WO2004011436A1 - Quinoline derivatives and their use as mycobacterial inhibitors - Google Patents
Quinoline derivatives and their use as mycobacterial inhibitors Download PDFInfo
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- WO2004011436A1 WO2004011436A1 PCT/EP2003/050322 EP0350322W WO2004011436A1 WO 2004011436 A1 WO2004011436 A1 WO 2004011436A1 EP 0350322 W EP0350322 W EP 0350322W WO 2004011436 A1 WO2004011436 A1 WO 2004011436A1
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- 0 C*(CCC(c1cccc2c1cccc2)=O)Cc1ccccc1 Chemical compound C*(CCC(c1cccc2c1cccc2)=O)Cc1ccccc1 0.000 description 2
- CKDZJLBQRUUPHN-UHFFFAOYSA-N Brc(cc1)cc2c1ncc(Cc1ccccc1)c2 Chemical compound Brc(cc1)cc2c1ncc(Cc1ccccc1)c2 CKDZJLBQRUUPHN-UHFFFAOYSA-N 0.000 description 1
- TZNZMTAIOJDNJP-UHFFFAOYSA-N CN(C)CCC(C(c1ccccc1)c1cc(cc(cc2)Br)c2nc1OC)(c1cc(F)ccc1)O Chemical compound CN(C)CCC(C(c1ccccc1)c1cc(cc(cc2)Br)c2nc1OC)(c1cc(F)ccc1)O TZNZMTAIOJDNJP-UHFFFAOYSA-N 0.000 description 1
- CFPPFXNAPDMERR-UHFFFAOYSA-N Cc1ccc(C(C(CCN(C)C)(c2c(cccc3)c3ccc2)O)c(cc(cc(cc2)Br)c2n2)c2OC)cc1 Chemical compound Cc1ccc(C(C(CCN(C)C)(c2c(cccc3)c3ccc2)O)c(cc(cc(cc2)Br)c2n2)c2OC)cc1 CFPPFXNAPDMERR-UHFFFAOYSA-N 0.000 description 1
Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D215/00—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
- C07D215/02—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
- C07D215/16—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D215/20—Oxygen atoms
- C07D215/22—Oxygen atoms attached in position 2 or 4
- C07D215/227—Oxygen atoms attached in position 2 or 4 only one oxygen atom which is attached in position 2
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- C07D215/00—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
- C07D215/02—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
- C07D215/16—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D215/20—Oxygen atoms
- C07D215/22—Oxygen atoms attached in position 2 or 4
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
- A61P31/06—Antibacterial agents for tuberculosis
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- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D215/00—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
- C07D215/02—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
- C07D215/16—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D215/36—Sulfur atoms
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- C—CHEMISTRY; METALLURGY
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- C07D—HETEROCYCLIC COMPOUNDS
- C07D215/00—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
- C07D215/02—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
- C07D215/16—Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D215/48—Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D231/00—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings
- C07D231/02—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings
- C07D231/10—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
- C07D231/12—Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to ring carbon atoms
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D233/00—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
- C07D233/54—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
- C07D233/56—Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members with only hydrogen atoms or radicals containing only hydrogen and carbon atoms, attached to ring carbon atoms
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D249/00—Heterocyclic compounds containing five-membered rings having three nitrogen atoms as the only ring hetero atoms
- C07D249/02—Heterocyclic compounds containing five-membered rings having three nitrogen atoms as the only ring hetero atoms not condensed with other rings
- C07D249/08—1,2,4-Triazoles; Hydrogenated 1,2,4-triazoles
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- C—CHEMISTRY; METALLURGY
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- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
- C07D401/06—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
- C07D401/12—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
- C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
- C07D405/04—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
- C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
- C07D405/06—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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- C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
- C07D409/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
- C07D409/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings directly linked by a ring-member-to-ring-member bond
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
- C07D409/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
- C07D409/06—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D471/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
- C07D471/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
- C07D471/04—Ortho-condensed systems
Definitions
- the present invention relates to novel substituted quinoline derivatives useful for the treatment of mycobacterial diseases, particularly those diseases caused by pathogenic mycobacteria such as Mycobacterium tuberculosis, M. bovis, M. avium and M. marinum.
- Mycobacterium tuberculosis is the causative agent of tuberculosis (TB), a serious and potentially fatal infection with a world-wide distribution.
- TB tuberculosis
- Estimates from the World Health Organization indicate that more than 8 million people contract TB each year, and 2 million people die from tuberculosis yearly. In the last decade, TB cases have grown 20% worldwide with the highest burden in the most impoverished communities. If these trends continue, TB incidence will increase by 41% in the next twenty years. Fifty years since the introduction of an effective chemotherapy, TB remains after AIDS, the leading infectious cause of adult mortality in the world. Complicating the TB epidemic is the rising tide of multi-drug- resistant strains, and the deadly symbiosis with HIV. People who are HIV-positive and infected with TB are 30 times more likely to develop active TB than people who are HIV -negative and TB is responsible for the death of one out of every three people with HIV/AIDS worldwide
- MDR-TB multi-drug- resistant strains
- MDR-TB multi-drug- resistant strains
- MDR-TB multi-drug- resistant strains
- isoniazid and rifampin the most effective drugs of the four-drug standard, isoniazid and rifampin.
- MDR-TB is lethal when untreated and can not be adequately treated through the standard therapy, so treatment requires up to 2 years of "second-line" drugs. These drugs are often toxic, expensive and marginally effective.
- infectious MDR-TB patients continue to spread the disease, producing new infections with MDR-TB strains.
- the purpose of the present invention is to provide novel compounds, in particular substituted quinoline derivatives, having the property of inhibiting growth of mycobacteria and therefore useful for the treatment of mycobacterial diseases, particularly those diseases caused by pathogenic mycobacteria such as Mycobacterium tuberculosis, M. bovis, M. avium and M. marinum.
- the present invention relates to novel substituted quinoline derivatives according to Formula (la) or Formula (lb)
- R 1 is hydrogen, halo, haloalkyl, cyano, hydroxy, Ar, Het, alkyl, alkyloxy, alkylthio, alkyloxyalkyl, alkylthioalkyl, Ar-alkyl or di(Ar)alkyl ; is an integer equal to zero, 1, 2, 3 or 4 ;
- R 2 is hydrogen, hydroxy, thio, alkyloxy, alkyloxyalkyloxy, alkylthio, mono
- R is alkyl, Ar, Ar-alkyl, Het or Het-alkyl; q is an integer equal to zero, 1, 2, 3 or 4 ;
- R 4 and R 5 each independently are hydrogen, alkyl or benzyl; or R 4 and R together and including the N to which they are attached may form a radical selected from the group of pyrrolidinyl, 2H-pyrrolyl, 2-pyrrolinyl, 3- pyrrolinyl, pyrrolyl, imidazolidinyl, pyrazolidinyl, 2-imidazolinyl, 2- pyrazolinyl, imidazolyl, pyrazolyl, triazolyl, piperidinyl, pyridinyl, piperazinyl, imidazolidinyl, pyridazinyl, pyrimidinyl, pyrazinyl, triazinyl, morpholinyl and thiomorpholinyl, optionally substituted with alkyl, halo, haloalkyl, hydroxy, alkyloxy, amino, mono- or dialkylamino, alkylthio, alkyloxyalkyl
- R 7 is hydrogen, alkyl, Ar or Het ;
- R 8 is hydrogen or alkyl ;
- R 9 is oxo ;
- alkyl is a straight or branched saturated hydrocarbon radical having from 1 to 6 carbon atoms ; or is a cyclic saturated hydrocarbon radical having from 3 to 6 carbon atoms ; or is a a cyclic saturated hydrocarbon radical having from 3 to 6 carbon atoms attached to a straight or branched saturated hydrocarbon radical having from 1 to 6 carbon atoms ; wherein each carbon atom can be optionally substituted with halo, hydroxy, alkyloxy or oxo ;
- Ar is a homocycle selected from the group of phenyl, naphthyl, acenaphthyl, tetrahydronaphthyl, each optionally substituted with 1, 2 or 3 substituents, each substituent independently selected from the group of hydroxy, halo, cyano, nitro, amino, mono- or dialkylamino, alkyl, haloalkyl, alkyloxy, halo
- the compounds according to Formula (la) and (lb) are interrelated in that e.g. a compound according to Formula (lb), with R 9 equal to oxo is the tautomeric equivalent of a compound according to Formula (la) with R 2 equal to hydroxy (keto-enol tautomerism).
- alkyl is a straight or branched saturated hydrocarbon radical having from 1 to 6 carbon atoms ; or is a cyclic saturated hydrocarbon radical having from 3 to 6 carbon atoms ; or is a a cyclic saturated hydrocarbon radical having from 3 to 6 carbon atoms attached to a straight or branched saturated hydrocarbon radical having from 1 to 6 carbon atoms ; wherein each carbon atom can be optionally substituted with halo, hydroxy, alkyloxy or oxo.
- alkyl is methyl, ethyl or cyclohexylmethyl.
- Ar is a homocycle selected from the group of phenyl, naphthyl, acenaphthyl, tetrahydronaphthyl, each optionally substituted with 1, 2 or 3 substituents, each substituent independently selected from the group of hydroxy, halo, cyano, nitro, amino, mono- or dialkylamino, alkyl, haloalkyl, alkyloxy, haloalkyloxy, carboxyl, alkyloxycarbonyl, aminocarbonyl, morpholinyl and mono- or dialkylaminocarbonyl.
- Ar is naphthyl or phenyl, each optionally substituted with 1 or 2 halo substituents.
- each monocyclic and bicyclic heterocycle may optionally be substituted on a carbon atom with 1, 2 or 3 substituents selected from the group of halo, hydroxy, alkyl or alkyloxy.
- Het is thienyl.
- halo is a substituent selected from the group of fluoro, chloro, bromo and iodo and haloalkyl is a straight or branched saturated hydrocarbon radical having from 1 to 6 carbon atoms or a cyclic saturated hydrocarbon radical havine from 3 to 6 carbon atoms, wherein one or more carbonatoms are substituted with one or more halo-atoms.
- halo is bromo, fluoro or chloro and preferably, haloalkyl is trifluoromethyl.
- the invention relates to compounds of Formula (la) and (lb) wherein :
- R 1 is hydrogen, halo, cyano, Ar, Het, alkyl, and alkyloxy ; p is an integer equal to zero, 1, 2, 3 or 4 ;
- R 2 is hydrogen, hydroxy, alkyloxy, alkyloxyalkyloxy, alkylthio or a radical
- R 3 is alkyl, Ar, Ar-alkyl or Het ; q is an integer equal to zero, 1, 2, or 3 ;
- R 4 and R 5 each independently are hydrogen, alkyl or benzyl; or
- R 4 and R 5 together and including the N to which they are attached may form a radical selected from the group of pyrrolidinyl, imidazolyl, triazolyl, piperidinyl, piperazinyl, pyrazinyl,morpholinyl and thiomorpholinyl, optionally substituted with alkyl and pyrimidinyl ;
- R 6 is hydrogen, halo or alkyl ; or two vicinal R 6 radicals may be taken together to form a bivalent radical of formula
- R 8 is hydrogen or alkyl
- R 9 is oxo ;
- alkyl is a straight or branched saturated hydrocarbon radical having from 1 to 6 carbon atoms ; or is a cyclic saturated hydrocarbon radical having from 3 to 6 carbon atoms ; or is a a cyclic saturated hydrocarbon radical having from 3 to 6 carbon atoms attached to a straight or branched saturated hydrocarbon radical having from 1 to 6 carbon atoms ; wherein each carbon atom can be optionally substituted with halo or hydroxy ;
- Ar is a homocycle selected from the group of phenyl, naphthyl, acenaphthyl, tetrahydronaphthyl, each optionally substituted with 1 , 2 or 3 substituents, each substituent independently selected from the group of halo, haloalkyl, cyano, alkyloxy and morpholinyl ;
- Het is a monocyclic heterocycle selected from the group of N-phenoxypiperidinyl, furanyl, thienyl, pyridinyl, pyrimidinyl ; or a bicyclic heterocycle selected from the group of benzothienyl, 2,3-dihydrobenzo[l,4]dioxinyl or benzo[l,3]- dioxolyl; each monocyclic and bicyclic heterocycle may optionally be substituted on a carbon atom with 1, 2 or 3 alkyl substituents ; and halo is a substituent selected from the group of fluoro, chloro and bromo.
- R 1 is hydrogen, halo, Ar, alkyl or alkyloxy. More preferably, R 1 is halo. Most preferably, R 1 is bromo.
- p is equal to 1.
- R is hydrogen, alkyloxy or alkylthio. More preferably, R is alkyloxy. Most preferably, R 2 is methyloxy.
- R 3 is naphthyl, phenyl or thienyl, each optionally substituted with 1 or 2 substituents, that substituent preferably being a halo or haloalkyl, most preferably being a halo. More preferably, R 3 is naphthyl or phenyl. Most preferably, R 3 is naphthyl.
- q is equal to zero, 1 or 2. More preferably, q is equal to 1.
- R 4 and R 5 each independently are hydrogen or alkyl, more preferably hydrogen, methyl or ethyl, most preferably methyl.
- R 4 and R 5 together and including the N to which they are attached form a radical selected from the group of imidazolyl, triazolyl, piperidinyl, piperazinyl and thiomorpholinyl, optionally substituted with alkyl, halo, haloalkyl, hydroxy, alkyloxy, alkylthio, alkyloxyalkyl or alkylthioalkyl, preferably substituted with alkyl, most preferably substituted with methyl or ethyl.
- R 6 is hydrogen, alkyl or halo. Most preferably, R 6 is hydrogen. Preferably r is 0, 1 or 2.
- R 7 is hydrogen or methyl.
- R 8 is alkyl, preferably methyl and R 9 is oxygen.
- R 1 is hydrogen, halo, Ar, alkyl or alkyloxy
- p 1
- R 2 is hydrogen, alkyloxy or alkylthio
- R 3 is naphthyl, phenyl or thienyl, each optionally substituted with 1 or 2 substituents selected from the group of halo and haloalkyl
- q 0, 1, 2 or 3
- R 4 and R 5 each independently are hydrogen or alkyl or R 4 and R 5 together and including the ⁇ to which they are attached form a radical selected from the group of imidazolyl, triazolyl, piperidinyl, piperazinyl and thiomorpholinyl
- R 6 is hydrogen, alkyl or halo
- r is equal to 0 or 1
- R 7 is hydrogen.
- the compound is : o l-(6-bromo-2-methoxy-quinolin-3-yl)-2-(3,5-difluoro-phenyl)-4-dimethylamino-l- phenyl-butan-2-ol ; o 1 -(6-bromo-2-methoxy-quinolin-3 -yl)-4-dimethy lamino-2-naphthalen- 1 -y 1- 1 - phenyl-butan-2-ol ; o l-(6-bromo-2-methoxy-quinolin-3-yl)-2-(2,5-difluoro-phenyl)-4-dimethylamino-l- phenyl-butan-2-ol ; o l-(6-bromo-2-methoxy-quinolin-3-yl)-2-(2,3-difluoro-phenyl)-4-dimethylamino-l-
- the pharmaceutically acceptable acid addition salts are defined to comprise the therapeutically active non-toxic acid addition salt forms which the compounds according to either Formula (la) and (lb) are able to form.
- Said acid addition salts can be obtained by treating the base form of the compounds according to either Formula (la) and (lb) with appropriate acids, for example inorganic acids, for example hydrohalic acid, in particular hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid and phosphoric acid ; organic acids, for example acetic acid, hydroxyacetic acid, nrnnanoir, acid, lactic acid, nvruvic acid, oxalic acid, malonic acid, succinic acid, maleic acid, fumaric acid, malic acid, tartaric acid, citric acid, methanesulfonic acid, ethanesulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid, cyclamic acid, salicyclic acid, p-
- the compounds according to either Formula (la) and (lb) containing acidic protons may also be converted into their therapeutically active non-toxic base addition salt forms by treatment with appropriate organic and inorganic bases.
- Appropriate base salts forms comprise, for example, the ammonium salts, the alkaline and earth alkaline metal salts, in particular lithium, sodium, potassium, magnesium and calcium salts,
- salts with organic bases e.g. the benzathine, N-methyl-D-glucamine, hybramine salts, and salts with amino acids, for example arginine and lysine.
- said acid or base addition salt forms can be converted into the free forms by treatment with an appropriate base or acid.
- addition salt as used in the framework of this application also comprises the solvates which the compounds according to either Formula (la) and (lb) as well as the salts thereof, are able to form.
- solvates are, for example, hydrates and alcoholates.
- stereochemically isomeric forms as used herein defines all possible isomeric forms which the compounds of either Formula (la) and (lb) may possess. Unless otherwise mentioned or indicated, the chemical designation of compounds denotes the mixture of all possible stereochemically isomeric forms, said mixtures
- stereogenic centers may have the R- or S -configuration; substituents on bivalent cyclic (partially) saturated radicals may have either the cis- or trans- configuration.
- Stereochemically isomeric forms of the compounds of either Formula (la) and (lb) are obviously intended to be embraced within the scope of this invention.
- an R or S descriptor is assigned (based on Cahn-Ingold-Prelog sequence rule) to the lowest-numbered chiral center, the reference center.
- the configuration of the second stereogenic center is indicated using 5 relative descriptors [R*, R* ] or [R*, S*], where R* is always specified as the reference center and [i?* R*] indicates centers with the same chirality and [R*,S*] indicates centers of unlike chirality. For example, if the lowest-numbered chiral center in the molecule has an S configuration and the second center is R, the stereo descriptor would be specified as -S-[R* S*].
- the position of the highest priority substituent on the asymmetric carbon atom in the ring system having the lowest ring number is arbitrarily always in the " " position of the mean plane determined by the ring system.
- the position of the highest priority substituent on the other asymmetric carbon atom in the ring system relative to the position of the highest priority substituent on the reference atom is denominated " ⁇ ", if it is on the same side of the mean plane determined by the ring system, or " 3", if it is on the other side of the mean plane determined by the ring system.
- Compounds of either Formula (la) and (lb) and some of the intermediate compounds invariably have at least two stereogenic centers in their structure which may lead to at least 4 stereochemically different structures.
- tautomeric forms of the compounds of either Formula (la) and (lb) are meant to comprise those compounds of either Formula (la) and (lb) wherein e.g. an enol group is converted into a keto group (keto-enol tautomerism).
- N-oxide forms of the compounds according to either Formula (la) and (lb) are meant to comprise those compounds of either Formula (la) and (lb) wherein one or several nitrogen atoms are oxidized to the so-called N-oxide, particularly those N- oxides wherein the nitrogen of the amine radical is oxidized.
- the compounds of either Formula (la) and (lb) as prepared in the processes described below may be synthesized in the form of racemic mixtures of enantiomers which can be separated from one another following art -known resolution procedures.
- the racemic compounds of either Formula (la) and (lb) may be converted into the corresponding diastereomeric salt forms by reaction with a suitable chiral acid. Said diastereomeric salt forms are subsequently separated, for example, by selective or fractional crystallization and the enantiomers are liberated therefrom by alkali.
- An alternative manner of separating the enantiomeric forms of the compounds of either Formula (la) and (lb) involves liquid chromatography using a chiral stationary phase.
- Said pure stereochemically isomeric forms may also be derived from the corresponding pure stereochemically isomeric forms of the appropriate starting materials, provided that the reaction occurs stereospecifically.
- said compound will be synthesized by stereospecific methods of preparation. These methods will advantageously employ enantiomerically pure starting materials.
- the invention also comprises derivative compounds (usually called "pro-drugs") of the pharmacologically-active compounds according to the invention, which are degraded in vivo to yield the compounds according to the invention.
- Pro-drugs are usually (but not always) of lower potency at the target receptor than the compounds to which they are degraded. Pro-drugs are particularly useful when the desired compound has chemical or physical properties that make its administration difficult or inefficient.
- the desired compound may be only poorly soluble, it may be poorly transported across the mucosal epithelium, or it may have an undesirably short plasma half-life.
- pro-drugs may be found in Stella, V. J. et al. , "Prodrugs", Drug Delivery Systems, 1985, pp. 112-176, and Drugs, 1985, 29, pp. 455-473.
- Pro-drugs forms of the pharmacologically-active compounds according to the invention will generally be compounds according to either Formula (la) and (lb), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the tautomeric forms thereof and the N-oxide forms thereof, having an acid group which is esterified or amidated. Included in such esterif ⁇ ed acid groups are groups of the formula -COOR X , where R x is a C ⁇ - 6 alkyl, phenyl, benzyl or one of the following groups :
- Amidated groups include groups of the formula - CO ⁇ R y R z , wherein R y is H, C ⁇ - 6 alkyl, phenyl or benzyl and R z is -OH, H, C ⁇ - 6 alkyl, phenyl or benzyl.
- Compounds according to the invention having an amino group may be derivatised with a ketone or an aldehyde such as formaldehyde to form a Mannich base. This base will hydrolyze with first order kinetics in aqueous solution.
- the compounds according to the invention have surprisingly been shown to be suitable for the treatment of mycobacterial diseases, particularly those diseases caused by pathogenic mycobacteria such as Mycobacterium tuberculosis, M. bovis, M. avium and M. marinum.
- the present invention thus also relates to compounds of either Formula (la) and (lb) as defined hereinabove, the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the tautomeric forms thereof and the N-oxide forms thereof, for use as a medicine.
- the invention also relates to a composition
- a composition comprising a pharmaceutically acceptable carrier and, as active ingredient, a therapeutically effective amount of a compound according to the invention.
- the compounds according to the invention may be formulated into various pharmaceutical forms for administration purposes. As appropriate compositions there may be cited all compositions usually employed for systemically administering drugs.
- an effective amount of the particular compound, optionally in addition salt form, as the active ingredient is combined in intimate admixture with a pharmaceutically acceptable carrier, which carrier may take a wide variety of forms depending on the form of preparation desired for administration.
- a pharmaceutically acceptable carrier which carrier may take a wide variety of forms depending on the form of preparation desired for administration.
- These pharmaceutical compositions are desirable in unitary dosage form suitable, in particular, for administration orally or by parenteral injection.
- any of the usual pharmaceutical media may be employed such as, for example, water, glycols, oils, alcohols and the like in the case of oral liquid preparations such as suspensions, syrups, elixirs, emulsions and solutions; or solid carriers such as starches, sugars, kaolin, diluents, lubricants, binders, disintegrating agents and the like in the case of powders, pills, capsules and tablets. Because of their ease in administration, tablets and capsules represent the most advantageous oral dosage unit forms in which case solid pharmaceutical carriers are obviously employed.
- the carrier will usually comprise sterile water, at least in large part, though other ingredients, for example, to aid solubility, may be included.
- injectable solutions for example, may be prepared in which the carrier comprises saline solution, glucose solution or a mixture of saline and glucose solution.
- injectable suspensions may also be prepared in which case appropriate liquid carriers, suspending agents and the like may be employed.
- solid form preparations which are intended to be converted, shortly before use, to liquid form preparations.
- the pharmaceutical composition will preferably comprise from 0.05 to 99 % by weight, more preferably from 0.1 to 70 % by weight of the active ingredient, and, from 1 to 99.95 % by weight, more preferably from 30 to 99.9 weight % of a pharmaceutically acceptable carrier, all percentages being based on the total composition.
- the pharmaceutical composition may additionally contain various other ingredients known in the art, for example, a lubricant, stabilising agent, buffering agent, emulsifying agent, viscosity-regulating agent, surfactant, preservative, flavouring or colorant.
- Unit dosage form refers to physically discrete units suitable as unitary dosages, each unit containing a predetermined quantity of active ingredient calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier.
- unit dosage forms are tablets (including scored or coated tablets), capsules, pills, powder packets, wafers, suppositories, injectable solutions or suspensions and the like, and segregated multiples thereof.
- the daily dosage of the compound according to the invention will, of course, vary with the compound employed, the mode of administration, the treatment desired and the mycobacterial disease indicated. However, in general, satisfactory results will be obtained when the compound according to the invention is administered at a daily dosage not exceeding lgram, e.g. in the range from 10 to 50 mg/kg body weight.
- the present invention also relates to the use of a compound of either Formula (la) and (lb), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the tautomeric forms thereof and the N-oxide forms thereof, as well as any of the aforementioned pharmaceutical compositions thereof for the manufacture of a medicament for the treatment of mycobacterial diseases.
- the invention provides a method of treating a patient suffering from , or at risk of, a mycobacterial disease, which comprises administering to the patient a therapeutically effective amount of a compound or pharmaceutical composition according to the invention.
- the compounds according to the invention can generally be prepared by a succession of steps, each of which is known to the skilled person.
- the compounds according to Formula (la) can be prepared by reacting an intermediate compound of Formula (II) with an intermediate compound of Formula (III) according to the following reaction scheme (1) :
- intermediate compounds of Formula (II) and (III) are compounds that are either commercially available or may be prepared according to conventional reaction procedures generally known in the art.
- intermediate compounds of Formula (ITa) may be prepared according to the following reaction scheme (2):
- Reaction scheme (2) comprises step (a) in which an appropriately substituted aniline is reacted with an appropriate acylchloride such as 3-phenylpropionyl chloride, 3-fluorobenzenepropionyl chloride or p-chlorobenzenepropionyl chloride, in the presence of a suitable base, such as triethylamine and a suitable reaction-inert solvent, such as methylene chloride or ethylene dichloride.
- acylchloride such as 3-phenylpropionyl chloride, 3-fluorobenzenepropionyl chloride or p-chlorobenzenepropionyl chloride
- step (b) the adduct obtained in step (a) is reacted with phosphoryl chloride (POCl 3 ) in the presence of N,N-dimethylformamide (Vilsmeier-Haack formylation followed by cyclization).
- the reaction may conveniently be carried out at a temperature ranging between room temperature and reflux temperature.
- Intermediate compounds according to Formula (Il-b) may be prepared according to the following reaction scheme (3), wherein in a first step (a) a substituted indole-2,3-dione is reacted with a substituted 3-phenylpropionaldehyde in the presence of a suitable base such as sodium hydroxide (Pfitzinger reaction), after which the carboxylic acid compound in a next step (b) is decarboxylated at high temperature in the presence of a suitable reaction- inert solvent usch as diphenylether.
- a suitable base such as sodium hydroxide
- reaction products may be isolated from the reaction medium and, if necessary, further purified according to methodologies generally known in the art, such as extraction, crystallization and chromatography. It is further evident that reaction products that exist in more than one enantiomeric form, may be isolated from their mixture by known techniques, in particular preparative chromatography, such as preparative HPLC. Typically, compounds of Formula (la) and (lb) may be separated into their isomeric forms.
- intermediate compounds of Formula (III) are compounds that are either commercially available or may be prepared according to conventional reaction procedures generally known in the art.
- intermediate compounds of Formula (III) are compounds that are either commercially available or may be prepared according to conventional reaction procedures generally known in the art.
- intermediate compounds of Formula (III) are compounds that are either commercially available or may be prepared according to conventional reaction procedures generally known in the art.
- intermediate compounds of Formula (III) are compounds that are either commercially available or may be prepared according to conventional reaction procedures generally known in the art.
- intermediate compounds of Formula (III) are compounds that are either commercially available or may be prepared according to conventional reaction procedures generally known in the art.
- R 3 is Ar substituted with s substituents R 10 , wherein each R 10 is independently selected from the group of hydroxy, halo, cyano, nitro, amino, mono- or dialkylamino, alkyl, haloalkyl, alkyloxy, haloalkyloxy, carboxyl, alkyloxycarbonyl, aminocarbonyl, morpholinyl and mono- or dialkylaminocarbonyl ans s is an integer equal to zero, 1, 2 or 3, may be prepared according to the following reaction scheme (4):
- Reaction scheme (4) comprises step (a) in which an appropriately substituted phenyl is reacted by Friedel-Craft reaction with an appropriate acylchloride such as 3- chloropropionyl chloride or 4-chlorobutyryl chloride, in the presence of a suitable Lewis acid, such as A1C1 3 , FeCl 3 , SnCl 4 , TiCl or ZnCl 2 and a suitable reaction-inert solvent, such as methylene chloride or ethylene dichloride.
- a suitable Lewis acid such as A1C1 3 , FeCl 3 , SnCl 4 , TiCl or ZnCl 2
- a suitable reaction-inert solvent such as methylene chloride or ethylene dichloride.
- the reaction may conveniently be carried out at a temperature ranging between room temperature and reflux temperature.
- an amino group (-NR 4 R5) is introduced by reacting the intermediate compound obtained in step (a) with a primary or secondary amine.
- DMF N,N-dimethylformamide
- DIPE diisopropyl ether
- THF tetrahydrofuran
- intermediate compound 9 was prepared in the same way as intermediate compound 1 but using 4-methyl-benzenepropanoylchloride.
- intermediate compound 10 was prepared in the same way as intermediate compound 2, starting from intermediate compound 9 (prepared according to Al).
- intermediate compound 11 was prepared in the same way as intermediate compound 3, starting from intermediate compound 10 (prepared according to A2).
- N-benzylmethyl amine (2ml; 0.0150mol) in acetonitrile (100ml) was stirred at 80°C for 2 hours. At room temperature (RT) water was added. The mixture was extracted with CH 2 C1 2 . The organic layer was separated and dried (MgS0 ), filtered, and the solvent was evaporated. The residue (6g) was purified by column chromatography over silica gel (eluent: CH 2 C1 2 _/ MeOH: 97/3; 20-45 ⁇ m) to afford BB1 (4.2g; quantitative yield) as an oil, yielding intermediate compound 14.
- N-(l-methylethyl)-2-propanamine (0.070 mol) in THF (70ml) .
- the mixture was stirred at -20°C for 30 min, then cooled to -70°C .
- a solution of intermediate compound 6 (prepared according to A6) (0.046 mol) in THF (130ml) was added dropwise .
- the mixture was stirred at -70°C for 45 min .
- a solution of 3- (dimethylamino)-l -phenyl- 1- ⁇ ro ⁇ anone (0.056 mol) in THF (100ml) was added dropwise .
- the mixture was stirred at -70°C for 2 hours, hydrolyzed with ice-water and extracted with EtOAc .
- nBuLi 1.6M (0.067 mol) was added slowly at -20°C under N 2 flow to a solution of N-(l-methylethyl)-2-propanamine (0.0104 mol) in THF (50ml) .
- the mixture was cooled to -70°C .
- a solution of intermediate compound 3 (prepared according to A3) (0.0087 mol) in THF (50ml) was added slowly .
- the mixture was stirred at -70°C for 30 min .
- a solution of 3-(dimethylamino)-l-( 2,5 -difluorophenyl)- 1-propanone (0.0122 mol) in THF (20ml) was added slowly .
- nBuLi 1.6M (0.04 mol) was added slowly at -20°C under N2 flow to a solution of N-(l-methylethyl)-2-propanamine (0.04 mol) in THF (50ml) .
- the mixture was cooled to -70°C .
- a solution of intermediate compound 3 (prepared according to A3) (0.037 mol) in THF (100ml) was added slowly .
- the mixture was stirred at -70°C for 30 min .
- a solution of 3-(dimethylamino)-l-( 3 -fluorophenyl) -1-propanone (0.044 mol) in THF (50ml) was added slowly .
- nBuLi 1.6M (0.0042 mol) was added slowly at -20°C under N 2 flow to a solution of N-(l-methylethyl)-2-propanamine (0.0042mol) in THF (20ml) .
- the mixture was cooled to -70°C .
- a solution of intermediate compound 9 (prepared according to Al) (0.0038 mol) in THF (50ml) was added slowly .
- the mixture was stirred at -70°C for 30 min .
- a solution of 3 -(dimethylamino)-l-(l -naphthyl)- 1-propanone (0.0059 mol) in THF (20ml) was added slowly .
- nBuLi 1.6M (0.0075 mol) was added slowly at -20°C under N 2 flow to a solution of N-(l-methylethyl)-2-propanamine (0.0075 mol) in THF (30ml) .
- the mixture was cooled to -70°C .
- a solution of intermediate compound 3 (prepared according to A3) (0.0062 mol) in THF (20ml) was added slowly .
- the mixture was stirred at -70°C for 30 min .
- a solution of 0.0075 mol of intermediate compound 14 (prepared according to Example A9) in THF (10ml) was added slowly .
- the mixture was stirred at -70°C for 90 minutes, then hydrolysed at -30°C with ice water and extracted with EtOAc .
- nBuLi 1.6M (3.5ml; 0.0056 mol) was added slowly at -20°C under N 2 flow to a solution of N-(l-methylethyl)-2-propanamine (770 ⁇ l; 0.0055 mol) in THF (20ml) .
- the mixture was cooled to -70°C .
- a solution of intermediate compound 3 (prepared according to A3) (1.5g ; 0.0047 mol) in THF (20ml) was added slowly .
- the mixture was stirred at -70°C for 30 min .
- a solution of intermediate compound 15 (lg ; 0.0047 mol) in THF (10ml) was added slowly .
- nBuLi 1.6M (4.6ml; 0.0074 mol) was added slowly at -20°C under N 2 flow to a solution of N-(l -methyl ethyl)-2-propanamine (1ml; 0.0071 mol) in THF (20ml) .
- the mixture was cooled to -70°C .
- a solution of intermediate compound 15 (prepared according to A10) (2g ; 0.0061 mol) in THF (10ml) was added slowly. The mixture was stirred at -70°C for 30 min .
- the fluorescence was read in a computer-controlled fluorometer (Spectramax Gemini EM, Molecular Devices) at an excitation wavelength of 530 nm and an emission wavelength of 590 nm.
- the percentage growth inhibition achieved by the compounds was calculated according to standard methods, and MIC data (representing IC90's expressed in microgram/ml) were calculated. The results are shown in Table 5.
- Untreated control samples with (column 1) and without (column 12) inoculum were included in each microtiter plate.
- the same volume of broth medium without inoculum was added to column 12 in row A to H.
- the cultures were incubated at 37°C for 48 hours in a humidified 5% C02 atmosphere (incubator with open air valve and continuous ventilation). At the end of incubation, two days after inoculation, the bacterial growth was quantitated fluorometrically. Therefore Alamar Blue (lOx) was added to all wells in a volume of 20 ⁇ l and plates were incubated for another 2 hours at 50°C.
- the fluorescence was read in a computer-controlled fluorometer (Cytofluor, Biosearch) at an excitation wavelength of 530 nm and an emission wavelength of 590 nm (gain 30).
- the % growth inhibition achieved by the compounds was calculated according to standard methods.
- the pIC 5 o was defined as the 50 % inhibitory concentration for bacterial growth. The results are shown in Table 5.
- Table 5 Results of an in vitro-screening of the compounds according to the invention for M. tuberculosis (MIC) and M. smegmatis (pIC 50 ).
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Abstract
Description
Claims
Priority Applications (30)
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MXPA05001052A MXPA05001052A (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors. |
MEP-2008-92A ME00131B (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
UAA200501778A UA82198C2 (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and using of them as micobacterial inhibitors, process for preparation thereof, pharmaceutical composition based on claimed compounds, and transient compound |
DK03771115.7T DK1527050T3 (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
EA200500257A EA008937B1 (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
CA2493225A CA2493225C (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
AT03771115T ATE463482T1 (en) | 2002-07-25 | 2003-07-18 | QUINOLINE DERIVATIVES AND THEIR USE AS MYCOBACTERIAL INHIBITORS |
EP03771115A EP1527050B1 (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
NZ538391A NZ538391A (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
AP2005003210A AP2421A (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors. |
SI200331819T SI1527050T1 (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
YU20050058A RS52431B (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
DE60332023T DE60332023D1 (en) | 2002-07-25 | 2003-07-18 | CHINOLINE DERIVATIVES AND THEIR USE AS MYCOBACTERIAL INHIBITORS |
JP2004523812A JP4484703B2 (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
BRPI0312927A BRPI0312927B8 (en) | 2002-07-25 | 2003-07-18 | "compounds, quinoline derivatives, composition, their use as mycobacterial inhibitors, as well as process for preparing said derivatives". |
AU2003262529A AU2003262529B2 (en) | 2002-07-25 | 2003-07-18 | Quinoline derivatives and their use as mycobacterial inhibitors |
US11/007,026 US7498343B2 (en) | 2002-07-25 | 2004-12-08 | Mycobacterial inhibitors |
IS7620A IS2914B (en) | 2002-07-25 | 2004-12-29 | Quinoline derivatives and their use as an inhibitor of fungal bacteria |
HRP20050045AA HRP20050045B1 (en) | 2002-07-25 | 2005-01-17 | Quinoline derivatives and their use as mycrobacetrial inhibitors |
IL166457A IL166457A (en) | 2002-07-25 | 2005-01-24 | Quinoline derivatives , compositions comprising them, their use for the manufacture of the compositions and process for the manufacture thereof |
NO20050476A NO329935B1 (en) | 2002-07-25 | 2005-01-27 | Quinoline derivatives and their use as mycobacterial inhibitors |
HK06103424A HK1083496A1 (en) | 2002-07-25 | 2006-03-17 | Quinoline derivatives and their use as mycobacterial inhibitors |
IL202655A IL202655A (en) | 2002-07-25 | 2009-12-10 | Quinoline derivatives |
HRP20120190AA HRP20120190B1 (en) | 2002-07-25 | 2012-02-28 | Quinoline derivatives and their use as mycobacterial inhibitors |
BE2014C051C BE2014C051I2 (en) | 2002-07-25 | 2014-08-14 | |
HUS1400047C HUS1400047I1 (en) | 2002-07-25 | 2014-08-14 | Quinoline derivatives and their use as mycobacterial inhibitors |
CY2014033C CY2014033I1 (en) | 2002-07-25 | 2014-08-14 | QUINOLINE DERIVATIVES AND THEIR USE AS MYCOBACTERIAL INHIBITORS |
NL300684C NL300684I2 (en) | 2002-07-25 | 2014-08-14 | |
FR14C0060C FR14C0060I2 (en) | 2002-07-25 | 2014-08-18 | QUINOLINE DERIVATIVES AND THEIR USE AS MYCOBACTERIAL INHIBITORS |
NO2014021C NO2014021I1 (en) | 2002-07-25 | 2014-08-20 | Bedaquiline or a pharmaceutically acceptable acid or base addition salt thereof |
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