 alkenylene-, -C(O)(C
1-C
4 alkyl)arylene-, -C(O)C
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, -C(O)NHC
1-C
12 alkylene-, -C(O)NHC
2-C
12 alkenylene-, --C(O)NH(C
1-C
4 alkyl)arylene-, -C(O)NHC
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, -C(S)NHC
1-C
12 alkylene-, -C(S)NHC
2-C
12 alkenylene-, -C(S)NH(C
1-C
4 alkyl)arylene- and -C(S)NHC
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, where r is selected from 2 and 3 and s is selected from 0 to 20. L
1 may be selected from -C
2-C
10 alkylene-, -C
2-C
10 alkenylene-, -(C
1-C
4 alkyl)arylene-, -C
2-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, -C
2-Cs alkyl-S-S-C
1-C
8 alkyl-, -C(O)C
1-C
10 alkylene-, -C(O)C
2-C
10 alkenylene-, -C(O)(C
1-C
4 alkyl)arylene-, -C(O)C
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, -C(O)NHC
1-C
10 alkylene-, -C(O)NHC
2-C
10 alkenylene-, --C(O)NH(C
1-C
4 alkyl)arylene-, -C(O)NHC
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, - C(S)NHC
2-C
10 alkylene-, -C(S)NHC
2-C
10 alkenylene-, -C(S)NH(C
1-C
4 alkyl)arylene- and - C(S)NHC
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-, where r is selected from 2 and 3 (e.g. 2) and s is selected from 0 to 20 (e.g.
2 to 16).
[0065] L
1 may be selected from -C
2-C
20 alkylene-, -C
2-C
20 alkenylene- and -(C
1-C
4 alkyl)arylene-. L
1 may be selected from -C
2-C
12 alkylene-, -C
2-C
12 alkenylene- and -(C
1-C
4 alkyl)arylene-. L
1 may be selected from -C
2-C
10 alkylene-, -C
2-C
12 alkenylene- and -(C
1-C
4 alkyl)arylene-. L
1 may be selected from -C
2-C
20 alkylene- and -(C
1-C
4 alkyl)arylene-. L
1 may be selected from -C
2-C
12 alkylene- and -(C
1-C
4 alkyl)arylene-. L
1 may be selected from -C
2-C
10 alkylene- (e.g. -C
2-C
8 alkylene-) and -(C
1-C
4 alkyl)arylene-.
[0066] L
1 may be -(C
1-C
4 alkyl)arylene-; for example -CH
2Ph-. L
1 may be -C
2-C
20 alkylene-; for example -C
2-C
12 alkylene-, e.g. a -C
2-C
10 alkylene- (such as a -C
2-C
8 alkylene-). L
1 may be -C
2-C
20 alkenylene-; for example -C
2-C
12 alkenylene-, e.g. a -C
2-C
10 alkenylene-. L
1 may be -C
2-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-. L
1 may be -C
2-C
12 alkyl-S-S-C
2-C
12 alkyl-, for example -C
2-C
10 alkyl-S-S-C
2-C
10 alkyl-; e.g. -C
2-C
8 alkyl-S-S-C
2-C
8 alkyl-. L
1 may be -C(O)C
2-C
20 alkenylene-; for example -C(O)C
1-C
12 alkylene-, e.g. -C(O)C
1-C
10 alkylene-. L
1 may be -C(O)(C
1-C
4 alkyl)arylene-. L
1 may be -C(O)C
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-. L
1 may be -C(O)NHC
1-C
20 alkylene-; for example -C(O)NHC
1-C
12 alkylene-, e.g. - C(O)NHC
1-C
10 alkylene-. L
1 may be -C(O)NHC
2-C
20 alkenylene-; for example -C(O)NHC
2-C
12 alkenylene-, e.g. -C(O)NHC
2-C
10 alkenylene-. L
1 may be -C(O)NH(C
1-C
4 alkyl)arylene-. L
1 may be -C(O)NHC
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-. L
1 may be -C(S)NHC
1-C
20 alkylene-; for example -C(S)NHC
1-C
12 alkylene-, e.g. -C(S)NHC
1-C
10 alkylene-. L
1 may be -C(S)NHC
2-C
20 alkenylene-; for example -C(S)NHC
2-C
12 alkenylene-, e.g. -C(S)NHC
2-C
10 alkenylene-. L
1 may be -C(S)NH(C
1-C
4 alkyl)arylene-. L
1 may be -C(S)NHC
1-C
4 alkyl-[O(CH
2)
r]
s-O(CH
2)
r-.
[0067] r may be 2. r may be 3. s may be selected from 2 to 16, e.g. s may be selected from
4 to 12. r may be 2 and s may be selected from 2 to 16. r may be 3 and s may be selected
from 2 to 16.
[0069] Exemplary compounds may be made in accordance with the methods of synthesis illustrated
in the examples and in accordance with reaction schemes A and B. In addition, as the
skilled person will appreciate, these methods and the methods illustrated in reaction
schemes A and B (see below) may be readily adapted to provide other compounds of the
present invention and disclosure.
FORMULATIONS AND ADMINISTRATION
[0070] According to a further aspect of the invention there is provided a pharmaceutical
formulation or composition including a compound of the invention, optionally in admixture
with at least one pharmaceutically acceptable adjuvant, diluent or carrier.
[0071] The formulation or composition may be a parenteral formulation or an oral formulation.
The formulation may be a parenteral formulation, for example a formulation for intravenous
injection. The formulation may be an oral formulation.
[0072] Compounds, formulations or compositions of the invention may be administered orally,
topically, intravenously, subcutaneously, buccally, rectally, dermally, nasally, tracheally,
bronchially, by any other parenteral route, as an oral or nasal spray or via inhalation.
The compounds may be administered in the form of pharmaceutical preparations comprising
the compound either as a free compound or, for example, a pharmaceutically acceptable
non-toxic organic or inorganic acid or base addition salt, in a pharmaceutically acceptable
dosage form. Depending upon the disorder and patient to be treated and the route of
administration, the compositions may be administered at varying doses.
[0073] Typically, therefore, the pharmaceutical compounds of the invention may be administered
parenterally ("parenterally" as used herein, refers to modes of administration which
include intravenous, intramuscular, intraperitoneal, intrasternal, subcutaneous and
intraarticular injection and infusion) or orally to a host to obtain an antibacterial
effect. For example, the pharmaceutical compounds of the invention may be administered
by intravenous injection or infusion. In the case of larger animals, such as humans,
the compounds may be administered alone or as compositions in combination with pharmaceutically
acceptable diluents, excipients or carriers.
[0074] Actual dosage levels of active ingredients in the pharmaceutical formulations and
pharmaceutical compositions of this invention may be varied so as to obtain an amount
of the active compound(s) that is effective to achieve the desired therapeutic response
for a particular patient, compositions and mode of administration. The selected dosage
level will depend upon the activity of the particular compound, the route of administration,
the severity of the condition being treated and the condition and prior medical history
of the patient being treated. However, it is within the skill of the art to start
doses of the compound at levels lower than required to achieve the desired therapeutic
effect and to gradually increase the dosage until the desired effect is achieved.
Suitable doses are generally in the range of from 0.01 - 100 mg/kg/day, for example
in the range of 0.1 to 50 mg/kg/day.
[0075] Pharmaceutical formulations or compositions of this invention for parenteral (e.g.
intravenous) injection may comprise pharmaceutically acceptable sterile aqueous or
non-aqueous solutions, dispersions, suspensions or emulsions as well as sterile powders
for reconstitution into sterile injectable solutions or dispersions just prior to
use. Examples of suitable aqueous and non-aqueous carriers, diluents, solvents or
vehicles include water, ethanol, polyols (such as glycerol, propylene glycol, polyethylene
glycol and the like), and suitable mixtures thereof, vegetable oils (such as olive
oil) and injectable organic esters, such as ethyl oleate. Proper fluidity can be maintained,
for example, by the use of coating materials, such as lecithin, by the maintenance
of the required particle size in the case of dispersions and by the use of surfactants.
Formulations or compositions for parenteral injection may represent preferred formulations
or compositions of the invention.
[0076] These compositions may also contain adjuvants such as preservative, wetting agents,
emulsifying agents and dispersing agents. Inhibition of the action of microorganisms
may be ensured by the inclusion of various antibacterial and antifungal agents, for
example, paraben, chlorobutanol or phenol sorbic acid. It may also be desirable to
include isotonic agents, such as sugars or sodium chloride, for example. Prolonged
absorption of the injectable pharmaceutical form may be brought about by the inclusion
of agents (for example, aluminium monostearate and gelatine) which delay absorption.
[0077] Solid dosage forms for oral administration include capsules, tablets, pills, powders
and granules. In such solid dosage forms, the active compound is typically mixed with
at least one inert, pharmaceutically acceptable excipient or carrier, such as sodium
citrate or dicalcium phosphate and/or one or more: a) fillers or extenders, such as
starches, lactose, sucrose, glucose, mannitol and silicic acid; b) binders, such as
carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidone, sucrose and acacia;
c) humectants, such as glycerol; d) disintegrating agents, such as agar-agar, calcium
carbonate, potato or tapioca starch, alginic acid, certain silicates and sodium carbonate;
e) solution retarding agents, such as paraffin; f) absorption accelerators, such as
quaternary ammonium compounds; g) wetting agents, such as cetyl alcohol and glycerol
monostearate; h) absorbents, such as kaolin and bentonite clay and i) lubricants,
such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium
lauryl sulfate and mixtures thereof. In the case of capsules, tablets and pills, the
dosage form may also comprise buffering agents. Solid compositions of a similar type
may also be employed as fillers in soft and hard-filled gelatin capsules using such
excipients as lactose or milk sugar as well as high molecular weight polyethylene
glycol, for example.
[0078] Oral formulations may contain a dissolution aid. Examples of dissolution aids include
nonionic surface active agents, such as sucrose fatty acid esters, glycerol fatty
acid esters, sorbitan fatty acid esters (e.g. sorbitan trioleate), polyethylene glycol,
polyoxyethylene hydrogenated castor oil, polyoxyethylene sorbitan fatty acid esters,
polyoxyethylene alkyl ethers, methoxypolyoxyethylene alkyl ethers, polyoxyethylene
alkylphenyl ethers, polyethylene glycol fatty acid esters, polyoxyethylene alkylamines,
polyoxyethylene alkyl thioethers, polyoxyethylene polyoxypropylene copolymers, polyoxyethylene
glycerol fatty acid esters, pentaerythritol fatty acid esters, propylene glycol monofatty
acid esters, polyoxyethylene propylene glycol monofatty acid esters, polyoxyethylene
sorbitol fatty acid esters, fatty acid alkylolamides, and alkyamine oxides; bile acid
and salts thereof (e.g. chenodeoxycholic acid, cholic acid, deoxycholic acid, dehydrocholic
acid and salts thereof, and glycine or taurine conjugate thereof); ionic surface active
agents, such as sodium laurylsulfate, fatty acid soaps, alkylsufonates, alkylphosphates,
ether phosphates, fatty acid salts of basic amino acids; triethanolamine soap, and
alkyl quaternary ammonium salts; and amphoteric surface active agents, such as betaines
and aminocarboxylic acid salts.
[0079] The solid dosage forms of tablets, dragees, capsules, pills, and granules can be
prepared with coatings and shells such as enteric coatings and other coatings well
known in the pharmaceutical formulating art. They may optionally contain opacifying
agents and may also be of a composition such that they release the active ingredient(s)
only, or preferentially, in a certain part of the intestinal tract, and/or in delayed
fashion. Examples of embedding compositions include polymeric substances and waxes.
[0080] The active compounds may also be in microencapsulated form, if appropriate, with
one or more of the above-mentioned excipients.
[0081] The active compounds may be in finely divided form, for example it may be micronized.
[0082] Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions,
solutions, suspensions, syrups and elixirs. In addition to the active compounds, the
liquid dosage forms may contain inert diluents commonly used in the art such as water
or other solvents, solubilizing agents and emulsifiers such as ethyl alcohol, isopropyl
alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene
glycol, 1 ,3-butylene glycol, dimethyl formamide, oils (in particular, cottonseed,
groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofurfuryl
alcohol, polyethylene glycols and fatty acid esters of sorbitan and mixtures thereof.
Besides inert diluents, the oral compositions may also include adjuvants such as wetting
agents, emulsifying and suspending agents, sweetening, flavouring and perfuming agents.
Suspensions, in addition to the active compounds, may contain suspending agents such
as ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters,
microcrystalline cellulose, aluminium metahydroxide, bentonite, agar-agar, and traganacanth
and mixtures thereof.
[0083] Compositions for rectal or vaginal administration may be in the form of suppositories
which can be prepared by mixing the compounds of this invention with suitable non-irritating
excipients or carriers such as cocoa butter, polyethylene glycol or a suppository
wax which are solid at room temperature but liquid at body temperature and therefore
melt in the rectum or vaginal cavity and release the active compound.
[0084] Dosage forms for topical administration of a compound of this invention include powders,
sprays, creams, foams, gels, ointments and inhalants. The active compound is mixed
under sterile conditions with a pharmaceutically acceptable carrier and any needed
preservatives, buffers or propellants which may be required. Ophthalmic formulations,
eye ointments, powders and solutions are also contemplated as being within the scope
of this invention.
[0085] Liquid (e.g. aqueous) formulations and compositions, whether intended for parenteral
or oral use, may comprise additional compound(s) to help prevent precipitation of
the active compound. Compounds of the invention are glycopeptide derivatives. Precipitation
of such compounds in aqueous solution may be avoided or minimised by including a monosaccharide
in the solution. For example, aqueous formulations or compositions may comprise glucose.
In particular, a parenteral (e.g. intravenous injection) formulation or composition
may comprise a compound of the invention, water for injection and glucose.
[0086] Insofar as they do not interfere with the activity of the compounds, the formulations
or compositions according to the present subject matter may contain other active agents
intended, in particular, for use in treating a bacterial infection.
[0088] The formulations may be used in combination with an additional pharmaceutical dosage
form to enhance their effectiveness in treating any of the disorders described herein.
In this regard, the present formulations may be administered as part of a regimen
additionally including any other pharmaceutical and/or pharmaceutical dosage form
known in the art as effective for the treatment of any of these disorders.
USES
[0089] The compounds of the invention represent novel guanidino containing derivatives of
the glycopeptide vancomycin.
[0090] Vancomycin is an antibiotic that is active against Gram-positive bacteria, as it
interferes with the synthesis of the peptidoglycan layer of Gram-positive bacteria
according to the following mechanism. Critical to peptidoglycan biosynthesis is lipid
II, the penultimate bacterial cell wall building block. Vancomycin binds tightly to
the terminal d-Ala-d-Ala motif of the lipid II pentapeptide.
[0091] Resistance to vancomycin is increasingly encountered as many bacterial strains have
emerged that can employ a lipid II variant containing a d-Ala-d-Lac terminated pentapeptide.
This d-Lac for d-Ala mutation lowers the affinity of vancomycin for lipid II and in
doing so greatly reduces it antibacterial effect (
Healy, V. L., et al. (2000) Vancomycin resistance in enterococci: reprogramming of
the D-ala-D-Ala ligases in bacterial peptidoglycan biosynthesis, Chem Biol 7, R109-119;
Blaskovich, M. A. T., et al. (2018) Developments in Glycopeptide Antibiotics, ACS
Infect Dis 4, 715-735;
Willyard, C. (2017) The drug-resistant bacteria that pose the greatest health threats,
Nature 543, 15). We have noted that this mode of resistance is partially overcome in some related
lipoglycopeptides wherein the attachment of hydrophobic groups to the vancosamine
unit enhances activity. This is typified by the clinically-used drug telavancin (
Blaskovich, M. A. T., et al. (2018) Developments in Glycopeptide Antibiotics, ACS
Infect Dis 4, 715-735;
Willyard, C. (2017) The drug-resistant bacteria that pose the greatest health threats,
Nature 543, 15;
Corey, G. R., et al. (2009) Telavancin, Nat Rev Drug Discov 8, 929-930). While telavancin is more potent than vancomycin it is also not without its drawbacks.
Compared with vancomycin telavancin is significantly less soluble in aqueous media
and also carries severe health risks. The FDA recently applied a black box warning
to telavancin due to a suspected impact on heart rate (prolonged QT interval) and
an increased mortality compared with vancomycin in patients with renal impairment
(
Barriere, S. L. (2014) The ATTAIN trials: efficacy and safety of telavancin compared
with vancomycin for the treatment of hospital-acquired and ventilator-associated bacterial
pneumonia, Future Microbiol 9, 281-289). Telavancin is therefore considered a drug of last resort and used only in cases
where other treatments are not effective.
[0092] Compounds provided herein represent antibiotics, in particular antibiotics useful
for the treatment of conditions related to infection by Gram-positive bacteria. The
compounds of the invention may provide similar or better antibiotic activity, for
example as measured by MIC, compared to known antibiotics such as vancomycin, telavancin,
teicoplanin, oritavancin and/or dalbavancin. The compounds of the invention may also
provide good safety profiles.
[0093] Where the compounds are used for the treatment of a bacterial infection, the bacterial
infection may be caused by Gram-negative or Gram-positive bacteria. For example, the
bacterial infection may be caused by bacteria from one or more (e.g. at least one)
of the following families:
Clostridium, Pseudomonas, Escherichia, Klebsiella, Enterococcus, Enterobacter, Serratia,
Stenotrophomonas, Aeromonas, Morganella, Yersinia, Salmonella, Proteus, Pasteurella,
Haemophilus, Citrobacter, Burkholderia, Brucella, Moraxella, Mycobacterium, Streptococcus
or Staphylococcus. Particular examples include Clostridium, Pseudomonas, Escherichia,
Klebsiella, Enterococcus, Enterobacter, Streptococcus and
Staphylococcus. The bacterial infection may, for example, be caused by one or more bacteria selected
from
Moraxella catarrhalis, Brucella abortus, Burkholderia cepacia, Citrobacter species,
Escherichia coli, Haemophilus Pneumonia, Klebsiella Pneumonia, Pasteurella multocida,
Proteus mirabilis, Salmonella typhimurium, Clostridium difficile, Yersinia enterocolitica
Mycobacterium tuberculosis, Staphylococcus aureus, group B streptococci, Streptococcus
Pneumonia, and
Streptococcus pyogenes.
[0094] The compounds of the invention are particularly useful for the treatment of bacterial
infection caused by Gram-positive bacteria. For example, the bacterial infection may
be caused by bacteria from one or more (e.g. at least one of) the following families:
Staphylococcus (e.g.
S.
aureus, S. epidermidis, S. saprophyticus)
, Streptococcus (e.g.
Strep. pyogenes, Strep. agalactiae, Strep. viridans, Strep. pneumonia)
, Enterococus (e.g.
E.
faecalis)
, Bacillus, Clostridia, Listeria and
Corynebacterium. The bacterial infection may be caused by bacteria from one or more (e.g. at least
one of) the following families:
Staphylococcus (e.g.
S.
aureus, S. epidermidis, S. saprophyticus)
, Streptococcus (e.g.
Strep. pyogenes, Strep. agalactiae, Strep. viridans, Strep. pneumonia)
, Enterococus. The bacteria may be resistant to treatment with methicillin and/ or vancomycin, for
example the bacteria may comprise a strain of methicillin and/or vancomycin resistant
Staphylococcus (e.g.
S.
aureus)
, Streptococcus or
Enterococus (e.g.
E. faecium, E. faecalis)
. The bacterial infection may comprise an infection by vancomycin-resistant
Enterococcus (VRE), methicillin-resistant
S.
aureus (MRSA), or vancomycin-resistant
S.
aureus (VRSA). The bacterial infection may comprise an infection by
S.
aureus or
E. faecium. The bacterial infection may comprise an infection by one or more of
S.
aureus ATCC29213,
S.
aureus USA300,
E. faecium E155,
E. faecium E7314,
E. faecium E980,
E. faecalis E1246, or
E.
faecalis E7406.
[0095] Exemplary bacterial (e.g. Gram-positive) infections that may be treated by compounds
of the invention include skin and structure infections, lower respiratory tract infections,
bacteremia, sepsis, septicemia, infective endocarditis, peritonitis (e.g. associated
with continuous ambulatory peritoneal dialysis), enterocolitis (e.g. staphyloccocal),
mastitis,
Clostridium difficile infection-associated diarrhoea and colitis. The infection that may be treated may
be selected from skin and structure infections and bacteremia. Exemplary skin and
structure infections include cellulitis/erysipelas, major cutaneous abscesses, and
wound infections. Such skin and structure infections may be due to infection by S.
aureus (including methicillin-susceptible and methicillin-resistant strains),
Strep. pyogenes,
Strep. agalactiae,
Strep. dysgalactiae,
Strep. anginosus (including
S.
anginosus, S. intermedius, S. constellates) or
E. faecalis. Exemplary lower respiratory tract infections include pneumonia, community-acquired
pneumonia (CAP), nosocomial pneumonia, and pleural empyema.
Synthesis of Compounds
[0096] Compounds of the invention can be made according to reaction schemes A and B. Scheme
A illustrates a general scheme that may be used, while scheme B outlines methods that
can be used with exemplary compounds. As the skilled person will appreciate, scheme
B can be readily adapted to provide additional compounds, where substituents R
1 and R
2 are as defined for compounds of the invention and disclosure.

R
1, R
2, R
3, R
4 and L
1 as defined for compounds of the invention and disclosure.

ASSAYS
[0097] Compounds of the invention can be assessed for biological activity using any suitable
assay that would be known to the person skilled in the art. Exemplary assays that
are useful for the assessment of compounds of the invention are provided in the following
paragraphs.
Minimum inhibitory concentration
[0098] The antibacterial activity of the compounds was tested against a panel of bacteria,
including Gram-positive bacteria (
S.
aureus ATCC29213,
S.
aureus USA300,
S.
aureus LIM-2, NR-45881,
S.
aureus HIP13419, NR-46413,
E. faecium E155,
E. faecium E7314,
E.
faecium E980,
E. faecalis E1246,
E. faecalis E7406 and
S.
pneumonia 153). The antibacterial activity of the compounds was further tested against
S.
aureus NY-155, NR-46236,
S.
aureus HIP12864, NR-46074,
S.
aureus 880 (BR-VRSA), NR-49120,
E. faecalis E1246,
E. faecalis E7604, as well as some Gram-negative bacteria (
Escherichia coli and
Klebsiella pneumoniae). Minimum inhibitory concentrations (MICs) in µg/mL were performed according to the
CLSI guidelines. From glycerol stocks, bacterial strains were cultured on blood agar
plates and incubated at 37°C for 18h. A single colony was transferred to tryptic soy
broth (TSB) with 0.002% polysorbate 80 (p80). For the
Enterococcus, VISA and VRSA strains, the cultures were grown at 37°C until the optical density
of the suspension reached a level equivalent to the 0.5 McFarland standard. The bacterial
suspensions were diluted in TSB with 0.002% p80 to reach a bacterial cell density
of 10
6 CFU/mL. In case of the other (vancomycin-sensitive)
S. aureus strains, the direct colony suspension method was used. For these strains, after transfer
of the colonies to TSB with 0.002% p80, they were immediately diluted to 10
6 CFU/mL, instead of incubated prior to this dilution. In the case of
S.
pneumonia, direct colony suspension was used by immediately suspending multiple colonies from
fresh blood agar plates in TSB + 0.002% p80 to an OD
600 of 0.5 and subsequent dilution to 10
6 CFU mL
-1 in TSB + 0.002% p80 + 5% lysed horse blood. Antibiotic dilutions for this strains
were also made in TSB + 0.002% p80 + 5% lysed horse blood. Both agar and microplates
containing
S.
pneumonia were incubated at 37°C with 5% CO
2 for 24h with constant shaking (600 rpm). In the case of VRSA strains, 6 µg mL
-1 vancomycin was supplemented to the media. The cultures were grown to exponential
phase (OD
600 = 0.5) at 37°C. The bacterial suspensions were diluted in TSB with 0.002% p80 (for
VRSA no vancomycin was supplemented to the media form here on) to reach a bacterial
cell density of 10
6 CFU mL
-1. In polypropylene 96-well microtiter plates, test compounds were added in biological
triplicates and serial diluted 2-fold by transfer and mixing from one well to the
next to achieve a final volume of 50 µL per well. An equal volume of bacterial suspension
(10
6 CFU mL
-1) was added to the wells. The plates were sealed with breathable membranes and incubated
at 37°C for 24h with constant shaking (600 rpm). In polypropylene microtiter plates,
100 µL of the test compounds was added to the first row in biological triplicates,
and 50 µL of media was added to the other wells. The compounds were subjected to serial
dilution by transfer and mixing of 50 µL from one well to the next. Subsequently,
50 µL of bacterial suspension (10
6 CFU/mL) was added to the wells. The plates were sealed with breathable membranes
and incubated at 37°C for 24h with constant shaking (600 rpm). Positive growth control
consisted of wells with bacterial suspension and without antibiotic. Negative growth
control consisted of solely media without bacterial suspension or antibiotic. The
MICs were determined from the median of a minimum of triplicates. MIC in the presence
of serum followed the same protocol but using TSB + 0.002% p80 + 50% serum as growth
media.
Hemolysis
[0099] Whole defibrinated sheep blood (4 mL) was centrifuged for 15 minutes at 4°C at 400
g. The top layer was discarded and the bottom layer was washed with phosphate buffered
saline (PBS) and centrifuged for 15 minutes at 4°C at 400 g. Washing cycles were repeated
three times. Polypropylene microtiter plates were prepared by adding 150 µL of compounds
in PBS with 0.002% p80 (256 µg/mL, containing ≤1% DMSO) to the first row in biological
triplicates. PBS with 0.002% p80 (75 µL) was added to all other wells. The compounds
were serially diluted by transfer and mixing of 75 µL from one well to the next well.
The packed blood cells were diluted 25x in PBS with 0.002% p80 and 75 µL of this solution
was added to all wells. The final concentrations of test compound in the plate ranged
from 2-128 µg/mL. Plates were incubated for 18h at 37°C with continuous shaking (500
rpm). After incubation, plates were centrifuged for 5 min at 800 g and 25 µL of supernatant
was transferred to a UV-star flat bottom polystyrene plate. 100 µL of MQ-H
2O was added to all wells of the UV-star plate and absorption was measured at 415 nm.
Positive control wells (100% hemolysis) consisted of 0.1% Triton X-100 with blood
cells. Negative control wells (no hemolysis) consisted of 1% DMSO with blood cells.
In a separate experiment, the optimal wavelength for the hemolysis assay was determined
by doing a full scan. In another separate experiment, linear detection range was determined,
based on which the 25 times blood cell dilution was chosen in the main experiment.
UDP-MurNAc-pentapeptide accumulation
[0100] An overnight culture of bacterial suspension (S. aureus ATCC29213, E. faecium E155,
E. faecium E7314 and E. faecium E980) was diluted 100-fold in TSB supplemented with
0.002% p80 and cultured at 37°C until the optical density of the suspension reached
a level equivalent to the 0.5 McFarland standard. Chloramphenicol was added at a final
concentration of 130 µg/mL and the culture was incubated for an additional 15 min
at 37°C. Next, the culture was split in 5 mL cultures and test antibiotics (vancomycin,
5, 6, 7, 14, 16) were added at a final concentration of 5 µM). Vancomycin (5 µM) was
used as positive control and untreated sample was used as negative control. The cultures
were incubated at 37°C for 1h, after which they were centrifuged to pellet the bacteria.
The supernatant was removed and the pellets were resuspended in 1 mL MQ-H2O. The samples
were boiled at 100°C for 15 minutes and subsequently centrifuged at 12000 rpm for
30 minutes. The supernatant of the samples was lyophilized and redissolved in 250
µL buffer A (50 mM ammonium bicarbonate, 5 mM NEt3, pH 8.3). Samples were analyzed
by analytical RP-HPLC using a 0-25% buffer B (MeOH) gradient over 25 minutes.
Lipid II antagonization assay
[0101] Lipid II in chloroform was added in the appropriate amount (5-fold molar excess compared
to test antibiotics) to a 96-well plate and the chloroform was allowed to evaporate.
Test antibiotics (vancomycin, telavancin, 5, 6, 7, 14, 16) were dissolved at a high
stock concentration of 12.8 mg/mL in DMSO, after which they were diluted using TSB
supplemented with 0.002% p80 to a concentration of 16xMIC (containing no more that
1% DMSO max). Of these dilutions, 50 µL was mixed with the 5-fold molar excess of
pure lipid II in triplicates in the plate as well as added to the plate in triplicates
without lipid II present. S. aureus ATCC29123 colonies were suspended in TSB with
0.002% p80 by direct colony suspension to an optical density that reached a level
equivalent to the 0.5 McFarlan standard. The bacterial suspension was diluted in TSB
with 0.002% p80 to reach 106 CFU/mL and 50 µL was added to the test compounds in the
microplate to achieve a final concentration of 8xMIC for the test compounds. The samples
were incubated at 37 °C for 24h with constant shaking (600 rpm) and inspected for
visible bacterial growth. Positive growth control consisted of wells with bacterial
suspension and without antibiotic or lipid II. Negative growth control consisted of
solely media without bacterial suspension, antibiotic or lipid II.
Resistance development serial passage assay
[0102] From glycerol stocks, bacterial strains were cultured on blood agar plates and incubated
overnight at 37°C. A single colony was grown to exponential phase (OD
600 = 0.5) in TSB + 0.002% p80 and diluted 1:100 in fresh media. In polypropylene 96-well
microtiter plates, antibiotics were added in biological triplicates and serial diluted
2-fold by transfer and mixing from one well to the next to achieve a final volume
of 50 µL per well. An equal volume of bacterial suspension was added to the wells
and plates were incubated overnight at 37°C. Bacterial cultures corresponding to 0.25xMIC
were diluted 100-fold in fresh media and added (50 µL per well) to a newly prepared
antibiotic dilution series (50 µL per well) followed by overnight incubation at 37°C.
This procedure was repeated for 30 days and the MIC was recorded daily. Cultures containing
daptomycin were supplemented with 50 mg L
-1 CaCl
2 and 10 mg L
-1 MgSO
4. The experiment was performed in biological replicates and for each replicate the
MIC was determined from the median of a minimum of triplicates.
Time Kill Assay
[0103] From glycerol stocks, bacterial strains were cultured on blood agar plates and incubated
overnight at 37°C. Subsequently, a single colony was cultured in TSB + 0.002% p80
overnight at 37°C. The culture was diluted 100-fold in fresh media and grown until
early exponential phase (OD
600 = 0.2-0.4) followed by dilution in media to OD
600 = 0.0025. The culture was split in separate culture tubes containing 2 mL. Antibiotics
were added to the cultures (at concentration indicated in the experiments results)
and incubated at 37°C for a total of 24 hours. At indicated time points (t=0, t=1,
t=2, t=4, t=8 and t=24 h) 100 µL of each culture was transferred to eppendorfs and
centrifuged for 5 min (10,000 rpm). Supernatant was removed and the cell pellets were
resuspended in an equal volume of 0.9% NaCl in water (filter-sterilized). Samples
were serial diluted with a 10-fold factor in filter-sterilized 0.9% NaCl in water.
Of these serial dilutions the 100-fold, 1,000-fold, 10,000-fold and 100,000-fold dilution
were plated out on blood agar plates (20 µL) in duplicates, subsequently allowed to
evaporate and incubated at 37°C for 24 h. The colonies were counted and used to calculate
the CFU mL
-1 remaining in the original culture by taking the dilution factors into account. Experiment
was performed in biological duplicates.
Cytotoxicity assay for HepG2
[0104] Mammalian cytotoxicity assays were performed by Cyprotex. Cytotoxicity was assessed
using the MTT assay. Briefly, HepG2 human hepatocellular carcinoma cells (100 µL per
well) were plated on black-walled clear-bottomed polystyrene 96-well tissue culture
treated plates 24h prior to dosing the cells. The cells were dosed with test compound
(dissolved in 0.5% DMSO in growth media containing 10% FBS) at a range of concentrations
(0.04 µM, 0.1 µM, 0.4 µM, 1 µM, 4 µM, 10 µM, 40 µM, 100 µM). After 23 h period the
cells were loaded with the MTT dye (yellow; 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium
bromide) followed by an additional 1h incubation (resulting in a total incubation
time with antibiotics of 24 h). Subsequently, the plates are dried and solubilized
in DMSO followed by scanning at 570 nm using a microplate absorbance reader. Cell
viability is determined by conversion of the soluble MTT to insoluble formazan (purple)
by mitochondrial hydrogenase in live cells. Production of formazan indicates loss
of mitochondrial function and cell loss. Carbonyl cyanide 3-chlorophenylhydrazone
is used as no response control and chlorpromazine is used as control known to be cytotoxic.
Solvent control wells (0.5% DMSO in growth media containing 10% FBS) are then used
to determine significance limits for wells that have a greater than expected fraction
of low or high responders. The minimum effective concentration is determined from
the lowest concentration whose mean value exceeds the significance level, provided
either a clear dose-response relationship is observed, or at least two consecutive
concentration points are above the significance level. AC50 values are also determined
provided a clear dose-response relationship is observed. Experiment was performed
in triplicates.
In vivo studies
[0105] Mouse studies were performed using pathogen-free CD1 mice (ICR), a well characterized
outbred murine strain (supplied by Charles River, Margate UK). All mice were male
and weighed 11-15 gram upon arrival.and were allowed to acclimatize for at least 7
days prior to study initiataion. Mice were individually housed in sterilized ventilated
cages supplied with HEPA filtered sterile air and aspen chip bedding (changed a minimum
of once a week). Food and water was available ad libitum. The room temperature was
22°C ± 1°C, with a 60% relative humidity and a maximum background noise of 56 dB.
Mice were exposed to a 12h light/dark cycle.
Tolerability
[0106] Tolerability of compound 5 was assessed at 100 mg kg
-1 subcutaneous injection (in 10% DMSO in water for injection) in naive mice (n=2) that
were not immunosuppressed or infected.
PK
[0107] Test article
5 was administered at 3 mg kg
-1 subcutaneously in naive mice (n=3) that were not immunosuppressed or infected. Whole
blood was collected from the tail vein at 5 min, 15 min, 30 min, 1 h, 2 h, 4 h and
8 h. The last sample was taken as a terminal cardiac puncture.
Efficacy
[0108] Mice were made neutropenic by a subcutaneous injection of 150 mg kg
-1 and 100 mg kg
-1 cyclophosphamide 4 days and 1 day before infection respectively. Mice were infected
in both thighs with MRSA USA300 strain NRS384 (1.47 x 10
6 CFU mL
-1, 7.33 × 10
4 CFU per thigh) intramuscularly under temporary anesthesia. Mice were treated with
vehicle (10% DMSO in water for injection) every 6 hours, 25 mg kg
-1 vancomycin (in water for injection) every 12 hours, 3 mg kg
-1 or 10 mg kg
-1 compound
5 (in 10% DMSO in water for injection) every 6 hours, starting from 1 hour after infection.
Pretreatment group was euthanized one hour after infection and the other treatment
groups were euthanized 23 hours after infection. Weighted thighs were homogenized
and cultured on MSA agar at 37°C for 18-24h followed by colony counting. Each group
consisted of n=6 mice with both thighs infected (n = 12 thighs per treatment group)
and each thigh was treated as a separate sample. Data analysis was done with StatsDirect
software v. 3.2.8 using non-parametric statistical models (Kruskal-Wallis using Conover-Inman
to make all pairwise comparisons between groups).
EXAMPLES
[0109] Thin layer chromatography (TLC) was performed on SiliaPlate TLC plates (SiliCycle,
glass-backed, silica, 250 µm). Visualization was done using UV light, ninhydrin stain,
permanganate stain or cerium ammonium molybdate stain. Silica gel column chromatography
was performed using SiliaFlash
® P60 silica gel (SiliCycle). The final compounds were purified by preparative reverse
phase high performance liquid chromatography (RP-HPLC) using a Reprosil Gold 120 C18
10 µm column (Length: 250 mm, ID: 25 mm. Lot No: 8768. part No: r10.9g.s2525. Serial
No: 18020211570. Dr Maisch GmbH) with BESTA pumps, FLASH 10 DAD UV detector and SCPA
PrepCon 5 software. Analytical HPLC to asses compound purity was performed using a
Phemomenex Jupiter su C18 300A column (250x4, 60mm, 5micron) on a Shimadzu LC-2030
Plus instrument. All spectra displayed to show purity were recorded at 214 nm. Buffers
used for preparative and analytical HPLC were 50 mM ammonium acetate as buffer A and
95% MeCN + 5% H
2O as buffer B in all cases, except for in the uridine diphosphate N-acetylmuramic
acid pentapeptide (UDP-MurNAc-pp) accumulation assay. In that assay, analysis was
done using the Phemomenex Jupiter su C18 300A column (250x4, 60mm, 5micron) on a Shimadzu
LC-2030 Plus instrument. The buffers were 50 mM ammonium bicarbonate, 5 mM NEt
3, pH 8.3 as buffer A and MeOH as buffer B, and the displayed data were recorded at
254 nm. Samples were lyophilized on a VirTis BenchTop Pro with Omnitronics. Nuclear
magnetic resonance (NMR) spectra were obtained from a Bruker DPX-300, super conducting
magnet with a field strength of 7.0 Tesla, equipped with 5 mm BBO, Broadband Observe
probe head, high resolution with Z- Gradient, and a 5 mm
19F /
1H dual high resolution probe. High resolution mass spectroscopy (HR-MS) analyses were
performed on a Thermo Scientific Dionex UltiMate 3000 HPLC system with a Phenomenex
Kinetex C18 column (2.1 × 150 mm, 2.6 µm) at 35 °C and equipped with a diode array
detector. The following solvent system, at a flow rate of 0.3 mL/min, was used: solvent
A, 0.1 % formic acid in water; solvent B, 0.1% formic acid in acetonitrile. Gradient
elution was as follows: 95:5 (A/B) for 1 min, 95:5 to 5:95 (A/B) over 9 min, 5:95
to 2:98 (A/B) over 1 min, 2:98 (A/B) for 1 min, then reversion back to 95:5 (A/B)
over 2 min, 95:5 (A/B) for 1 min. This system was connected to a Bruker micrOTOF-Q
II mass spectrometer (electrospray ionization) calibrated internally with sodium formate.
Tecan Spark was used for absorbance measurements.
[0110] Bacterial strains used were Staphylococcus aureus ATCC 29213 (MSSA, Rosenbach strain),
Staphylococcus aureus USA300 (MRSA, hospitalized patient, Texas, USA. PFGE type: USA300.
SCCmec type Iva), Enterococcus faecium E155 (VRE, hospitalized patient, Chicago, USA,
VanA gene, MIC vancomycin 1024, year 1995), Enterococcus faecium E980 (VSE, human
community isolate (commensal), no VanA of VanB gene. year 1998), Enterococcus faecium
E7314 (VRE, hospitalized patient, NLD, VanB gene), Enterococcus faecalis E1246 (VRE,
VanA gene, clinical isolate), and Enterococcus faecalis E7406 (VRE, VanB gene, clinical
isolate).
Example 1: Synthesis of compound 1: O-allyl carbonisothiocyanatidate
[0111]

[0112] Compound 1 was synthesized according to a published literature procedure (
Martin, N. I., Woodward, J. J. & Marletta, M. A. NG-Hydroxyguanidines from Primary
Amines. Org. Lett. 8, 4035-4038 (2006)). In short, to a solution of potassium thiocyanate (9 g, 92 mmol, 1.3 eq) in CCl4
(200 mL), 18-crown-6 (924 mg, 3.5 mmol, 0.05 eq) and allyl chloroformate (7.4 mL,
70 mmol, 1 eq) were added and the reaction mixture was refluxed at 90 °C for 18h.
After incubation, the reaction mixture was diluted with PE (200 mL) and left stirring
on ice for 1h. Subsequently, the mixture was filtered through celite and washed with
DCM. The filtrate was concentrated under reduced pressure, redissolved in DCM to an
estimated concentration of 0.5M and stored at 4 °C until further use. 1 was used crude
in the next reaction.
Example 2: Synthesis of compound 2: 4-(1,3-dioxolan-2-yl)aniline
[0113]

[0114] Compound 2 was synthesized following a modified literature procedure (
Hughes, A. et al. Diamide compounds having muscarinic receptor antagonist and β2 andrenergic
receptor agonist activity (2010)). To a solution of 2-(4-Nitrophenyl)-1,3-dioxolane (9.8 g, 50 mmol, 1 eq) and NaHCO3
(4.3 g, 50 mmol, 1 eq) in EtOH (350 mL) under nitrogen atmosphere, platinum(iv) oxide
monohydrate (1.2 g, 5 mmol, 0.1 eq) was added. The reaction mixture was sparged with
hydrogen for 15 min and then stirred under hydrogen atmosphere for 18h at RT. Next,
the solution was filtered through celite and washed with MeOH. The filtrate was concentrated
under reduced pressure to give 2, which was used crude and immediately in the next
step.
Example 3: Synthesis of compound 3
[0115]

[0116] To a crude solution of 2 (50 mmol, 1 eq) and DIPEA (8.7 mL, 50 mmol, 1 eq) in DCM
(50 mL), 1 was added at RT until TLC (in DCM with 5% EtOAc) confirmed complete conversion
of 2 to 3. Crude product was concentrated under reduced pressure and purified by silica
gel column chromatography (DCM with increasing gradient up to 5% EtOAc). Yield over
2 steps; 77%. 1H-NMR (300 MHz, CDCl3) δ/ppm: 11.47 (s, 1H), 8.42 (s, 1H), 7.67 (d,
J = 8.5 Hz, 2H), 7.51 (d, J = 8.5, 2H), 6.00 - 5.85 (m, 1H), 5.83 (s, 1H), 5.39 (dd,
J = 17.2, 1.4 Hz, 1H), 5.33 (dd, J = 10.4, 1.2 Hz, 1H), 4.70 (dt, J = 5.8, 1.3 Hz,
2H), 4.18 - 3.98 (m, 4H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 177.75, 152.65, 138.30, 136.59,
130.84, 127.15, 124.10, 119.86, 103.25, 67.37, 65.40. HR-MS: m/z 309.0913 (observed),
309.0909 (calculated for [M+H+]).
Example 4: Synthesis of trans,trans-farnesyl bromide: (E)-1-bromo-3,7-dimethylocta-2,6-diene
[0117]

[0118] (E)-1-bromo-3,7-dimethylocta-2,6-diene was synthesized according to a modified literature
procedure (
Zahn, T. J. et al. Evaluation of Isoprenoid Conformation in Solution and in the Active
Site of Protein-Farnesyl Transferase Using Carbon-13 Labeling in Conjunction with
Solution- and Solid-State NMR. J. Am. Chem. Soc. 122, 7153-7164 (2000);
Xie, H., Shao, Y., Becker, J. M., Naider, F. & Gibbs, R. A. Synthesis and Biological
Evaluation of the Geometric Farnesylated Analogues of the a-Factor Mating Peptide
of Saccharomyces cerevisiae. J. Org. Chem. 65, 8552-8563 (2000)). In short, to a solution of trans,trans-farnesol (4.5 mL, 18 mmol, 1 eq) in DCM
under argon atmosphere, triphenylphosphene (4 mL,18 mmol, 1 eq) and tetrabromomethane
(7.4 g, 22.5 mmol, 1.25 eq) were added. The reaction was stirred at RT for 4h. After
the solvent was removed under reduced pressure, hexane (15 mL) was added to the residue
to precipitate byproduct. The mixture was centrifuged (4500 rpm, 5 min) and the supernatant
was concentrated under reduced pressure. Three additional precipitation-centrifugation-evaporation
cycles were performed after which crude trans,trans-farnesyl bromide was obtained
and directly used in the next step.
Example 5: Synthesis of trans-geranyl amine and trans,trans-farnesyl amine: (E)-3,7-dimethylocta-2,6-dien-1-amine
and (2E,6E)-3,7,11-trimethyldodeca-2,6,10-trien-1-amine
[0119]

[0120] (E)-3,7-dimethylocta-2,6-dien-1-amine and (2E,6E)-3,7,11-trimethyldodeca-2,6,10-trien-1-amine
were synthesized following a modified literature procedure (
Koopmans, T. et al. Semisynthetic Lipopeptides Derived from Nisin Display Antibacterial
Activity and Lipid II Binding on Par with That of the Parent Compound. J. Am. Chem.
Soc. 137, 9382-9389 (2015);
Coppola, G. M. & Prashad, M. A Convenient Preparation of Farnesylamine. Synth. Commun.
23, 535-541 (1993)). In short, to lithium bis(trimethylsilyl)amide (10 mL, 1M in THF) under argon atmosphere,
pure trans-geranyl bromide or crude trans,trans-farnesyl bromide (1 eq) was added
respectively. The reaction was stirred at RT for 18h and subsequently quenched with
saturated ammonium chloride solution. The mixture was extracted twice with methyl
t-butyl ether and the organic phases were combined and dried over Na2SO4. After filtration,
the solvent was removed under reduced pressure to yield the 2xTMS amine. This product
was dissolved in 40 mL of MeOH and 5 mL of DCM, and stirred at RT for 18h. Solvent
was removed under reduced pressure to yield crude trans-geranyl amine or trans,trans-farnesyl
amine, which was immediately used in the next step.
Example 6: Synthesis of chlorobisphenylamine: 4'-chloro-[1,1'-biphenyl]-4-yl)methanamine
[0121]

[0122] 4'-chloro-[1,1'-biphenyl]-4-yl)methanamine was made according to a published literature
procedure (
Lee, H. et al. (Biphenyl-4-yl)methylammonium Chlorides: Potent Anticonvulsants That
Modulate Na+ Currents. J. Med. Chem. 56, 5931-5939 (2013)). To a solution of 4-bromobenzylamine (4.32 g, 23 mmol, 1 eq) in MeCN (250 mL) under
argon, 4-chlorophenylboronicacid (4 g, 26 mmol, 1.1 eq), Pd(PPh3)4 (1.36 g, 1.16 mmol,
0.05 mmol) and 2M aqueous K2CO3 (58 mL) were added. After sparging the solution with
argon for 30 min, the reaction was stirred under reflux at 90 °C for 16h. The solvent
was removed under reduced pressure. The resulting residue was dissolved in EtOAc (100
mL) and washed with water (2x 100 mL) and brine (2x 100 mL). The organic layer was
dried with Na2SO4, filtered and concentrated under reduced pressure. The residue was
redissolved in EtOAc, and concentrated aqueous HCl (2 mL) was added which resulted
in precipitation. To the EtOAc, H2O was added and the layers were separated. The pH
of the aqueous layer was adjusted with 4N NaOH and extracted with DCM (2x). The DCM
layers were combined, dried over Na2SO4, filtered and concentrated under reduced pressure.
To the resulting residue, which was redissolved in DCM, 4N HCl in dioxane was added
to cause precipitation. The precipitate was filtered and washed with hexanes to yield
4'-chloro-[1,1'-biphenyl]-4-yl)methanamine as final product, which was used crude
in the next reaction step.
Example 7: Synthesis of 4a
[0123]

[0124] To a solution of 3 (1.80 g, 5.8 mmol, 1 eq) in DCM, hexylamine (1.5 mL, 11.7 mmol,
2 eq) and NEt3 (1.6 mL, 11.7 mmol, 2 eq) were added. Subsequently EDC HCl (2.2 g,
11.7 mmol, 2 eq) was added and the reaction mixture was stirred at RT. After 2h, the
reaction was complete and the solution was concentrated under reduced pressure. The
product was purified by silica gel column chromatography (DCM + 5% EtOAc). Yield;
100%. 1H-NMR (300 MHz, CDCl3) δ/ppm: 10.70 (s, 1H), 7.53 (d, J = 8.0 Hz, 2H), 7.22
(d, J = 6.8 Hz, 2H), 6.13 - 5.91 (m, 1H), 5.78 (s, 1H), 5.34 (d, J = 17.3 Hz, 1H),
5.21 (d, J = 10.4 Hz, 1H), 4.62 (d, J = 5.6 Hz, 2H), 4.21 - 3.99 (m, 4H), 3.43 - 3.29
(m, 2H), 1.57-1.38 (m, 2H), 1.36-1.16 (m, 6H), 0.94 - 0.78 (m, 3H). 13C-NMR (75 MHz,
CDCl3) δ/ppm: 164.21, 158.64, 137.02, 136.61, 133.67, 128.33, 117.42, 103.14, 66.02,
65.48, 41.37, 31.45, 29.40, 26.51, 22.54, 14.02. HR-MS: m/z 376.2242 (observed), 376.2236
(calculated for [M+H+])
Example 8: Synthesis of 5a-16a
[0125] Compounds
5a-16a were synthesized and purified according to the above described protocol for
4a using the corresponding lipid amines, with the exception of
16a which after reaction resulted in a product mixture of
16a and
16b. 16a and
16b were used combined and crude in the next step. The results for these compounds are
summarized in Table 1.
Table 1: Compounds 5a-16a
| |
Structure |
Yield |
HR-MS |
NMR |
| 5a |

|
quantitative |
m/z 390.2402 (observed), 390.2393 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.70 (s, 1H), 7.53 (d, J = 8.0 Hz, 2H), 7.23 (d, J = 7.7 Hz, 2H), 6.14 -
5.93 (m, 1H), 5.79 (s, 1H), 5.34 (dd, J = 17.2, 1.3 Hz, 1H), 5.21 (dd, J = 10.4, 1.2
Hz, 1H), 4.62 (d, J = 5.7 Hz, 2H), 4.22 - 4.00 (m, 4H), 3.42 - 3.29 (m, 2H), 1.57
1.38 (m, 2H), 1.34 - 1.18 (m, 8H), 0.92 - 0.80 (m, 3H).13C-NMR (75 MHz, CDCl3) δ/ppm: 164.27, 158.69, 137.10, 136.57, 133.77, 128.40, 117.45, 103.18, 66.06, 65.54,
41.43, 31.77, 29.50, 29.00, 26.85, 22.65, 14.15. |
| 6a |

|
quantitative |
m/z |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.70 (s, 1H), 7.53 (d, J = 8.0 Hz, 2H), 7.22 (d, J = 7.4 Hz, 2H), 6.12 -
5.93 (m, 1H), 5.79 (s, 1H), 5.34 (dd, J = 17.2, 1.5 Hz, 1H), 5.21 (dd, J = 10.4, 1.4
Hz, 1H), 4.62 (d, J = 5.7 Hz, 2H), 4.22 - 3.99 (m, 4H), 3.43 - 3.28 (m, 2H), 1.59
- 1.37 (m, 2H), 1.34 - 1.15 (m, 10H), 0.93 - 0.81 (m, 3H).13C-NMR (75 MHz, CDCl3) δ/ppm: 164.23, 158.67, 137.09, 136.55, 133.74, 128.37, 125.51, 117.43, 103.15, 66.04,
65.51, 41.41, 31.82, 29.47, 29.27, 29.21, 26.87, 22.69, 14.16. |
| 404.2547 (observed), 404.2549 (calculated for [M+H+]) |
| 7a |

|
quantitative |
m/z 418.2716 (observed), 418.2706 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.71 (s, 1H), 7.53 (d, J = 7.8 Hz, 2H), 7.22 (d, J = 7.2 Hz, 2H), 6.15 -
5.93 (m, 1H), 5.78 (s, 1H), 5.34 (d, J = 17.2 Hz, 1H), 5.21 (d, J = 10.4 Hz, 1H),
4.61 (d, J = 5.5 Hz, 2H), 4.22 - 3.97 (m, 4H), 3.44 - 3.26 (m, 2H), 1.57 - 1.38 (m,
2H), 1.38-1.13 (m, 12H), 0.96 - 0.79 (m, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 164.14, 158.58, 137.01, 136.45, 133.67, 128.26, 125.38, 117.32, 103.06, 65.93,
65.41, 41.31, 31.81, 29.41, 29.38, 29.23, 29.18, 26.78, 22.63, 14.10. |
| 8a |

|
quantitative |
m/z 432.2871 (observed), 432.2862 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.70 (s, 1H), 7.53 (d, J = 7.6 Hz, 2H), 7.22 (d, J = 7.1 Hz, 2H), 6.11 -
5.92 (m, 1H), 5.79 (s, 1H), 5.34 (d, J = 17.2 Hz, 1H), 5.21 (d, J = 10.4 Hz, 1H),
4.62 (d, J = 5.3 Hz, 2H), 4.22 - 3.99 (m, 4H), 3.43 - 3.28 (m, 2H), 1.56 - 1.38 (m,
2H), 1.36-1.14 (m, 14H), 0.92 - 0.82 (m, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 164.23, 158.66, 137.09, 136.54, 133.74, 128.37, 117.43, 103.15, 66.03, 65.51,
41.41, 31.94, 29.56, 29.48, 29.35, 29.32, 26.88, 22.74, 14.19. |
| 9a |

|
quantitative |
m/z 460.3184 (observed), 460.3175 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.70 (s, 1H), 7.53 (d, J = 7.8 Hz, 2H), 7.22 (d, J = 7.4 Hz, 2H), 6.17 -
5.91 (m, 1H), 5.78 (s, 1H), 5.34 (d, J = 17.2 Hz, 1H), 5.21 (d, J = 10.4 Hz, 1H),
4.62 (d, J = 5.5 Hz, 2H), 4.21 - 3.99 (m, 4H), 3.41 - 3.29 (m, 2H), 1.57 - 1.37 (m,
2H), 1.37 - 1.13 (m, 18H), 0.94 - 0.79 (m, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 164.22, 158.64, 137.08, 136.56, 133.72, 128.34, 125.48, 117.39, 103.12, 66.00,
65.48, 41.38, 31.95, 29.67, 29.60, 29.53, 29.45, 29.39, 29.30, 26.85, 22.73, 14.17. |
| 10a |

|
quantitative |
m/z 488.3491 (observed), 488.3488 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.71 (s, 1H), 7.53 (d, J = 7.9 Hz, 2H), 7.22 (d, J = 7.1 Hz, 2H), 6.11 -
5.93 (m, 1H), 5.78 (s, 1H), 5.34 (dd, J = 17.2, 1.2 Hz, 1H), 5.21 (dd, J = 10.4, 1.0
Hz, 1H), 4.61 (d, J = 5.6 Hz, 2H), 4.22 - 3.98 (m, 4H), 3.45 - 3.26 (m, 2H), 1.59
- 1.38 (m, 2H), 1.38 - 1.13 (m, 22H), 0.99 - 0.78 (m, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 164.16, 158.61, 137.06, 136.50, 133.69, 128.30, 125.45, 117.37, 103.11, 65.98,
65.44, 41.36, 31.94, 29.70, 29.66, 29.58, 29.51, 29.43, 29.38, 29.28, 26.83, 22.71,
14.15. |
| 11a |

|
81% |
m/z 404.2564 (observed), 404.2549 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: δ 10.31 (s, 1H), 7.42 (d, J = 8.5 Hz, 2H), 7.01 (d, J = 8.4 Hz, 2H), 6.10
- 5.89 (m, 1H), 5.75 (s, 1H), 5.32 (dd, J = 17.2, 1.5 Hz, 1H), 5.19 (dd, J = 10.4,
1.3 Hz, 1H), 4.58 (dt, J = 5.8, 1.3 Hz, 2H), 4.21 - 3.97 (m, 4H), 3.26 (t, J = 7.4
Hz, 4H), 1.61 - 1.39 (m, 4H), 1.24 (h, J = 7.4 Hz, 4H), 0.87 (t, J = 7.3 Hz, 6H).
13C-NMR (75 MHz, CDCl3) δ/ppm: 163.73, 160.90, 141.21, 133.74, 133.61, 127.87, 121.12, 117.56, 103.46, 66.25,
65.41, 48.06, 29.76, 20.12, 13.90. |
| 12a |

|
52% |
m/z 460.3200 (observed), 460.3175 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.31 (s, 1H), 7.42 (d, J = 8.4 Hz, 2H), 7.01 (d, J = 8.3 Hz, 2H), 6.09 -
5.92 (m, 1H), 5.76 (s, 1H), 5.32 (dd, J = 17.2, 1.5 Hz, 1H), 5.20 (dd, J = 10.4, 1.4
Hz, 1H), 4.58 (dt, J = 5.8, 1.3 Hz, 2H), 4.21 - 3.97 (m, 4H), 3.35 - 3.16 (t, J =
7.4 Hz, 4H), 1.59 - 1.41 (m, 4H), 1.37 - 1.11 (m, 12H), 0.91 - 0.83 (m, 6H).13C-NMR (75 MHz, CDCl3) δ/ppm: 160.93, 141.23, 133.79, 133.67, 127.89, 121.16, 117.57, 103.50, 66.28, 65.45,
48.37, 31.62, 27.64, 26.61, 22.66, 14.13. |
| 13a |

|
quantitative |
m/z 572.4429 (observed), 572.4427 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.29 (s, 1H), 7.41 (d, J = 8.4 Hz, 2H), 7.01 (d, J = 8.2 Hz, 2H), 6.11 -
5.89 (m, 1H), 5.74 (s, 1H), 5.30 (dd, J = 17.2, 1.4 Hz, 1H), 5.17 (dd, J = 10.4, 1.3
Hz, 1H), 4.57 (d, J = 5.7 Hz, 2H), 4.18 - 3.92 (m, 4H), 3.26 (t, J = 7.2 Hz, 4H),
1.61 - 1.41 (m, 4H), 1.39 - 1.12 (m, 28H), 0.95 - 0.80 (m, 6H).13C-NMR (75 MHz, CDCl3) δ/ppm: 163.40, 160.56, 140.91, 133.56, 133.40, 127.58, 120.81, 117.17, 103.17, 65.93,
65.11, 48.09, 31.73, 29.36, 29.14, 27.39, 26.64, 22.53, 13.97. |
| 14a |

|
quantitative |
m/z 428.2556 (observed), 428.2549 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.72 (s, 1H), 7.52 (d, J = 8.2 Hz, 2H), 7.21 (d, J = 8.0 Hz, 2H), 6.11 -
5.92 (m, 1H), 5.78 (s, 1H), 5.34 (dd, J = 17.2, 1.5 Hz, 1H), 5.21 (dd, J = 10.4, 1.4
Hz, 1H), 5.15 (t, J = 5.8 Hz, 1H), 5.09 - 4.98 (m, 1H), 4.62 (d, J = 5.8 Hz, 2H),
4.20 - 4.00 (m, 4H), 4.02 - 3.91 (m, 2H), 2.12-1.91 (m, 4H), 1.65 (s, 3H), 1.63 (s,
3H), 1.58 (s, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 140.53, 133.52, 131.79, 128.26, 125.27, 123.74, 119.41, 117.49, 103.13, 66.02,
65.45, 39.45, 26.27, 25.70, 17.72, 16.40. |
| 15a |

|
75% |
m/z 496.3178 (observed), 496.3175 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.71 (s, 1H), 7.52 (d, J = 8.1 Hz, 2H), 7.23 (d, J = 7.4 Hz, 2H), 6.12 -
5.92 (m, 1H), 5.78 (s, 1H), 5.34 (dd, J = 17.2, 1.3 Hz, 1H), 5.22 (dd, J = 10.4, 1.3
Hz, 1H), 5.18 - 5.01 (m, 3H), 4.62 (d, J = 5.5 Hz, 2H), 4.19 - 4.02 (m, 4H), 4.02
- 3.92 (m, 2H), 2.14 - 1.89 (m, 8H), 1.67 (s, 3H), 1.64 (s, 3H), 1.59 (s, 3H), 1.57
(s, 3H).13C-NMR (75 MHz, CDCl3) δ/ppm: 164.20, 158.45, 140.75, 137.12, 135.50, 133.73, 131.41, 128.36, 125.40, 124.91,
124.38, 123.72, 119.40, 117.47, 103.19, 66.07, 65.54, 39.77, 39.56, 39.50, 26.79,
26.35, 25.80, 17.80, 16.53, 16.11. |
| 16a |

|
Used crude |
n\a |
n\a |
Example 9: Synthesis of 17a and 18a
[0126] Compounds
17a and
18a were synthesized and purified according to the above described protocol for
4a using the corresponding lipid amines. The results for these compounds are summarized
in Table 2.
Table 2: Compounds 17a and 18a
| |
Structure |
Yield |
HR-MS |
NMR |
| 17a |

|
91% |
m/z 426.2396 (observed), 426.2393 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.64 (s, 1H), 7.51 (d, J = 8.0 Hz, 2H), 7.21 (d, J = 7.9 Hz, 2H), 6.14 -
5.92 (m, 1H), 5.78 (s, 1H), 5.34 (d, J = 17.3 Hz, 1H), 5.21 (dd, J = 10.4, 1.2 Hz,
1H), 4.80 (s, 1H), 4.65 (d, J = 5.1 Hz, 2H), 4.21 - 3.96 (m, 4H), 2.20 - 1.95 (m,
9H), 1.74 - 1.57 (m, 6H). |
| |
|
|
|
13C-NMR (75 MHz, CDCl3) δ/ppm: 157.73, 137.62, 134.12, 128.37, 125.06, 117.01, 103.26, 66.46, 65.55, 42.25,
36.40, 29.65 |
| 18a |

|
91% |
m/z 440.2541 (observed), 4440.2549 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 10.77 (s, 1H), 7.55 (d, J = 7.4 Hz, 2H), 7.25 (d, J = 7.1 Hz, 2H), 6.13 -
5.90 (m, 1H), 5.80 (s, 1H), 5.34 (dd, J = 17.2, 1.5 Hz, 1H), 5.21 (dd, J = 10.4, 1.3
Hz, 1H), 4.87 (s, 1H), 4.62 (d, J = 5.7 Hz, 2H), 4.21 - 4.00 (m, 4H), 3.10 (d, J =
5.4 Hz, 2H), 2.04 - 1.87 (m, 3H), 1.78 - 1.33 (m, 12H). |
| |
|
|
|
13C-NMR (75 MHz, CDCl3) δ/ppm: 164.39, 159.09, 140.63, 133.82, 128.41, 125.30, 117.43, 103.21, 66.07, 65.51,
52.66, 40.36, 36.95, 33.71, 28.20. |
Example 10: Synthesis of 4b
[0127]

[0128] To a solution of
4a (2.19 g, 5.8 mmol, 1 eq) in THF, 1M aqueous HCl (11.7 mmol, 2 eq) was added and the
reaction mixture was stirred at RT for 1h. The reaction was quenched with saturated
NaHCO
3, and product was extracted with DCM twice. Organic layers were combined, dried over
Na
2SO
4 and filtered. The crude product was concentrated under reduced pressure and purified
by silica gel column chromatography (2/1 PE/EtOAc). Yield; 100%.
1H-NMR (300 MHz, CDCl
3) δ/ppm: 9.86 (s, 1H), 7.82 (d, J = 7.9 Hz, 2H), 7.28 (d, J = 7.9 Hz, 2H), 6.07 -
5.86 (m, 1H), 5.33 (dd, J = 17.2, 1.4 Hz, 1H), 5.23 (dd, J = 10.4, 1.3 Hz, 1H), 4.61
(d, J = 5.7 Hz, 2H), 3.47 - 3.30 (m, 2H), 1.67 - 1.52 (m, 2H), 1.43 - 1.22 (m, 6H),
0.94-0.82 (m, 3H).
13C-NMR (75 MHz, CDCl
3) δ/ppm: 190.84, 132.51, 131.41, 123.21, 118.14, 66.27, 41.51, 31.35, 29.08, 26.50,
22.45, 13.94. HR-MS: m/z 332.1980 (observed), 332.1974 (calculated for [M+H+]).
Example 11: Synthesis of 5b-16b
[0129] Compounds
5b-16b were synthesized and purified according to the above described protocol for
4b using their corresponding precursor (
5a-16a). The results for these compounds are summarized in Table 3.
Table 3: Compounds 5b-16b
| |
Structure |
Yield |
HR-MS |
NMR |
| 5b |

|
quantitat ive |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
346.2138 (observed), 346.2130 (calculated for [M+H+]) |
|
δ/ppm: 9.89 (s, 1H), 7.85 (d, J = 8.0 Hz, 2H), 7.26 (d, J = 7.0 Hz, 2H), 6.05 - 5.86
(m, 1H), 5.33 (dd, J = 17.2, 1.4 Hz, 1H), 5.24 (dd, J = 10.4, 1.3 Hz, 1H), 4.61 (d,
J = 5.8 Hz, 2H), 3.48 - 3.29 (m, 2H), 1.67 - 1.53 (m, 2H), 1.41 - 1.21 (m, 8H), 0.93
- 0.83 (m, 3H).13C-NMR (75 MHz, CDCl3) δ/ppm: 190.91, 131.59, 123.37, 118.35, 66.41, 41.56, 31.73, 29.23, 28.96, 26.90,
22.61, 14.10. |
| 6b |

|
98% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
360.2286 (observed), 360.2287 (calculated for [M+H+]) |
|
δ/ppm: 9.90 (s, 1H), 7.86 (d, J = 8.0 Hz, 2H), 7.25 (d, J = 6.3 Hz, 2H), 6.10 - 5.85
(m, 1H), 5.33 (dd, J = 17.2, 1.4 Hz, 1H), 5.24 (dd, J = 10.4, 1.2 Hz, 1H), 4.61 (d,
J = 5.8 Hz, 2H), 3.46 - 3.32 (m, 2H), 1.67 - 1.50 (m, 2H), 1.41 - 1.22 (m, 10H), 0.92
- 0.82 (m, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 190.95, 131.64, 123.43, 118.40, 66.45, 41.60, 31.83, 29.28, 29.22, 26.97,
22.69, 14.16. |
| 7b |

|
71% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
374.2450 (observed), 374.2443 (calculated for [M+H+]) |
|
δ/ppm: 9.90 (s, 1H), 7.85 (d, J = 7.8 Hz, 2H), 7.25 (d, J = 6.2 Hz, 2H), 6.05 - 5.86
(m, 1H), 5.33 (dd, J = 17.2, 1.4 Hz, 1H), 5.24 (dd, J = 10.4, 1.3 Hz, 1H), 4.61 (d,
J = 5.8 Hz, 2H), 3.47 - 3.28 (m, 2H), 1.68 - 1.51 (m, 2H), 1.41 - 1.18 (m, 12H), 0.92
- 0.81 (m, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 190.92, 131.63, 123.41, 118.36, 66.44, 41.57, 31.89, 29.51, 29.32, 29.28,
26.96, 22.71, 14.16. |
| 8b |

|
95% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
388.2610 (observed), 388.2600 (calculated for [M+H+]) |
|
δ/ppm: 9.88 (s, 1H), 7.84 (d, J = 8.0 Hz, 2H), 7.26 (d, J = 7.2 Hz, 2H), 6.06 - 5.87
(m, 1H), 5.33 (dd, J = 17.2, 1.4 Hz, 1H), 5.23 (dd, J = 10.4, 1.2 Hz, 1H), 4.61 (d,
J = 5.8 Hz, 2H), 3.45 - 3.29 (m, 2H), 1.69 - 1.52 (m, 2H), 1.42 - 1.19 (m, 14H), 0.93
- 0.83 (m, 3H).13C-NMR (75 MHz, CDCl3) δ/ppm: 190.87, 131.56, 123.36, 118.26, 66.39, 41.55, 31.90, 29.53, 29.31, 29.29,
29.21, 26.93, 22.69, 14.14. |
| 9b |

|
98% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
416.2920 (observed), 416.2913 (calculated for [M+H+]) |
|
δ/ppm: 9.88 (s, 1H), 7.84 (d, J = 8.0 Hz, 2H), 7.26 (d, J = 7.2 Hz, 2H), 6.06 - 5.87
(m, 1H), 5.33 (dd, J = 17.2, 1.4 Hz, 1H), 5.23 (dd, J = 10.4, 1.2 Hz, 1H), 4.61 (d,
J = 5.8 Hz, 2H), 3.46 - 3.27 (m, 2H), 1.69 - 1.53 (m, 2H), 1.42 - 1.17 (m, 18H), 0.94
- 0.81 (m, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 190.86, 131.55, 123.34, 118.33, 66.39, 41.55, 31.92, 29.65, 29.59, 29.53,
29.36, 29.29, 29.21, 26.94, 22.70, 14.15. |
| 10b |

|
quantitat ive |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
444.3232 (observed), 444.3226 (calculated for [M+H+]) |
|
δ/ppm: 9.87 (s, 1H), 7.83 (d, J = 8.1 Hz, 2H), 7.26 (d, J = 7.7 Hz, 2H), 6.05 - 5.83
(m, 1H), 5.33 (dd, J = 17.2, 1.5 Hz, 1H), 5.23 (dd, J = 10.4, 1.3 Hz, 1H), 4.61 (d,
J = 5.8 Hz, 2H), 3.46 - 3.31 (m, 2H), 1.68 - 1.53 (m, 2H), 1.41 - 1.18 (m, 22H), 0.94
- 0.81 (m, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 190.81, 131.49, 123.29, 118.27, 66.34, 41.54, 31.91, 29.64, 29.57, 29.50,
29.35, 29.27, 29.19, 26.91, 22.68, 14.12. |
| 11b |

|
94% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
360.2294 (observed), 360.2287 (calculated for [M+H+]) |
|
δ/ppm: 9.90 (s, 1H), 7.82 (d, J = 8.6 Hz, 2H), 7.07 (d, J = 8.4 Hz, 2H), 6.05 - 5.87
(m, 1H), 5.31 (dd, J = 17.2, 1.5 Hz, 1H), 5.20 (dd, J = 10.4, 1.4 Hz, 1H), 4.56 (dt,
J = 5.8, 1.3 Hz, 2H), 3.34 (t, J = 7.5 Hz, 4H), 1.65-1.49 (m, 4H), 1.29 (h, J = 7.4
Hz, 4H), 0.90 (t, J = 7.3 Hz, 6H). 13C-NMR (75 MHz, CDCl3) |
| |
|
|
|
δ/ppm: 190.82, 133.11, 131.64, 131.51, 119.86, 117.86, 66.43, 48.26, 29.82, 20.12,
13.84. |
| 12b |

|
88% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
416.2932 (observed), 416.2913 (calculated for [M+H+]) |
|
δ/ppm: δ 9.90 (s, 1H), 7.82 (d, J = 8.6 Hz, 2H), 7.07 (d, J = 8.4 Hz, 2H), 6.04 -
5.88 (m, 1H), 5.31 (dd, J = 17.2, 1.5 Hz, 1H), 5.20 (dd, J = 10.4, 1.4 Hz, 1H), 4.56
(dt, J = 5.8, 1.3 Hz, 2H), 3.41 - 3.23 (m, 4H), 3.33 (t, J = 7.5 Hz, 4H), 1.35 - 1.18
(m, 12H), 0.94 - 0.79 (m, 6H). 13C-NMR (75 MHz, CDCl3) |
| |
|
|
|
|
δ/ppm: 190.82, 133.13, 131.69, 131.52, 119.90, 117.86, 66.44, 48.55, 31.51, 27.68,
26.57, 22.59, 14.07. |
| 13b |

|
80% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
528.4174 (observed), 528.4165 (calculated for [M+H+]) |
|
δ/ppm: 10.22 (s, 1H), 9.90 (s, 1H), 7.82 (d, J = 8.4 Hz, 2H), 7.07 (d, J = 8.0 Hz,
2H), 6.05 - 5.86 (m, 1H), 5.31 (dd, J = 17.2, 1.0 Hz, 1H), 5.20 (dd, J = 10.4, 0.9
Hz, 1H), 4.56 (d, J = 5.7 Hz, 2H), 3.32 (t, J = 7.4 Hz, 4H), 1.68 - 1.47 (m, 4H),
1.38 - 1.15 (m, 28H), 0.97 - 0.79 (m, 6H). 13C-NMR (75 MHz, CDCl3) |
| |
|
|
|
|
δ/ppm: 190.76, 133.14, 131.68, 131.50, 119.71, 117.85, 66.44, 48.54, 31.94, 29.58,
29.35, 27.72, 26.91, 22.74, 14.19. |
| 14b |

|
77% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
384.2296 (observed), 384.2287 (calculated for [M+H+]) |
|
δ/ppm: 9.92 (s, 1H), 7.86 (d, J = 8.3 Hz, 2H), 7.28 (d, J = 7.1 Hz, 2H), 6.06 - 5.87
(m, 1H), 5.40 - 5.19 (m, 3H), 5.10 - 5.01 (m, 1H), 4.61 (d, J = 5.8 Hz, 2H), 4.06
- 3.90 (m, 2H), 2.17 - 1.96 (m, 4H), 1.70 (s, 3H), 1.66 (s, 3H), 1.59 (s, 3H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 190.96, 140.97, 132.03, 131.65, 123.68, 123.16, 119.40, 66.45, 39.64, 39.54,
26.36, 25.76, 17.80, 16.52. |
| 15b |

|
40% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
|
452.2923 (observed), 452.2913 (calculated for [M+H+]) |
|
δ/ppm: 9.93 (s, 1H), 7.87 (d, J = 8.0 Hz, 2H), 7.35 - 7.19 (m, 2H), 6.05 - 5.87 (m,
1H), 5.39 - 5.20 (m, 3H), 5.14 - 5.02 (m, 2H), 4.61 (d, J = 5.7 Hz, 2H), 4.05 - 3.93
(m, 2H), 2.18 - 1.91 (m, 8H), 1.71 (s, 3H), 1.67 (s, 3H), 1.59 (s, 6H). 13C-NMR (75 MHz, CDCl3) δ/ppm: 190.96, 141.11, 135.70, 131.70, 131.48, 124.37, 123.60, 123.20, 119.39, 66.51,
39.79, 39.68, 39.60, 26.81, 26.36, 25.83, 17.82, 16.60, 16.15. |
| 16b |

|
65% |
m/z |
1H-NMR (300 MHz, CDCl3) |
| |
(over 2 steps) |
448.1445 (observed), 448.1428 (calculated for [M+H+]) |
|
δ/ppm: 9.88 (s, 1H), 7.84 (d, J = 8.3 Hz, 2H), 7.59 - 7.45 (m, 4H), 7.45 - 7.34 (m,
4H), 7.19 (s, 2H), 6.05 - 5.84 (m, 1H), 5.34 (dd, J = 17.2, 1.2 Hz, 1H), 5.25 (dd,
J = 10.4, 1.2 Hz, 1H), 4.68 - 4.58 (m, 4H). 13C-NMR (75 MHz, CDCl3) |
| |
|
|
|
δ/ppm: 190.94, 139.49, 139.12, 137.20, 133.61, 131.75, 129.06, 128.37, 128.33, 127.45,
123.61, 66.70, 45.05. |
Example 12: Synthesis of 17b and 18b
[0130] Compounds
17b and were synthesized and purified according to the above described protocol for
4b using their corresponding precursor (
17a and
18a). The results for these compounds are summarized in Table 4.
Table 4: Compounds 17b and 18b
| |
Structure |
Yield |
HR-MS |
NMR |
| 17b |

|
62% |
m/z 382.2120 (observed), 382.2131 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 9.92 (s, 1H), 7.85 (d, J = 8.2 Hz, 2H), 7.11 (s, 2H), 6.05 - 5.79 (m, 1H),
5.32 (dd, J = 17.2, 1.3 Hz, 1H), 5.25 (dd, J = 10.4, 1.2 Hz, 1H), 4.60 (d, J = 5.6
Hz, 2H), 2.17 - 2.05 (m, 9H), 1.75 - 1.62 (m, 6H). |
| |
|
|
13C-NMR (75 MHz, CDCl3) δ/ppm: 191.11, 131.84, 123.22, 66.67, 41.97, 36.49, 29.65 |
| 18b |

|
86% |
m/z 396.2271 (observed), 396.2287 (calculated for [M+H+]) |
1H-NMR (300 MHz, CDCl3) δ/ppm: 9.93 (s, 1H), 7.87 (d, J = 8.7 Hz, 2H), 7.24 (s, 2H), 6.09 - 5.80 (m, 1H),
5.34 (dd, J = 17.2, 1.5 Hz, 1H), 5.25 (dd, J = 10.4, 1.2 Hz, 1H), 4.62 (dt, J = 5.8,
1.3 Hz, 2H), 3.21 - 2.97 (m, 2H), 2.09 - 1.91 (m, 3H), 1.81 - 1.39 (m, 12H). |
| |
|
|
|
13C-NMR (75 MHz, CDCl3) δ/ppm: 191.01, 131.73, 123.25, 66.55, 53.23, 40.48, 36.96, 33.66, 28.27 |
Example 13: Synthesis of 4c
[0131]
| R1 = |
C6H13 |
R2 = |
H |
4c |
R1 = |

|
R2 = |
H |
14c |
| |
C7H15 |
|
H |
5c |
|
|
|
|
| |
C8H17 |
|
H |
6c |
|

|
|
|
|
| |
C9H19 |
|
H |
7c |
|
|
H |
15c |
| |
C10H21 |
|
H |
8c |
|
|
|
|
| |
C12H25 |
|
H |
9c |
|
|
|
|
| |
C14H29 |
|
H |
10c |
|

|
|
H |
16c |
| |
C4H9 |
|
C4H9 |
11c |
|
|
| |
C6H13 |
|
C6H13 |
12c |
|
|
|
|
| |
C10H21 |
|
C10H21 |
13c |
|
|
|
|
[0132] To a solution of
4b (178 mg, 538 µmol, 2 eq) in DMF/MeOH (4 mL), vancomycin hydrochloride (400 mg, 269
µmol, 1 eq) and DIPEA (0.23 mL, 1.35 mmol, 5 eq) were added. After the reaction was
stirred under reflux conditions at 70 °C for 2h, NaBH
3CN (169 mg, 2.69 mmol, 10 eq) was added and the reaction temperature was reduced to
50 °C. After 5h, an additional 10 eq of NaBH
3CN (169 mg, 2.69 mmol) was added and 18h after that 10 eq NaBH
3CN (169 mg, 2.69 mmol) and 1 eq of
4b (89 mg, 269 µmol) was added. After an additional 18h, the reaction mixture was quenched
by adding water. Solvents were evaporated under reduced pressure, and the residue
was redissolved in DMF and precipitated twice in cold diethyl ether. The precipitate
was dried and used crude in the next step.
Example 14: Synthesis of 5c-16c
[0133] Compounds
5c-16c were synthesized according to the above described protocol for
4c using their corresponding aldehyde precursor (
5b-16b). Compounds
5c-16c were all used crude in the next reaction step.
Example 15: Synthesis of 17c and 18c
[0134] Compounds
17c and
18c were synthesized according to the above described protocol for
4c using their corresponding aldehyde precursor (
17b and
18b). Compounds
17c and
18c were all used crude in the next reaction step.
Example 16: Synthesis of 4
[0135]
| R1 = |
C6H13 |
R2 = |
H |
4 |
R1 = |

|
R2 = H |
|
14 |
| |
C7H15 |
|
H |
5 |
|
|
|
|
| |
C8H17 |
|
H |
6 |
|
|
|
|
| |
C9H19 |
|
H |
7 |
|

|
|
H |
15 |
| |
C10H21 |
|
H |
8 |
|
|
|
|
| |
C12H25 |
|
H |
9 |
|
|
|
|
| |
C14H29 |
|
H |
10 |
|

|
|
H |
16 |
| |
C4H9 |
|
C4H9 |
11 |
|
|
| |
C6H13 |
|
C6H13 |
12 |
|
|
|
|
| |
C10H21 |
|
C10H21 |
13 |
|
|
|
|
[0136] To a solution of crude
4c (269 µmol, 1 eq) in dry DMF (5 mL) under argon atmosphere, Pd(PPh
3)
4 (78 mg, 67 µmol, 0.25 eq) and phenylsilane (0.83 mL, 6.7 mmol, 25 eq) were added.
The reaction mixture was stirred for 1h at RT under argon atmosphere. After complete
deprotection, the reaction was quenched with water and the solvents were evaporated
under reduced pressure. The residue was redissolved a mixture of buffer A (50 mM ammonium
acetate) with 20% buffer B (95% MeCN, 5% water) and centrifuged to remove all solid
residue. The supernatant was applied to preparative RP-HPLC and the product was purified
using a 20-55% buffer B gradient over 50 minutes. Purity of the fractions was assessed
on analytical RP-HPLC using a 0-100% buffer B gradient over 30 minutes. Pure fractions
were pooled an lyophilized to obatain a white powder. Purity of the pooled final compound
was assesed on analytical RP-HPLC using a 0-100% buffer B gradient over 60 minutes.
Yield over 2 steps; 54.4%. HR-MS:
m/
z 840.3100 (observed), 840.3097 (calculated for [M+2H
+]/2). Retention time RP-HPLC analysis; 20.37 min.
Example 17: Synthesis of 5-16
[0137] Compounds
5-16 were synthesized according to the above described protocol for
4 using their corresponding precursor (
5c-16c). The preparative RP-HPLC purification buffer gradient was adjusted for each compound
based on the hydrophobicity of the R group present. Furthermore, percentage of buffer
B present in the initial solvent system (from 20% up to 50%) for the preparative RP-HPLC
was adjusted based on the hydrophobicity of the R group as well. The results for these
compounds are indicated in Table 5.
Table 5: Compounds 5a-16a
| |
Yield (over two steps) |
HR-MS |
Retention time |
| 5 |
43% |
m/z 847.3168 (observed), 847.3175 (calculated for [M+2H+]/2) |
22.29 min |
| 6 |
5% |
m/z 854.3256 (observed), 854.3253 (calculated for [M+2H+]/2). |
24.19 min |
| 7 |
74% |
m/z 861.3334 (observed), 861.3332 (calculated for [M+2H+]/2) |
26.00 min |
| 8 |
13% |
m/z 868.3418 (observed), 868.3410 (calculated for [M+2H+]/2) |
27.76 min |
| 9 |
16% |
m/z 882.3573 (observed), 882.3566 (calculated for [M+2H+]/2) |
31.20 min |
| 10 |
5% |
m/z 896.3725 (observed), 896.3723 (calculated for [M+2H+]/2) |
34.74 min |
| 11 |
33% |
m/z 854.3265 (observed), 854.3254 (calculated for [M+2H+]/2) |
21.80 min |
| 12 |
34% |
m/z 882.3561 (observed), 882.3567 (calculated for [M+2H+]/2) |
28.89 min |
| 13 |
9% |
m/z 938.4197 (observed), 938.4192 (calculated for [M+2H+]/2) |
43.00 min |
| 14 |
34% |
m/z 866.3254 (observed), 866.3253 (calculated for [M+2H+]/2) |
24.38 min |
| 15 |
11% |
m/z 900.3564 (observed), 900.3566 (calculated for [M+2H+]/2) |
30.56 min |
| 16 |
15% |
m/z 898.2828 (observed), 898.2824 (calculated for [M+2H+]/2) |
25.43 min |
Example 18: Synthesis of 17 and 18
[0138] Compounds
17 and
18 were synthesized according to the above described protocol for
4 using their corresponding precursor (
17c and
18c). The preparative RP-HPLC purification buffer gradient was adjusted for each compound
based on the hydrophobicity of the R group present. Furthermore, percentage of buffer
B present in the initial solvent system (from 20% up to 50%) for the preparative RP-HPLC
was adjusted based on the hydrophobicity of the R group as well. The results for these
compounds are indicated in Table 6.
Table 6: Compounds 17a and 18a
| |
Yield (over two steps) |
HR-MS |
Retention time |
| 17 |
9% |
m/z 1729.6245 (observed), 1729.6272 (calculated for [M+H+]) |
21.10 min |
| 18 |
9% |
m/z 1743.6435 (observed), 1743.6429 (calculated for [M+H+]) |
22.96 min |
Example 19: Minimum inhibitory concentration assay
[0139] The activity of the compounds was assessed against a panel of Gram-positive bacteria
in an MIC assay. In this assay the minimum inhibitory concentration, meaning the lowest
tested concentration at which visible growth of bacteria is prevented, is determined
and compared to clinically used antibiotics. Compared to the clinically used glycopeptides,
almost all compounds have equipotent or superior activity against most of the tested
MRSA, MSSA, VRE, VSE, VISA, VRSA, and
S.
pneumoniae strains. In some cases (depending on the compound and bacteria tested) there is more
than a 1000-fold improvement in activity compared to vancomycin (the data obtained
is summarized in Table 7, with the MIC values indicated in units of µg/mL). Further
MIC data is provided in Tables 8-12.
Table 7: MIC results of the clinically available glycopeptide antibiotics and 4-18 against a panel of Gram-positive bacteria.
| |
S. aureus |
E. faecium |
E.faecalis |
| ATCC29213 |
USA300 |
E155 |
E980 |
E7314 |
E1246 |
E7406 |
| MSSA |
MRSA |
VRE (VanA) |
VSE |
VRE (VanB) |
VRE (VanA) |
VRE (VanB) |
| Vancomycin |
1 |
1 |
>128 |
0.5 |
128 |
>128 |
16 |
| Telavancin |
0.125 |
0.125 |
4 |
0.015625 |
≤0.0078125 |
4 |
0.0625 |
| Teicoplanin |
0.5 |
0.5 |
>128 |
0.5 |
0.25 |
>128 |
0.125 |
| Oritavancin |
0.25 |
0.0625 |
0.5 |
0.0625 |
0.125 |
1 |
0.0625 |
| Dalbavancin |
0.25 |
0.25 |
128 |
0.0625 |
0.015625 |
>128 |
0.03125 |
| 4 |
0.0625 |
0.0625 |
8 |
0.03125 |
0.03125 |
32 |
0.25 |
| 5 |
≤0.0078125 |
0.015625 |
2 |
≤0.0078125 |
≤0.0078125 |
16 |
0.015625 |
| 6 |
≤0.0078125 |
≤0.0078125 |
1 |
0.015625 |
≤0.0078125 |
8 |
≤0.0078125 |
| 7 |
0.015625 |
≤0.0078125 |
0.5 |
0.03125 |
≤0.0078125 |
2 |
≤0.0078125 |
| 8 |
0.015625 |
0.0625 |
0.25 |
0.015625 |
≤0.0078125 |
1 |
≤0.0078125 |
| 9 |
0.125 |
0.5 |
0.125 |
0.125 |
0.03125 |
1 |
0.0625 |
| 10 |
2 |
4 |
0.5 |
0.5 |
0.5 |
2 |
1 |
| 11 |
0.125 |
0.125 |
32 |
0.0625 |
0.5 |
>128 |
8 |
| 12 |
≤0.0078125 |
0.0625 |
1 |
≤0.0078125 |
≤0.0078125 |
8 |
≤0.0078125 |
| 13 |
16 |
16 |
8 |
4 |
4 |
32 |
4 |
| 14 |
≤0.0078125 |
0.03125 |
1 |
≤0.0078125 |
≤0.0078125 |
8 |
≤0.0078125 |
| 15 |
0.03125 |
0.0625 |
0.125 |
0.03125 |
0.015625 |
1 |
0.03125 |
| 16 |
0.015625 |
0.03125 |
0.125 |
≤0.0078125 |
≤0.0078125 |
1 |
≤0.0078125 |
| 17 |
0.016 |
0.031 |
8 |
≤0.008 |
0.016 |
16 |
0.125 |
| 18 |
≤0.008 |
≤0.008 |
2 |
≤0.008 |
≤0.008 |
16 |
≤0.008 |
Table 8: MIC results of the clinically available glycopeptide antibiotics and 4-18 against Vancomycin-intermediate S. aureus LIM-2, NR-45881, Vancomycin-resistant (VanA) S. aureus HIP13419, NR-46413, and S. pneumoniae 153.
| |
S. aureus |
S. pneumoniae |
| LIM-2, NR-25881 |
HIP13419, NR-46413 |
153 |
| VISA |
VRSA |
S. P. |
| Vancomycin |
8 |
>128 |
0.5 |
| Teicoplanin |
16 |
32 |
0.031 |
| Telavancin |
0.25 |
4 |
≤0.008 |
| Dalbavancin |
1 |
16 |
≤0.008 |
| Oritavancin |
1 |
0.25 |
≤0.008 |
| 4 |
0.25 |
4 |
0.016 |
| 5 |
0.031 |
1 |
≤0.008 |
| 6 |
≤0.008 |
0.5 |
≤0.008 |
| 7 |
≤0.008 |
0.125 |
≤0.008 |
| 8 |
0.016 |
0.063 |
≤0.008 |
| 9 |
0.5 |
0.125 |
≤0.008 |
| 10 |
4 |
0.5 |
0.031 |
| 11 |
0.5 |
16 |
0.063 |
| 12 |
≤0.008 |
0.25 |
≤0.008 |
| 13 |
32 |
8 |
2 |
| 14 |
≤0.008 |
0.063 |
≤0.008 |
| 15 |
0.125 |
0.125 |
≤0.008 |
| 16 |
0.016 |
0.063 |
≤0.008 |
| 17 |
0.125 |
8 |
0.016 |
| 18 |
0.016 |
2 |
≤0.008 |
Table 9: Further
MIC results of the clinically available glycopeptide antibiotics and 4-18 against a panel of Gram-positive bacteria.
| |
S. aureus |
E. faecalis |
| NY-155, NR-46236 |
HIP12864, NR-46074 |
880, NR-49120 |
E1246 |
E7604 |
| MRSA |
VISA |
VRSA |
VRE (vanA) |
VRE (vanB) |
| Vancomycin |
2 |
8 |
>128 |
>128 |
16 |
| Teicoplanin |
0.5 |
4 |
16 |
>128 |
0.125 |
| Telavancin |
0.031 |
0.25 |
8 |
4 |
0.063 |
| Dalbavancin |
≤0.008 |
0.5 |
2 |
>128 |
0.031 |
| Oritavancin |
0.25 |
4 |
0.25 |
1 |
0.063 |
| 4 |
0.063 |
0.5 |
16 |
32 |
0.25 |
| 5 |
≤0.008 |
0.063 |
4 |
16 |
0.016 |
| 6 |
≤0.008 |
≤0.008 |
2 |
8 |
≤0.008 |
| 7 |
≤0.008 |
≤0.008 |
0.5 |
2 |
≤0.008 |
| 8 |
≤0.008 |
0.062 |
0.25 |
1 |
≤0.008 |
| 9 |
0.5 |
0.25 |
0.25 |
1 |
0.063 |
| 10 |
8 |
2 |
1 |
2 |
1 |
| 11 |
0.063 |
1 |
64 |
>128 |
8 |
| 12 |
≤0.008 |
0.063 |
1 |
8 |
≤0.008 |
| 13 |
16 |
16 |
8 |
32 |
4 |
| 14 |
≤0.008 |
0.031 |
1 |
8 |
≤0.008 |
| 15 |
0.125 |
0.125 |
0.5 |
1 |
0.031 |
| 16 |
≤0.008 |
0.031 |
0.5 |
1 |
≤0.008 |
| 17 |
0.031 |
≤0.016 |
8 |
16 |
0.125 |
| 18 |
≤0.008 |
≤0.016 |
2 |
16 |
≤0.008 |
Table 10: MIC results of the clinically available glycopeptide antibiotics and 5, 6, 7, 12, 14 and 16 against a panel of 31 vancomycin-resistant E. faecium strains.
| Strain |
Vancomycin |
Telavancin |
5 |
6 |
7 |
12 |
14 |
16 |
| E155 |
VanA |
>128 |
4 |
2 |
1 |
0.5 |
1 |
1 |
0.125 |
| E0013 |
VanA |
>128 |
4 |
4 |
1 |
0.5 |
2 |
2 |
0.25 |
| E0072 |
VanA |
>128 |
2 |
0.25 |
0.5 |
0.125 |
0.25 |
0.5 |
≤0.008 |
| E0300 |
VanA |
>128 |
8 |
4 |
2 |
0.5 |
1 |
4 |
0.25 |
| E0321 |
VanA |
>128 |
16 |
8 |
4 |
1 |
2 |
8 |
0.5 |
| E0333 |
VanA |
>128 |
8 |
8 |
4 |
1 |
2 |
8 |
0.5 |
| E0338 |
VanA |
>128 |
8 |
4 |
2 |
0.5 |
2 |
4 |
0.125 |
| E0341 |
VanA |
>128 |
8 |
8 |
4 |
1 |
2 |
4 |
0.25 |
| E0506 |
VanA |
>128 |
4 |
2 |
2 |
0.5 |
1 |
2 |
0.125 |
| E0745 |
VanA |
>128 |
4 |
1 |
0.25 |
0.125 |
0.25 |
1 |
0.031 |
| E1130 |
VanA |
>128 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E1441 |
VanA |
>128 |
8 |
4 |
2 |
1 |
2 |
4 |
0.5 |
| E1679 |
VanA |
>128 |
16 |
16 |
8 |
4 |
8 |
16 |
1 |
| E1763 |
VanA |
128 |
1 |
0.25 |
0.031 |
≤0.008 |
0.031 |
0.125 |
≤0.008 |
| E2297 |
VanA |
>128 |
4 |
2 |
1 |
0.5 |
1 |
2 |
0.125 |
| E2359 |
VanB |
128 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E2365 |
VanB |
16 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E2373 |
VanA |
>128 |
8 |
4 |
2 |
0.5 |
1 |
4 |
0.25 |
| E6016 |
VanA |
>128 |
4 |
1 |
0.5 |
0.25 |
0.5 |
2 |
0.063 |
| E7312 |
VanA |
>128 |
2 |
0.25 |
0.063 |
0.031 |
0.125 |
0.25 |
0.016 |
| E7314 |
VanB |
128 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E7319 |
VanA |
>128 |
8 |
0.5 |
0.125 |
0.063 |
0.25 |
0.5 |
0.031 |
| E7329 |
VanA |
1 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E7401 |
VanB |
16 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E7403 |
VanB |
16 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E7413 |
VanA |
>128 |
8 |
8 |
4 |
2 |
2 |
8 |
0.5 |
| E7424 |
VanB |
4 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E7464 |
VanB |
16 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E8218 |
VanB |
8 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E8235 |
VanB |
16 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
≤0.008 |
| E8237 |
VanA |
>128 |
16 |
8 |
2 |
1 |
2 |
4 |
0.25 |
| MIC50 |
128 |
4 |
1 |
0.5 |
0.125 |
0.25 |
1 |
0.031 |
| MIC90 |
128 |
8 |
8 |
4 |
1 |
2 |
8 |
0.5 |
Table 11: MIC results of the clinically available glycopeptide antibiotics and 5, 6, 7, 12, 14 and 16 against Gram-negative bacteria.
| |
Escherichia coli |
Klebsiella pneumoniae |
| ATCC 35218 |
ATCC 25922 |
W3110 |
ATCC 13883 |
ATCC 27736 |
JS265 |
| Vancomycin |
>128 |
>128 |
>128 |
>128 |
>128 |
>128 |
| Telavancin |
>128 |
>128 |
>128 |
>128 |
>128 |
>128 |
| 5 |
>128 |
>128 |
>128 |
>128 |
>128 |
>128 |
| 6 |
>128 |
>128 |
>128 |
>128 |
>128 |
>128 |
| 7 |
>128 |
>128 |
>128 |
>128 |
>128 |
>128 |
| 12 |
>128 |
>128 |
>128 |
>128 |
>128 |
>128 |
| 14 |
>128 |
>128 |
>128 |
>128 |
>128 |
>128 |
| 16 |
>128 |
>128 |
>128 |
>128 |
>128 |
>128 |
Table 12: MIC results of the clinically available glycopeptide antibiotics and
5, 12 and 16 against a panel of VISA and VRSA strains.
| |
Vancomycin |
Telavancin |
Oritavancin |
5 |
12 |
16 |
| VRS1 |
>128 |
8 |
1 |
16 |
4 |
0.5 |
| VRS2 |
32 |
2 |
0.25 |
0.25 |
<0.016 |
<0.016 |
| VRS3a |
64 |
1 |
0.5 |
0.25 |
<0.016 |
<0.016 |
| VRSA3b |
>128 |
4 |
0.25 |
1 |
0.25 |
0.063 |
| VRS4 |
>128 |
4 |
1 |
8 |
2 |
0.25 |
| VRS5 |
>128 |
4 |
0.5 |
4 |
1 |
0.25 |
| VRS7 |
>128 |
4 |
0.5 |
4 |
2 |
0.25 |
| VRS8 |
>128 |
16 |
1 |
16 |
4 |
1 |
| VRS9 |
>128 |
16 |
2 |
16 |
4 |
1 |
| VRS11a |
>128 |
8 |
1 |
16 |
4 |
1 |
| VRS11b |
>128 |
8 |
1 |
16 |
4 |
1 |
| NRS63SH |
>128 |
8 |
1 |
8 |
2 |
0.5 |
| BR-VRSA |
>128 |
8 |
0.25 |
4 |
1 |
0.5 |
| NRS17 |
8 |
1 |
4 |
0.25 |
0.5 |
0.25 |
| NRS18 |
8 |
0.25 |
1 |
0.125 |
0.25 |
0.063 |
| NRS19 |
4 |
0.25 |
1 |
0.063 |
0.25 |
0.063 |
| NRS51 |
4 |
0.125 |
0.5 |
0.031 |
0.125 |
0.016 |
| NRS52 |
4 |
0.25 |
0.5 |
0.031 |
0.031 |
0.016 |
[0140] The activity of the compounds was further assessed against
MRSA USA300 strain in the presence of sheep serum in another MIC assay. The cultures that grew in the presence of serum used TSB +
0.002% P80 + 50% sheep serum as growth media, as opposed to normal MICs done in only
TSB + 0.002% P80.
Table 13: MIC results of
clinically available glycopeptide antibiotics and 4-18 against MRSA USA300 in the presence of sheep serum.
| |
TSB + 0.002% p80 |
TSB + 0.002% p80 + 50% sheep serum |
| Vancomycin |
1 |
0.25 |
| Teicoplanin |
0.5 |
2 |
| Telavancin |
0.125 |
1 |
| Dalbavancin |
0.25 |
2 |
| Oritavancin |
0.063 |
0.25 |
| 4 |
0.063 |
0.063 |
| 5 |
0.016 |
0.031 |
| 6 |
≤0.008 |
0.063 |
| 7 |
≤0.008 |
0.063 |
| 8 |
0.063 |
0.125 |
| 9 |
0.5 |
1 |
| 10 |
4 |
16 |
| 11 |
0.125 |
0.063 |
| 12 |
0.063 |
0.063 |
| 13 |
16 |
64 |
| 14 |
0.031 |
0.063 |
| 15 |
0.063 |
1 |
| 16 |
0.031 |
0.063 |
| 17 |
0.031 |
0.125 |
| 18 |
≤0.008 |
0.031 |
Example 20: Testing of compounds in Hemolysis assay
[0141] In the hemolysis assay sheep blood was treated with the test compounds for 18 hours
to determine whether the compounds are lytic to these blood cells. Overall, when lipid
length was increased, the percentage hemolysis appeared to increase as well. However,
even at 1000-fold MIC (for some strains), many compounds did not have hemolytic properties,
meaning that these compounds are non-hemolytic at relevant concentrations (the data
obtained is summarized in Figure 1).
Example 21: Testing of compounds in UDP-MurNAc-pentapeptide accumulation assay
[0142] An UDP-MurNAc-pentapeptide accumulation assay was performed to elucidate part of
the mechanism of action of the compounds. UDP-MurNAc-pentapeptide is the last soluble
precursor of peptidoglycan cell wall biosynthesis. In this assay, live cells accumulate
this last soluble precursor when treated with compounds that interfere with the membrane
bound stages of peptidoglycan biosynthesis (
Sass, V. et al. Human beta-defensin 3 inhibits cell wall biosynthesis in Staphylococci.
Infect. Immun. 78, 2793-2800 (2010)). Five compounds (
5, 6, 7, 14, 16) were tested in the assay, and all showed accumulation of UDP-MurNAc-pentapeptide
(the data obtained is summarized in Figure 2), similar to what was observed for the
clinically used glycopeptides (data not shown). This indicates that part of the mechanism
of action of the molecules involves interference with the cell wall biosynthesis in
Gram-positive bacteria. The assay was performed for
S.
aureus ATCC29213 (as illustrated in Figure 2),
E. faecium E155,
E. faecium E7314, and
E. faecium E980 and accumulation of UDP-MurNAc-pentapeptide was visible for all tested compounds
in all of these tested strains (data not shown).
Example 22: Testing of compounds in Lipid II antagonization assay
[0143] Lipid II is a known target of vancomycin and other glycopeptides (
Ling, L. L. et al. A new antibiotic kills pathogens without detectable resistance.
Nature 517, 455 (2015);
Breukink, E. & de Kruijff, B. Lipid II as a target for antibiotics. Nat. Rev. Drug
Discov. 5, 321-323 (2006)). In the antagonization assay, lipid II is co-incubated with the test antibiotics
in the presence of bacterial culture. When lipid II binds the glycopeptides, the binding
of these antibiotics to their target in the growing bacterial culture is antagonized.
This ultimately results in diminished activity of the antibiotics and bacterial growth
which normally would not be visible (at 8xMIC) becomes visible. Therefore, this assay
could be used to determine if part of the mechanism of action of our compounds involves
binding to lipid II. Bacterial growth was visible after co-incubation with lipid II
for all five tested compounds (
5,
6, 7, 14, 16), indicating that binding of the compounds to lipid II is part of their mode of action,
as is the case for other clinically used glycopeptide antibiotics (the data obtained
is summarized in Table 11).
Table 11. Lipid II antagonization assay. - means no visible growth, + means visible growth.
| |
without lipid II |
with lipid II |
| Vancomycin |
- |
+ |
| Telavancin |
- |
+ |
| 5 |
- |
+ |
| 6 |
- |
+ |
| 7 |
- |
+ |
| 14 |
- |
+ |
| 16 |
- |
+ |
Example 23: Testing of compounds in Resistance development serial
[0144] passage assayA resistance development serial passage assay was performed as described herein in
the "Assays" section. The result obtained in this assay are depicted in Figure 3.
As is apparent from the results, when MRSA was serially passaged over 30 days in the
presence of sub-lethal antibiotic concentrations, compounds
5 and
16 did not induce resistance, whereas clinically used daptomycin induced significant
resistance levels, increasing the MIC 16-fold. In a VanA-type VRE strain this difference
was even more pronounced: low levels of resistance induction were seen for compounds
5 and
16, as opposed to the high resistance induction of a 128-fold MIC increase for daptomycin.
Example 24: Testing of compounds in time kill assay
[0145] A time kill assay was performed as described herein in the "Assays" section. The
result obtained in this assay are depicted in Figure 4.
Example 25: Mammalian cytotoxicity assay
[0146] A mammalian cytotoxicity assay was performed as described herein in the "Assays"
section. The results obtained in this assay are depicted in Table 12.
Table 12: MEC and AC
50 of selected glycopeptides after 24h as measured by MTT assay in HepG2 cells grown
in the presence of 10% FBS (replicates per concentration n = 3).
| |
Direction of response (↑↓) |
MEC (µM) |
AC50 (µM) |
| carbonyl cyanide 3-chlorophenylhydrazone |
|
NRe |
NRe |
| Chropromazine |
↓ |
12.4 |
19.0 |
| Vancomycin |
|
NRe |
NRe |
| Telavancin |
|
NRe |
NRe |
| Oritavancin |
↓ |
76.5 |
>100 |
| Compound 5 |
|
NRe |
NRe |
| Compound 12 |
|
NRe |
NRe |
| Compound 16 |
↓ |
76.1 |
89.9 |
Example 26: In vivo studies
[0147] Several in vivo studies were performed as described herein in the "Assays" section.
In particular, the tolerability, PK and efficacy of the compounds were assessed.
Tolerability
[0148] 100 mg/kg (SC) administration of compound
5 to two mice was well tolerated. No adverse effects and normal gross morphology was
observed.
PK
[0149] Compound
5 was administered subcutaneous at 3 mg kg
-1 in mice, followed by serial sampling. Data are mean ± SD (n=3). The obtained PK data
is depicted in Figure 5 and Table 13.
Table 13: Individual and mean/median mouse pharmacokinetic parameters of compound
5 (3 mg kg
-1, subcutaneous).
| |
Sample 1 |
Sample 2 |
Sample 3 |
Mean / Median |
SD |
| C0 / Cmax (ng mL-1) |
1989 |
1903 |
1546 |
1813 |
235 |
| C0 / Cmax (nM) |
1174 |
1123 |
912 |
1070 |
139 |
| Clast (ng mL-1) |
85.3 |
34.4 |
44.2 |
54.6 |
27.0 |
| tlast (h) |
8.00 |
8.00 |
8.00 |
8.00 |
|
| tmax (h) |
1.00 |
1.00 |
2.00 |
1.00 |
|
| t1/2 (h) |
1.43 |
1.05 |
1.17 |
1.22 |
0.196 |
| CL / CL_F (mL min-1 kg- 1) |
9 |
9 |
10 |
9.30 |
0.944 |
| AUCinf (ng hr mL -1) |
5664 |
5759 |
4814 |
5412 |
520 |
| AUCinf (nM hr) |
3342 |
3398 |
2841 |
3194 |
307 |
| AUC0-t(ng hr mL-1) |
5487 |
5707 |
4740 |
5311 |
507 |
| AUC0-t(nM hr) |
3238 |
3368 |
2797 |
3134 |
299 |
| Number of Points used for Lambda z |
3 |
3 |
3 |
3 |
|
| AUC % Extrapolation to infinity |
3.1 |
0.9 |
1.6 |
1.9 |
1.1 |
Efficacy
[0150] Colony forming units in neutropenic mice infected in each thigh with MRSA followed
1 h later by the first subcutaneous dose of antibiotic at concentrations indicated
and subsequently the same dose at indicated intervals, with sacrifice and bacterial
load determination in homogenized thighs at 23 h post treatment (24 h post infection).
A significant difference was found between vehicle and vancomycin at 25 mg kg
-1 (q12h) as well as between vehicle and compound
5 at both 3 mg kg
-1 and 10 mg kg
-1 (q6h) (all p<0.0001). A significant difference was found between vancomycin at 25
mg kg
-1 and compound
5 at 10 mg kg
-1 (p<0.0001) as well, whereas no significant difference was found between vancomycin
at 25 mg kg
-1 and compound
5 at 3 mg kg
-1. A significant difference was found between the two different compound
5 doses (p=0.0001). Vancomycin (25 mg kg
-1) and compound
5 (3 mg kg
-1 and 10 mg kg
-1) also showed a significant reduction in thigh burden compared to pretreatment (p=0.0042,
p=0.0001 and p<0.0001 respectively). Data are mean ± SEM (n=12, six mice per group,
two thighs per mouse). The data obtained in this efficacy study is depicted in Figure
6.
Table 14: Thigh burdens in colony forming units (CFU) g
-1. BLD= below limit of detection.
| Pretreatment |
Vehicle q6h |
Vancomycin 25 mg kg-1 q12h) |
Compound 5 3 mg kg-1 q6h |
Compound 5 10 mg kg-1 q6h |
| 76075 |
488345865 |
106 |
42132 |
7984 |
| 80434 |
3971232877 |
825 |
7735 |
81 |
| 83111 |
555841584 |
1030 |
3885 |
34 |
| 86078 |
835263158 |
2023 |
113 |
368 |
| 90667 |
987022901 |
1148 |
368 |
35 |
| 100286 |
722195122 |
142564 |
456 |
77 |
| 73102 |
512903226 |
4605085 |
9139 |
96 |
| 85217 |
814594595 |
283390 |
666 |
76 |
| 121720 |
855384615 |
1204 |
350 |
40 |
| 73286 |
1851351351 |
310 |
587 |
BLD |
| 89346 |
1471428571 |
BLD |
75 |
158 |
| 110505 |
2851282051 |
6736 |
113 |
BLD |
Colony
[0151]
Table 15: Kruskal-Wallis statistical comparison of thigh burden. Corrected for multiple comparisons,
StatsDirect-Conover-Inman. NS = not significant.
| |
Vehicle q6h |
Compound 5 3 mg kg-1 q6h |
Compound 5 10 mg kg-1 q6h |
Vancomycin 25 mg kg-1 q12h |
| Pretreatment |
p=0.004 |
p=0.0001 |
p<0.0001 |
p=0.0042 |
| Vehicle q6h |
|
p<0.0001 |
p<0.0001 |
p<0.0001 |
| Compound 5 (3 mg kg-1 q6h) |
|
|
|
|
| Compound 5 (10 mg kg-1 q6h) |
|
|
|
|
| Vancomycin (25 mg kg-1 q12h) |
|
|
|
|