Beta-lactamase inhibitors
AssigneeCubist Pharmaceuticals, Inc.
InventorsYu Gui Gu, Yong He, Ning Yin, Dylan C. Alexander, Jason B. Cross, Robert Busch, Roland E. Dolle, Chester A. Metcalf, III
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Abstract
Aryl substituted diazabicyclooctanes (DBO) compounds that inhibit β-lactamases of class A, class C or class D and potentiate β-lactam antibiotics are disclosed. In particular, this disclosure provides DBO compounds that, when used in the disclosed Synergy MIC Assay with a β-lactam antibiotic at a fixed concentration have an MIC of 8 μg/mL or less against one or more isogenic β-lactamase expressing bacterial strains.
Claims6
A compound of Formula I or a pharmaceutically-acceptable salt thereof, wherein the compound of Formula I, when used in the Synergy MIC Assay of Example 23 with an antibiotic selected from ceftolozane or ceftazidime at a fixed concentration of 4 μg/mL, has an MIC of 8 μg/mL or less against one or more isogenic β-lactamase expressing bacterial strains from Table X.
- wherein
- Z is a five-membered heteroaryl ring containing from one to four hetero atoms selected from N, O or S;
- R is selected
- from
- and
- R1 is selected from:
- a. hydrogen,
- b. cyano,
- c. (C1-C3)-unsubstituted alkyl,
- d. (C1-C3)-alkyl substituted with at least one substituent selected from hydroxyl,
- wherein each of R2, R3 and R4 is independently selected from hydrogen, (C1-C3)-alkyl, aminoalkyl, aminocycloalkyl, or hydroxyalkyl,
- e.
- wherein R5 is selected from H or aminoalkyl,
- f.
- g. amino,
- h. (C1-C3)alkylamino, or
- i. a 4-6 membered heterocyclyl containing 1-2 heteroatoms selected from O and N, or NX, wherein X is H,
- provided that the compound of Formula (I) is not a compound wherein:
- (1) Z is imidazol-2-yl, R1* is hydrogen and R* is OSO3H;
- (2) Z is 1,2,4-triazol-5-yl, R1* is methyl and R* is OSO3H;
- (3) Z is 5-oxo-1,3,4-oxadiazol-2-yl, R1* is hydrogen or piperidin-4-yl, and R* is OSO3H;
- (4) Z is 1,2,3-triazol-4-yl, R1* is methyl and R* is OSO3H;
- (5) Z is pyrazol-3-yl, R1* is hydrogen or methyl, and R* is OSO3H;
- or
- (6) Z is oxazol-2-yl, R1* is hydrogen and R* is OSO3H;
- wherein
- Table X is:
- TABLE X
- GenBank
- Accession
- Species
- Number
- β-
- Origin
- of β-
- Lactamase
- Name & SEQ. ID of
- β-
- of β-
- Lactamase
- Expressing
- plasmids producing
- Lactamase
- Lactamase
- Gene
- Strain
- β-Lactamase
- Class
- Gene
- Sequence
- KPC-2
- pBR-CBST-KPC-2
- A
- K.
- EU784136
- SEQ ID 6
- pneumoniae
- CTX-M-15
- pBR-CBST-CTX-M-15
- A
- K.
- JF775516
- SEQ ID 7
- pneumoniae
- SHV-12
- pBR-CBST-SHV-12
- A
- K.
- AY008838
- SEQ ID 8
- pneumoniae
- P99 AmpC
- pBR-CBST-P99 AMPC
- C
- E.
- XO7274
- SEQ ID 9
- cloacea
- OXA-15
- pBR-CBST-OXA-15
- D
- P.
- PAU63835
- SEQ ID 10
- aeruginosa
A compound of Formula (I) or a pharmaceutically acceptable salt thereof that has a inhibition kinetics of at least 250 mM1s1 according to the assay described in Example 24:
- wherein
- Z is a five-membered heteroaryl ring containing from one to four hetero atoms selected from N, O or S;
- R is selected
- from
- and
- R1 is selected from:
- a. hydrogen,
- b. cyano,
- c. (C1-C3)-unsubstituted alkyl,
- d. (C1-C3)-alkyl substituted with at least one substituent selected from hydroxyl,
- wherein each of R2, R3 and R4 is independently selected from hydrogen, (C1-C3)-alkyl, aminoalkyl, aminocycloalkyl, or hydroxyalkyl,
- e.
- wherein R5 is selected from H or aminoalkyl,
- f.
- g. amino,
- h. (C1-C3)alkylamino, or
- i. a 4-6 membered heterocyclyl containing 1-2 heteroatoms selected from O and N, or NX, wherein X is H,
- provided that the compound of Formula (I) is not a compound wherein:
- (1) Z is imidazol-2-yl, R1* is hydrogen and R* is OSO3H;
- (2) Z is 1,2,4-triazol-5-yl, R1* is methyl and R* is OSO3H;
- (3) Z is 5-oxo-1,3,4-oxadiazol-2-yl, R1* is hydrogen or piperidin-4-yl, and R* is OSO3H;
- (4) Z is 1,2,3-triazol-4-yl, R1* is methyl and R* is OSO3H;
- (5) Z is pyrazol-3-yl, R1* is hydrogen or methyl, and R* is OSO3H;
- or
- (6) Z is oxazol-2-yl, R1* is hydrogen and R* is OSO3H;
- wherein
- Table X is:
- TABLE X
- GenBank
- Accession
- Species
- Number
- β-
- Origin
- of β-
- Lactamase
- Name & SEQ. ID of
- β-
- of β-
- Lactamase
- Expressing
- plasmids producing
- Lactamase
- Lactamase
- Gene
- Strain
- β-Lactamase
- Class
- Gene
- Sequence
- KPC-2
- pBR-CBST-KPC-2
- A
- K.
- EU784136
- SEQ ID 6
- pneumoniae
- CTX-M-15
- pBR-CBST-CTX-M-15
- A
- K.
- JF775516
- SEQ ID 7
- pneumoniae
- SHV-12
- pBR-CBST-SHV-12
- A
- K.
- AY008838
- SEQ ID 8
- pneumoniae
- P99 AmpC
- pBR-CBST-P99 AMPC
- C
- E.
- XO7274
- SEQ ID 9
- cloacea
- OXA-15
- pBR-CBST-OXA-15
- D
- P.
- PAU63835
- SEQ ID 10
- aeruginosa
A compound of Formula (AI) or a pharmaceutically acceptable salt thereof:
- wherein
- Z is a five-membered heteroaryl ring containing from one to four hetero atoms selected from N, O or S;
- R* is selected from
- and
- R1* is selected from:
- a. hydrogen;
- b.
- wherein R2* is selected from
- R2* is selected from
- R3* is selected from hydrogen, (C1-C3)-alkyl, aminoalkyl, aminocycloalkyl, hydroxyalkyl,
- each of R4*, R5*, R6*and R7* is independently selected from hydrogen or (C1-C6)-alkyl, aminoalkyl, aminocycloalkyl, and hydroxyalkyl, provided that at least one of R4*, R5*, R6*and R7* is hydrogen,
- n is selected from 1, 2, 3 and 4, and
- m is selected from 1, 2 and 3;
- c.
- wherein R8* is selected from NH2,
- wherein each of R4*, R5*, R6*and R7* is as described previously and each of R9, R10 and R11 is independently selected from hydrogen or (C1-C6)-alkyl, provided that at least one of R9, R10, and R11 is hydrogen;
- d. amino;
- e.
- wherein Z is selected from CR12R13 or NR14,
- each of R12 and R13 is independently selected from H, NH2 and
- wherein each of R4*, R5*, R6*and R7* is as described previously,
- alternatively, R12 and R13 together with the carbon to which they are attached, form a cycloalkyl or heterocyclyl ring containing 4-6 ring members,
- R14 is selected from H and
- wherein each of R15, R16 and R17 is independently selected from hydrogen, (C1-C6)-alkyl, aminoalkyl, aminocycloalkyl, and hydroxyalkyl, provided that at least one of R15, R16 and R17 is hydrogen,
- R18 is selected from NH2 and
- wherein each of R4*, R5*, R6*and leis as described previously,
- each of p* and q* is independently selected from 0, 1, 2 and 3,
- T is selected from NH and O
- t is selected from 0, 1, 2, 3, and 4, and
- each of r and y is independently selected from 0 and 1;
- f.
- wherein R19 is selected from NH2 and
- wherein each of R4*, R5*, R6*and R7* is as described previously,
- R20 is selected from amino and hydroxyl, and
- w is selected from 0 and 1;
- g.
- h.
- wherein each of R4*, R5*, R6*and R7* is as described previously;
- i.
- wherein R21 is selected from NH2, —NH(C1-C3)-alkyl and
- wherein each of R4*, R5*, R6*and R7* is as described previously,
- s is selected from 0 and 1, and
- v is selected from 0, 1, 2, and 3;
- j.
- k.
- wherein M is selected from NR22, CR23R24 and O,
- wherein R22 is H or
- wherein each of R15, R16 and R17 is as described previously,
- each of R23 and R24 is independently selected from H, NH2 and
- wherein each of R4*, R5*, R6*and R7* is as described previously, and
- u is selected from 0, 1 and 2;
- l.
- m.
- n.
- o. (C1-C3)-unsubstituted alkyl;
- and
- p.
- provided that the compound of Formula (A-I) is not a compound wherein:
- (1) Z is imidazol-2-yl, R1* is hydrogen and R* is OSO3H;
- (2) Z is 1,2,4-triazol-5-yl, R1* is methyl and R* is OSO3H;
- (3) Z is 5-oxo-1,3,4-oxadiazol-2-yl, R1* is hydrogen or piperidin-4-yl, and R* is OSO3H;
- (4) Z is 1,2,3-triazol-4-yl, R1* is methyl and R* is OSO3H;
- (5) Z is pyrazol-3-yl, R1* is hydrogen or methyl, and R* is OSO3H;
- or
- (6) Z is oxazol-2-yl, R1* is hydrogen and R* is OSO3H.
Dependencies are inferred from the claim text.