Novel methods of treating hearing loss
US-2024390323-A1 · Nov 28, 2024 · US
US12318388B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-12318388-B2 |
| Application number | US-202117327551-A |
| Country | US |
| Kind code | B2 |
| Filing date | May 21, 2021 |
| Priority date | Apr 18, 2019 |
| Publication date | Jun 3, 2025 |
| Grant date | Jun 3, 2025 |
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New pyrimidine derivatives together with a membrane penetrating agent, optionally with a detectable isotope and pharmaceutical composition for use in treatment or prevention of Gram-negative bacterial infection in a host mammal in need of such treatment or prevention and use as inhibitors of Gram-negative biofilm formation on a surface of biomaterial or medical device, particularly of cardiovascular device such as prosthetic heart valve or pacemakers. New pyrimidine derivatives together with a membrane penetrating agent; for use as radiotracer in diagnosing or prognosing Gram-negative bacterial infection in a host mammal.
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What is claimed is: 1. A method of treating or reducing the risk of a Gram-negative bacterial infection in a host mammal in need of such treatment or reduction of the risk of a Gram-negative bacterial infection, comprising administering to the host mammal: (a) a pharmaceutical composition comprising a pyrimidine derivative represented by formula (I): or an optical isomer, a racemic mixture of optical isomers, a pharmaceutically acceptable acid addition salt, a pharmaceutically acceptable metal salt, or an alkylated ammonium salt thereof; and (b) a membrane penetrating agent; wherein: X 1 and X 2 are independently N, CH, or CR 8 , wherein R 8 is C 1-6 alkyl, C 2-6 alkenyl or C 2-6 alkynyl; with the exception that if one of X 1 or X 2 is equal to N, then the remaining of X 1 or X 2 is selected from CH and CR 8 , —Y— is —O— or —S—; R 1 and R 2 are independently C 1-6 -alkyl, C 2-6 -alkenyl, C 2-6 -alkynyl, C 3-6 -cycloalkyl, aryl, or aryl-C 1-6 -alkyl wherein the alkyl or cycloalkyl moiety is optionally mono or polysubstituted with OH or an halogen and the aryl moiety is optionally mono or polysubstituted with an halogen, —C 1-6 alkyl, —C 1-6 alkoxy, —OH, —NO 2 , —CN, —NH 2 , —NHR 8 , —N(R 8 ) 2 —COOH, —COOR 8 , —CONH 2 , —CONHR 8 , —CON(R 8 ) 2 , —SO 2 NH 2 , —SO 2 NHR 8 , or —SO 2 N(R 8 ) 2 ; and R 3 , R 4 , R 5 , R 6 and R 7 are independently H, an halogen, a C 1-6 alkyl, C 1-6 alkoxy, —OH, —NO 2 , —CN, —NH 2 , —NHR 8 , —N(R 8 ) 2 —COOH, —COOR 8 , —CONH 2 , —CONHR 8 , —CON(R 8 ) 2 , —SO 2 NH 2 , —SO 2 NHR 8 , or —SO 2 N(R 8 ) 2 . 2. The method according to claim 1 , wherein R 3 and R 7 are hydrogen and R 4 and R 5 are independently a halogen. 3. The method according to claim 1 , wherein X 1 is CH or CR 8 and X 2 is N. 4. The method according to claim 3 , wherein the pyrimidine derivative is selected from the group consisting of: N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-methyl-2-(propylthio)-9H-purin-6-amine (1c); 9-methyl-N-((1R,2S)-2-phenylcyclopropyl)-2-(propylthio)-9H-purin-6-amine (2c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-ethyl-2-(propylthio)-9H-purin-6-amine (3c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-propyl-2-(propylthio)-9H-purin-6-amine (4c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-isopropyl-2-(propylthio)-9H-purin-6-amine (5c); 9-cyclopropyl-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (6c); 9-butyl-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (7c); 9-(sec-butyl)-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (8c); 9-(tert-butyl)-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (9c); 9-cyclobutyl-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (10c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-pentyl-2-(propylthio)-9H-purin-6-amine (11c); 9-cyclopentyl-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (12c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-hexyl-2-(propylthio)-9H-purin-6-amine (13c); 9-cyclohexyl-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (14c); 9-allyl-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (15c); 2-(6-(((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl) amino)-2-(propylthio)-9H-purin-9-yl) ethanol (16c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-(prop-2-yn-1-yl)-2-(propylthio)-9H-purin-6-amine (17c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9-(2,2,2-trifluoroethyl)-9H-purin-6-amine (18c); (1S,2R,3S,4R)-4-(6-(((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl) amino)-2-(propylthio)-9H-purin-9-yl) cyclopentane-1,2,3-triol (19d); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(ethylthio)-9-methyl-9H-purin-6-amine (20c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-ethyl-2-(ethylthio)-9//-purin-6-amine (21c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-methyl-2-(methylthio)-9H-purin-6-amine (22c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-methyl-2-propoxy-9H-purin-6-amine hydrochloride (23t·HCl); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-ethyl-2-(methylthio)-9H-purin-6-amine (24c); 2-(butylthio)-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-methyl-9H-purin-6-amine (25c); and 2-(butylthio)-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-ethyl-9H-purin-6-amine (26c); or an optical isomer, a racemic mixture of optical isomers, pharmaceutically acceptable acid addition salts, pharmaceutically acceptable metal salts, or alkylated ammonium salts thereof. 5. The method according to claim 3 , wherein the pyrimidine derivative is selected from the group consisting of: N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-methyl-2-(propylthio)-9H-purin-6-amine (1c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-ethyl-2-(propylthio)-9H-purin-6-amine (3c); 9-allyl-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (15c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-(prop-2-yn-1-yl)-2-(propylthio)-9H-purin-6-amine (17c); (1S,2R,3S,4R)-4-(6-(((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl) amino)-2-(propylthio)-9H-purin-9-yl) cyclopentane-1,2,3-triol (19d); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-methyl-2-(methylthio)-9H-purin-6-amine (22c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-ethyl-2-(methylthio)-9H-purin-6-amine (24c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(ethylthio)-9-methyl-9H-purin-6-amine (20c); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-ethyl-2-(ethylthio)-9H-purin-6-amine (21c); and 2-(butylthio)-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-methyl-9H-purin-6-amine (25c); or an optical isomer, a racemic mixture of optical isomers, pharmaceutically acceptable acid addition salts, pharmaceutically acceptable metal salts, or alkylated ammonium salts thereof. 6. The method according to claim 3 , wherein the pyrimidine derivative is selected from the group consisting of: N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-methyl-2-(propylthio)-9H-purin-6-amine (1c); 9-allyl-N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-2-(propylthio)-9H-purin-6-amine (15c); and N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-9-(prop-2-yn-1-yl)-2-(propylthio)-9H-purin-6-amine (17c) (1S,2R,3S,4R)-4-(6-(((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl) amino)-2-(propylthio)-9H-purin-9-yl) cyclopentane-1,2,3-triol (19d). 7. The method according to claim 1 , wherein X 1 is N and X 2 is CH or CR 8 . 8. The method according to claim 7 , wherein the pyrimidine derivative is selected from the group consisting of: N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-1-methyl-6-(methylthio)-1H-pyrazolo[3,4-d]pyrimidin-4-amine (27k); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-6-(ethylthio)-1-methyl-1H-pyrazolo[3,4-d]pyrimidin-4-amine hydrochloride (28x·HCl); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-6-(propylthio)-1-methyl-1H-pyrazolo[3,4-d]pyrimidin-4-amine hydrochloride (29x·HCl); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-1-ethyl-6-(methylthio)-1H-pyrazolo[3,4-d]pyrimidin-4-amine (30k); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-1-ethyl-6-(ethylthio)-1H-pyrazolo[3,4-d]pyrimidin-4-amine hydrochloride (31x·HCl); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-1-ethyl-6-(propylthio)-1H-pyrazolo[3,4-d]pyrimidin-4-amine hydrochloride (32x·HCl); N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-1-isopropyl-6-(methylthio)-1H-pyrazolo[3,4-d]pyrimidin-4-amine hydrochloride (33k·HCl); and N-((1R,2S)-2-(3,4-difluorophenyl)cyclopropyl)-6-(methylt
having six-membered rings with two nitrogen atoms as the only ring hetero atoms, e.g. piperazine · CPC title
Cyclic peptides {, e.g. bacitracins; Polymyxins; Gramicidins S, C; Tyrocidins A, B or C (A61K38/043 - A61K38/046 take precedence)} · CPC title
having two or more relevant hetero rings, condensed among themselves or with a common carbocyclic ring system · CPC title
having rings with four or more nitrogen atoms as the only ring hetero atoms · CPC title
Antibacterial agents · CPC title
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