Diamide inhibitors of cytochrome P450
AssigneeSequoia Pharmaceuticals, Inc.
InventorsMichael Eissenstat, Dehui Duan
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Abstract
Methods of inhibiting cytochrome P450 enzymes are provided that can be used for improving the treatment of diseases by preventing degradation of drugs or other molecules by cytochrome P450. Pharmaceutical compositions are provided that can act as boosters to improve the pharmacokinetics, enhance the bioavailability, and enhance the therapeutic effect of drugs that undergo in vivo degradation by cytochrome P450 enzymes.
Claims22
A method of inhibiting cytochrome P450 monooxygenase in a subject, comprising administering to said subject in need thereof an effective amount of a compound having the formula:
- wherein:
- m is 1-3;
- at least one of R1, R2, R3, R4, R5, and R6 is C1-C6 alkyl substituted with an otherwise unsubstituted benzofuran, wherein said alkyl is linked to the 4, 5, 6, or 7 position of the benzofuran;
- each R1, R2, R3, R4, R5, and R6 independently is selected from the group consisting of H, optionally substituted C1-C8 alkyl, optionally C3-C8 cycloalkyl, optionally substituted cycloalkylalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heteroaryl, optionally substituted heteroaralkyl, optionally substituted heterocyclo, optionally substituted heterocycloalkyl, and optionally substituted heterocycloalkylalkyl;
- where each optional substituent is independently selected from the group consisting of halo, —CN, —NO2, —COnR, —CON(R)2, —C(S)R, —C(S)N(R)2, —SOnN(R)2, —SR, —SOnR, —N(R)2, —N(R)COnR, —NRS(O)nR, —NRC[═N(R)]N(R)2, —N(R)N(R)COnR, —NRPOnN(R)2, —NRPOnOR, oxo, ═N—OR, ═N—N(R)2, ═NR, ═NNRC(O)N(R)2, ═NNRCOnR, ═NNRS(O)nN(R)2, ═NNRS(O)n(R)C1-C8 alkyl, OR, C1-C8 alkyl, C2 —C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C5-C8 cycloalkenyl, heterocyclo, aryl, and heteroaryl;
- each R is independently selected from the group consisting of:
- H, C1-C8 alkyl, C3-C8 cycloalkyl, cycloalkylalk, aryl, aralkyl, heteroaryl, heteroaralkyl, heterocyclo, heterocycloalkyl, and heterocycloalkylalkyl;
- and
- each n is independently 1 or 2;
- or a stereoisomeric form or pharmacologically acceptable salt thereof;
- provided that at least two of R1, R2, R3, R4, R5, and R6 are not H;
- and
- provided that when R1 and R2 are isobutyl, R3 and R4 are H, and R5 is CH2-[5]-benzofuranyl, then R6 cannot be —CH2-4-pyridyl, —CH2-1,5-dimethyl-3-pyrazolyl, or —CH2-4-methyl-2-thiazolyl.
A method of reducing toxicity in a subject of a compound that is metabolized by cytochrome P450 monooxygenase to a toxic metabolite, comprising administering to said subject in need thereof an effective amount of a compound having the formula:
- wherein:
- m is 1-3;
- at least one of R1, R2, R3, R4, R5, and R6 is C1-C6 alkyl substituted with an otherwise unsubstituted benzofuran, wherein said alkyl is linked to the 4, 5, 6, or 7 position of the benzofuran;
- each R1, R2, R3, R4, R5, and R6 independently is selected from the group consisting of H optionally substituted C1-C8 alkyl, optionally substituted C3-C8 cycloalkyl, optionally substituted cycloalkylalkyl, optionally substituted aryl, optionally substituted aralkyl, optionally substituted heteroaryl, optionally substituted heteroaralkyl, optionally substituted heterocyclo, optionally substituted heterocycloalkyl, and optionally substituted heterocycloalkylalkyl;
- where each optional substituent is independently selected from the group consisting of halo, —CN, —NO2, —COnR, —CON(R)2, —C(S)R, —C(S)N(R)2, —SOnN(R)2, —SR, —SOnR, —N(R)2,—N(R)COnR, —NRS(O)nR, —NRC[═N(R)]N(R)2, —N(R)N(R)COnR, —NRPOnN(R)2, —NRPOnOR, oxo, ═N—OR, ═N—N(R)2, ═NR, ═NNRC(O)N(R)2, ═NNRCOnR, ═NNRS(O)nN(R)2, ═NNRS(O)n(R)C1-C8 alkyl, OR, C1-C8 alkyl, C2 —C6 alkenyl, C2-C6 alkynyl, C3-C8 cycloalkyl, C5-C8 cycloalkenyl, heterocyclo, aryl, and heteroaryl;
- each R is independently selected from the group consisting of:
- H, C1-C8 alkyl, C3-C8 cycloalkyl, cycloalkylalk, aryl, aralkyl, heteroaryl, heteroaralkyl, heterocyclo, heterocycloalkyl, and heterocycloalkylalkyl;
- and
- each n is independently 1 or 2;
- or a stereoisomeric form or pharmacologically acceptable salt thereof;
- provided that at least two of R1, R2, R3, R4, R5, and R6 are not H;
- and
- provided that when R1 and R2 are isobutyl, R3 and R4 are H, and R5 is CH2-[5]-benzofuranyl, then R6 cannot be —CH2-4-pyridyl, —CH2-1,5-dimethyl-3-pyrazolyl, or —CH2-4-methyl-2-thiazolyl.
Dependencies are inferred from the claim text.