USPatent applicationPatented

Tetrahydrocarboline antiviral agents

Granted 11 Nov 2008 · 1 office action

Current assignee: ViiV Healthcare · originally Bristol Myers Squibb

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Inventors: Daniel H. Deon, John F. Kadow, Edward H. Ruediger · Examiner: Rita J Desai · AU 1625 · TC 1600

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Abstract

The invention encompasses a series of tetrahydrocarboline compounds of Formula I which inhibit HIV entry by attaching to the exterior viral envelop protein gp120 and interrupting the viral entry process, possibly by interfering with the cellular receptor CD4. This action makes the compounds useful for treating HIV infection and AIDS. The invention also encompasses pharmaceutical compositions and methods for treating those infected with HIV. [structure]

Description

15 parts
›CROSS REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. provisional application Ser. No. 60/574,669 filed May 26, 2004.

›BACKGROUND OF THE INVENTION

HIV-1 (human immunodeficiency virus-1) infection remains a major medical problem, with an estimated 42 million people infected worldwide at the end of 2002. The number of cases of HIV and AIDS (acquired immunodeficiency syndrome) has risen rapidly. In 2002, 5.0 million new infections were reported, and 3.1 million people died from AIDS. Currently available drugs for the treatment of HIV include nine nucleoside reverse transcriptase (RT) inhibitors or approved single pill combinations(zidovudine or AZT (or Retrovir®), didanosine (or Videx®), stavudine (or Zerit®), lamivudine (or 3TC or Epivir®), zalcitabine (or DDC or Hivid®), abacavir succinate (or Ziagen®), Tenofovir disoproxil fumarate salt (or Viread®), Combivir® (contains −3TC plus AZT), Trizivir® (contains abacavir, lamivudine, and zidovudine); three non-nucleoside reverse transcriptase inhibitors: nevirapine (or Viramune®), delavirdine (or Rescriptor®) and efavirenz (or Sustiva®), and seven peptidomimetic protease inhibitors or approved formulations: saquinavir, indinavir, ritonavir, nelfinavir, amprenavir, lopinavir, and Kaletra® (lopinavir and Ritonavir). Each of these drugs can only transiently restrain viral replication if used alone. However, when used in combination, these drugs have a profound effect on viremia and disease progression. In fact, significant reductions in death rates among AIDS patients have been recently documented as a consequence of the widespread application of combination therapy. However, despite these impressive results, 30 to 50% of patients ultimately fail combination drug therapies. Insufficient drug potency, non-compliance, restricted tissue penetration and drug-specific limitations within certain cell types (e.g. most nucleoside analogs cannot be phosphorylated in resting cells) may account for the incomplete suppression of sensitive viruses. Furthermore, the high replication rate and rapid turnover of HIV-1 combined with the frequent incorporation of mutations, leads to the appearance of drug-resistant variants and treatment failures when sub-optimal drug concentrations are present. Therefore, novel anti-HIV agents exhibiting distinct resistance patterns, and favorable pharmacokinetic as well as safety profiles are needed to provide more treatment options.

Currently marketed HIV-1 drugs are dominated by either nucleoside reverse transcriptase inhibitors or peptidomimetic protease inhibitors. Non-nucleoside reverse transcriptase inhibitors (NNRTIs) have recently gained an increasingly important role in the therapy of HIV infections. At least 30 different classes of NNRTI have been described in the literature and several NNRTIs have been evaluated in clinical trials. Dipyridodiazepinone (nevirapine), benzoxazinone (efavirenz) and bis(heteroaryl) piperazine derivatives (delavirdine) have been approved for clinical use. However, the major drawback to the development and application of NNRTIs is the propensity for rapid emergence of drug resistant strains, both in tissue cell culture and in treated individuals, particularly those subject to monotherapy. As a consequence, there is considerable interest in the identification of NNRTIs less prone to the development of resistance.

The compounds of this invention inhibit HIV entry by attaching to the exterior viral envelop protein gp120 and interrupting the viral entry process, possibly by interfering with the cellular receptor CD4. Compounds in this class have been reported to have antiviral activity against a variety of laboratory and clinical strains of HIV-1 and are effective in treating HIV infection (see Hanna et al., Abstract 141 presented at the 11th Conference on Retroviruses and Opportunistic Infections, San Francisco, Calif., Feb. 8-11, 2004; Lin et al., Poster 534 presented at the 11th Conference on Retroviruses and Opportunistic Infections, San Francisco, Calif., Feb. 8-11, 2004; Hanna et al., Poster 535 presented at the 11th Conference on Retroviruses and Opportunistic Infections, San Francisco, Calif., Feb. 8-11, 2004).

N-(3-aryl-3-oxo)acetyl piperidines have been disclosed. See Blair et al., U.S. Pat. No. 6,469,006; Wang et al., U.S. Pat. No. 6,476,034; Wang et al., U.S. Pat. No. 6,632,819; Wallace et al., U.S. Pat. No. 6,573,262 (continuation-in-part application of U.S. Ser. No. 09/888,686 filed Jun. 25, 2001); Wang et al. U.S. patent application Ser. No. 10/214,982 filed Aug. 7, 2002 (continuation-in-part application of U.S. Ser. No. 10/038,306 filed Jan. 2, 2002); Wang et al. patent application WO 03/092695, published Nov. 13, 2003; Wang et al. U.S. patent application 20040063744, published Apr. 1, 2004. Nothing in these references teaches or suggests the novel compounds of this invention or their use to inhibit HIV infection.

›DESCRIPTION OF THE INVENTION · 1 of 3

The invention encompasses a series of tetrahydrocarboline compounds of Formula I including their pharmaceutically acceptable salts and solvates, their pharmaceutical compositions, and their antiviral uses.

One aspect of the invention are compounds of Formula I

wherein:

X is CH or N; Y is C or N; R 1 is hydrogen, halo, or C 1-6 alkoxy, provided that when Y is N, R 1 is absent; R 2 is hydrogen or halo; R 3 is hydrogen, halo, C 1-6 alkoxy, or CONHR 6 , or is a heteroaryl moiety selected from the group consisting of pyrrolyl, imidazolyl, triazolyl, pyridinyl, pyrimidinyl, pyrazinyl, and tetrazolyl, and where the heteroaryl moiety is substituted with 0-2 C 1-6 alkyl groups; R 4 is hydrogen, C 1-6 alkyl, or phenyl; R 5 is hydrogen, halo, trifluoromethyl, trifluoromethoxy, C 1-6 alkyl, or C 1-6 alkoxy; and R 6 is hydrogen or C 1-6 alkyl;

or a pharmaceutically acceptable salt or solvate thereof.

Another aspect of the invention are compounds where X is N.

Another aspect of the invention are compounds of Formula I where X is N and Y is C.

Another aspect of the invention are compounds of Formula I where R 1 is methoxy.

Another aspect of the invention are compounds of Formula I where R 2 is hydrogen, fluorine, or chlorine.

Another aspect of the invention are compounds of Formula I where wherein R 3 is methoxy or triazolyl where the triazolyl moiety is substituted with 0-1 C 1-6 alkyl.

Another aspect of the invention are compounds of Formula I where R 4 is phenyl.

Another aspect of the invention are compounds of Formula I where R 5 is fluoro or trifluoromethyl.

Some compounds of the invention are 2,3,4,5-tetrahydro-2-[2-(1H-indol-3-yl)-1,2-dioxoethyl]-1H-pyrido[4,3-b]indole;

2,3,4,5-tetrahydro-2-[2-[4-methoxy-7-(5-methyl-1H-1,2,4-triazol-1-yl)-1H-pyrrolo[2,3-c]pyridin-3-yl]-1,2-dioxoethyl]-5-phenyl-1H-pyrido[4,3-b]indole;

2-[2-(4,7-dimethoxy-1H-pyrrolo[2,3-c]pyridin-3-yl)-1,2-dioxoethyl]-2,3,4,5-tetrahydro-5-phenyl-1H-pyrido[4,3-b]indole;

2-[2-(4,7-dimethoxy-1H-pyrrolo[2,3-c]pyridin-3-yl)-1,2-dioxoethyl]-2,3,4,5-tetrahydro-1H-pyrido[4,3-b]indole;

2-[2-(4,7-dimethoxy-1H-pyrrolo[2,3-c]pyridin-3-yl)-1,2-dioxoethyl]-8-fluoro-2,3,4,5-tetrahydro-1H-pyrido[4,3-b]indole;

2-[2-(4,7-dimethoxy-1H-pyrrolo[2,3-c]pyridin-3-yl)-1,2-dioxoethyl]-8-fluoro-2,3,4,5-tetrahydro-5-methyl-1H-pyrido[4,3-b]indole;

2-[2-(4,7-dimethoxy-1H-pyrrolo[2,3-c]pyridin-3-yl)-1,2-dioxoethyl]-2,3,4,5-tetrahydro-8-(trifluoromethyl)-1H-pyrido[4,3-b]indole;

2,3,4,5-tetrahydro-2-[2-[4-methoxy-7-(3-methyl-1H-1,2,4-triazol-1-yl)-1H-pyrrolo[2,3-c]pyridin-3-yl]-1,2-dioxoethyl]-5-phenyl-1H-pyrido[4,3-b]indole;

8-fluoro-2,3,4,5-tetrahydro-2-[2-[4-methoxy-7-(3-methyl-1H-1,2,4-triazol-1-yl)-1H-pyrrolo[2,3-c]pyridin-3-yl]-1,2-dioxoethyl]-5-phenyl-1H-pyrido[4,3-b]indole; and

8-fluoro-2,3,4,5-tetrahydro-2-[2-[4-methoxy-7-(1H-1,2,3-triazol-1-yl)-1H-pyrrolo[2,3-c]pyridin-3-yl]-1,2-dioxoethyl]-5-phenyl-1H-pyrido[4,3-b]indole.

“Alkyl,” “alkoxy” and related terms with an alkyl moiety include straight and branched configurations. “Aryl” includes carbocyclic and heterocyclic aromatic ring systems.

The invention includes all pharmaceutically acceptable salt forms of the compounds. Pharmaceutically acceptable salts are those in which the counter ions do not contribute significantly to the physiological activity or toxicity of the compounds and as such function as pharmacological equivalents. These salts can be made according to common organic techniques employing commercially available reagents. Some anionic salt forms include acetate, acistrate, besylate, bromide, chloride, citrate, fumarate, glucouronate, hydrobromide, hydrochloride, hydroiodide, iodide, lactate, maleate, mesylate, nitrate, pamoate, phosphate, succinate, sulfate, tartrate, tosylate, and xinofoate. Some cationic salt forms include ammonium, aluminum, benzathine, bismuth, calcium, choline, diethylamine, diethanolamine, lithium, magnesium, meglumine, 4-phenylcyclohexylamine, piperazine, potassium, sodium, tromethamine, lysine, arginine, N-methylglucamine, and zinc.

The invention also includes all solvated forms of the compounds, particularly hydrates. Solvates do not contribute significantly to the physiological activity or toxicity of the compounds and as such function as pharmacological equivalents. Solvates may form in stoichiometric amounts or may form from adventitious solvent or a combination of both. One type of solvate is hydrate, and some hydrated forms include monohydrate, hemihydrate, and dihydrate.

Synthetic Methods

The compounds of this invention can be made according to the schemes provided and other reactions known in the art. Schemes 1-3 illustrate procedures for making and modifying some tetrahydrocarbolines. Other tetrahydrocarboline syntheses are known in the art. Scheme 4 illustrates a procedure for attaching a tetrahydrocarboline to a substituted acetic acid.

4-Azaindole and 4,6-diazaindole intermediates can be made according to methods described in U.S. Pat. Nos. 6,476,034; 6,632,819; U.S. patent application Ser. No. 10/621,139, filed Jul. 16, 2003; U.S. patent application Ser. No. 10/214,982, filed Aug. 7, 2002; U.S. patent application Ser. No. 10/630,278, filed Jul. 30, 2003; and U.S. patent application Ser. No. 60/525,624, filed Nov. 26, 2003.

Cyanomethyl analogs of intermediates 4, 6, and 7 can be made by removing the protecting group and treating the resulting amine with chloroacetonitrile and triethylamine. The cyanomethyl intermediates can be coupled with a variety of indole-3-carboxylic methyl esters to generate additional compounds of Formula I.

Biological Methods

Cells: (virus production) human embryonic kidney cell line, 293, was propagated in Dulbecco's Modified Eagle Medium (Invitrogen, Carlsbad, Calif.) containing 10% fetal Bovine serum (FBS, Sigma, St. Louis, Mo.); (virus infection) human epithelial cell line, HeLa, expressing the HIV-1 receptor CD4 was propagated in Dulbecco's Modified Eagle Medium (Invitrogen, Carlsbad, Calif.) containing 10% fetal Bovine serum (FBS, Sigma, St. Louis, Mo.) and supplemented with 0.2 mg/mL Geneticin (Invitrogen, Carlsbad, Calif.).

›DESCRIPTION OF THE INVENTION · 2 of 3

Virus: single-round infectious reporter virus was produced by co-transfecting human embryonic kidney 293 cells with an HIV-1 envelope DNA expression vector and a proviral cDNA containing an envelope deletion mutation and the luciferase reporter gene inserted in place of HIV-1 nef sequences. Transfections were performed using lipofectAMINE PLUS reagent as described by the manufacturer (Invitrogen, Carlsbad, Calif.).

Experiment: HeLa CD4 cells were plated in 96 well plates at a cell density of 1×104 cells per well in 100 μl Dulbecco's Modified Eagle Medium containing 10% fetal Bovine serum and incubated overnight. Compound was added in a 2 μl dimethylsulfoxide solution, so that the final assay concentration would be ≦10 μM. Single-round infectious reporter virus (100 μL) in Dulbecco's Modified Eagle Medium was then added to the plated cells and compound at an approximate multiplicity of infection (MOI) of 0.01, resulting in a final volume of 200 μl per well. Virally-infected cells were incubated at 37 degrees Celsius, in a CO2 incubator, and harvested 72 h after infection. Viral infection was monitored by measuring luciferase expression from viral DNA in the infected cells using a luciferase reporter gene assay kit, as described by the manufacturer (Roche Molecular Biochemicals, Indianapolis, Ind.). Infected cell supernatants were removed and 50 μl of lysis buffer was added per well. After 15 minutes, 50 μl of freshly-reconstituted luciferase assay reagent was added per well. Luciferase activity was then quantified by measuring luminescence using a Wallac microbeta luminescence reader.

The percent inhibition for each compound was calculated by quantifying the level of luciferase expression in cells infected in the presence of each compound as a percentage of that observed for cells infected in the absence of compound and subtracting such a determined value from 100. The effective concentration for fifty percent inhibition (EC 50 ) was calculated with Microsoft Excel Xlfit curve fitting software. For each compound, curves were generated from percent inhibition calculated at 10 different concentrations by using a four paramenter logistic model (model 205). The EC 50 data for the compounds is shown in Table 1. Table 1.

Pharmaceutical Composition and Methods of Use

The compounds of this invention inhibit HIV entry by attaching to the exterior viral envelop protein gp120 and interrupting viral entry, possibly by interfering with recognition of the cellular receptor CD4. Compounds in this class have been reported to have antiviral activity against a variety of laboratory and clinical strains of HIV-1 and are effective in treating HIV infection (see Hanna et al., Abstract 141 presented at the 11th Conference on Retroviruses and Opportunistic Infections, San Francisco, Calif., Feb. 8-11, 2004; Lin et al., Poster 534 presented at the 11th Conference on Retroviruses and Opportunistic Infections, San Francisco, Calif., Feb. 8-11, 2004; Hanna et al., Poster 535 presented at the 11th Conference on Retroviruses and Opportunistic Infections, San Francisco, Calif., Feb. 8-11, 2004).

Accordingly, another aspect of the invention is a method for treating HIV infection in a human patient comprising administering a therapeutically effective amount of a compound of Formula I, or a pharmaceutically acceptable salt or solvate thereof, with a pharmaceutically acceptable carrier.

Another aspect of the invention is a method for treating HIV infection in a human patient comprising administering a therapeutically effective amount of a compound of Formula I, or a pharmaceutically acceptable salt or solvate thereof, with a therapeutically effective amount of at least one other agent used for treatment of AIDS or HIV infection. Some suitable agents are nucleoside HIV reverse transcriptase inhibitors, non-nucleoside HIV reverse transcriptase inhibitors, HIV protease inhibitors, HIV fusion inhibitors, HIV attachment inhibitors, CCR5 inhibitors, CXCR4 inhibitors, HIV budding or maturation inhibitors, and HIV integrase inhibitors.

Another aspect of the invention is a composition for treating HIV infection in a human patient comprising administering a therapeutically effective amount of a compound of Formula I, or a pharmaceutically acceptable salt or solvate thereof, with a pharmaceutically acceptable carrier.

“Combination,” “coadministration,” “concurrent,” and similar terms referring to the administration of compounds of Formula I with at least one anti-HIV agent mean that the components are part of a combination antiretroviral therapy or highly active antiretroviral therapy (HAART) as understood by practitioners in the field of AIDS and HIV infection.

“Therapeutically effective” means the amount of agent required to provide a meaningful patient benefit as understood by practitioners in the field of AIDS and HIV infection. In general, the goals of treatment are suppression of viral load, restoration and preservation of immunologic function, improved quality of life, and reduction of HIV-related morbidity and mortality.

“Patient” means a person infected with the HIV virus and suitable for therapy as understood by practitioners in the field of AIDS and HIV infection.

“Treatment,” “therapy,” “regimen” “HIV infection,” “AIDS” and related terms are used as understood by practitioners in the field of AIDS and HIV infection.

The compounds of this invention are generally given as pharmaceutical compositions comprised of a therapeutically effective amount of a compound of Formula I or its pharmaceutically acceptable salt and a pharmaceutically acceptable carrier and may contain conventional excipients. A therapeutically effective amount is that which is needed to provide a meaningful patient benefit. Pharmaceutically acceptable carriers are those conventionally known carriers having acceptable safety profiles. Compositions encompass all common solid and liquid forms including capsules, tablets, losenges, and powders as well as liquid suspensions, syrups, elixers, and solutions. Compositions are made using common formulation techniques, and conventional excipients (such as binding and wetting agents) and vehicles (such as water and alcohols) are generally used for compositions.

›DESCRIPTION OF THE INVENTION · 3 of 3

Solid compositions are normally formulated in dosage units and compositions providing from about 1 to 1000 mg of the active ingredient per dose are preferred. Some examples of dosages are 1 mg, 10 mg, 100 mg, 250 mg, 500 mg, and 1000 mg. Generally, other antiretroviral agents will be present in a unit range similar to agents of that class used clinically. Typically, this is 0.25-1000 mg/unit.

Liquid compositions are usually in dosage unit ranges. Generally, the liquid composition will be in a unit dosage range of 1-100 mg/mL. Some examples of dosages are 1 mg/mL, 10 mg/mL, 25 mg/mL, 50 mg/mL, and 100 mg/mL. Generally, other antiretroviral agents will be present in a unit range similar to agents of that class used clinically. Typically, this is 1-100 mg/mL.

The invention encompasses all conventional modes of administration; oral and parenteral methods are preferred. Generally, the dosing regimen will be similar to other antiretroviral agents used clinically. Typically, the daily dose will be 1-100 mg/kg body weight daily. Generally, more compound is required orally and less parenterally. The specific dosing regime, however, will be determined by a physician using sound medical judgement.

The invention also encompasses methods where the compound is given in combination therapy. That is, the compound can be used in conjunction with, but separately from, other agents useful in treating AIDS and HIV infection. Some of these agents include HIV attachment inhibitors, CCR5 inhibitors, CXCR4 inhibitors, HIV cell fusion inhibitors, HIV integrase inhibitors, HIV nucleoside reverse transcriptase inhibitors, HIV non-nucleoside reverse transcriptase inhibitors, HIV protease inhibitors, budding and maturation inhibitors, immunomodulators, and anti-infectives. In these combination methods, Compound 1 will generally be given in a daily dose of 1-100 mg/kg body weight daily in conjunction with other agents. The other agents generally will be given in the amounts used therapeutically. The specific dosing regime, however, will be determined by a physician using sound medical judgement.

Table 2 lists some agents useful in treating AIDS and HIV infection which are suitable for this invention.

›DESCRIPTION OF SPECIFIC EMBODIMENTS

LC/MS Method (compound identification). Column: Primesphere C-18 HC 4.6×33 mm column; Standard LC Run Conditions (used unless otherwise noted): Gradient: 100% Solvent A/0% Solvent B to 0% Solvent A/100% Solvent B; Solvent A=10% MeCN-90% H 2 O (5 mM NH4OAc), Solvent B=90% MeCN-10% H2O (5 mM NH4OAc); Gradient time: 2 minutes; Stop time: 3 min; Flow rate: 4 mL/min; Detector Wavelength: 220 nm.

Preparative HPLC Method (i.e., compound purification). Column: YMC Pack C-18 20×100 mm column; Standard LC Run Conditions (used unless otherwise noted): Gradient: 90% Solvent A/10% Solvent B to 0% Solvent A/100% Solvent B; Solvent A=10% MeCN-90% H2O (5 mM NH4OAc), Solvent B=90% MeCN-10% H2O (5 mM NH4OAc); Gradient time: 7 min; Stop time: 10 min; Flow rate: 20 mL/min; Detector Wavelength: 220 nm. Alternate solvent system: Solvent A=10% MeCN-90% H2O-0.1% TFA; Solvent B=90% MeCN-10% H2O-0.1% TFA.

Compounds purified by preparative HPLC were diluted in MeOH or DMF (2 mL) and purified using the following methods on a Shimadzu LC-10A automated preparative HPLC system or on a Shimadzu LC-8A automated preparative HPLC system with detector (SPD-10AV UV-VIS) wavelength and solvent systems (A and B) the same as above.

Intermediate 1

Preparation of 1,3,4,5-Tetrahydropyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester. General Method: A mixture of 2-iodoaniline (0.315 g, 1.44 mmol), 4-oxo-1-piperidinecarboxylic acid tert-butyl ester (0.860 g, 4.31 mmol), 1,4-diazabicyclo[2.2.2]octane (Dabco™) (0.483 mL, 4.31 mmol) and palladium acetate (0.016 g, 0.072 mmol) in dry DMF (7 mL) was degassed via vacuum/argon purging, and then it was heated to 110° C. for 3.5 h. The reaction mixture was subsequently cooled to room temperature and partitioned between ethyl acetate and water. The organic layer was separated, dried (MgSO 4 ), filtered and evaporated to dryness. The residue was chromatographed (SiO 2 /hexanes:ethyl acetate, 1:1) to give the title compound (0.068 g, 17%) as an off-white solid. 1 H NMR (400 MHz, CDCl 3 ) δ 7.88 (s, 1H), 7.45 (d, J=7.6 Hz, 1H), 7.31 (d, J=7.6 Hz, 1H), 7.12 (m, 2H), 4.64 (s, 2H), 3.82 (s, 2H), 2.82 (s, 2H), 1.50 (s, 9H); LCMS: m/e 273 (M+H) + .

Intermediate 2

Preparation of 8-Fluoro-1,3,4,5-tetrahydropyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester. Prepared according to the general method to give the title compound (87% yield) as a clear oil. 1 H NMR (400 MHz, CDCl 3 ) δ 7.90 (s, 1H), 7.20 (dd, J=8.8, 4.3 Hz, 1H), 7.08 (d, J=8.1 Hz, 1H), 6.87 (m, 1H), 4.58 (s, 2H), 3.81 (s, 2H), 2.81 (s, 2H), 1.50 (s, 9H); LCMS: m/e 291 (M+H) + .

Intermediate 3

Preparation of 8-Trifluoromethyl-1,3,4,5-tetrahydropyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester. Prepared according to the general method to give the title compound (17% yield) as a white solid. 1 H NMR (400 MHz, CDCl 3 ) δ 8.62 (m, 1H), 7.70 (m, 1H), 7.36 (s, 2H), 4.66 (s, 2H), 3.83 (m, 2H), 2.83 (t, J=5.8 Hz, 2H), 1.52 (s, 9H); LCMS: m/e 341 (M+H) + .

Intermediate 4

Preparation of 5-Phenyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester. A mixture of 1,1-diphenylhydrazine hydrochloride (0.365 g, 1.65 mmol) and 4-oxo-1-piperidinecarboxylic acid tert-butyl ester (0.329 g, 1.65 mmol) in pyridine (3 mL) was heated in a sealed tube at 120° C. with stirring for 3 h. The reaction mixture was subsequently cooled to room temperature and partitioned between ethyl acetate and water. The organic layer was separated, dried (MgSO 4 ), filtered and evaporated to dryness. The residue was chromatographed (SiO 2 /hexanes:ethyl acetate, 3:2) to give the title compound (0.214 g, 37%) as a brown oil. 1 H NMR (400 MHz, CDCl 3 ) δ 7.51 (m, 2H), 7.40 (m, 1H), 7.35 (m, 2H), 7.26 (m, 2H), 7.14 (m, 2H), 4.72 (s, 2H), 3.78 (s, 2H), 2.71 (s, 2H), 1.51 (s, 9H); LCMS: m/e 349 (M+H) + .

Intermediate 6

Preparation of 8-Fluoro-5-methyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester. To a suspension of NaH (80% in oil, 0.0190 g, 0.633 mmol) in dry THF (1 mL), was added a solution of 8-fluoro-1,3,4,5-tetrahydropyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester (0.114 g, 0.393 mmol) in THF (4 mL) via cannula. The reaction mixture was allowed to stir at room temperature for 5 min and then iodomethane (0.098 mL, 1.57 mmol) was added. The resulting mixture was stirred for 2 h and then it was quenched with saturated aqueous ammonium chloride and extracted with ethyl acetate. The organic phase was separated, dried (MgSO 4 ), filtered and concentrated to dryness to give the title compound (0.109 g, 91%) as a yellow oil which was used without further purification. LCMS: m/e 305 (M+H) + .

Intermediate 7

Preparation of 8-Fluoro-5-phenyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester. A mixture of 8-fluoro-1,3,4,5-tetrahydropyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester (0.455 g, 1.57 mmol), CuI (0.012 g, 0.065 mmol) and K 3 PO 4 (0.579 g, 2.73 mmol) was suspended in toluene (5 mL) under Ar. To this mixture was added iodobenzene (0.145 mL, 1.30 mmol) and N,N′-dimethylethylenediamine (0.028 mL, 0.26 mmol) and then the reaction vessel was quickly sealed and the mixture was heated with stirring at 150° C. (oil bath temperature) for 16 h. The cooled reaction mixture was subsequently filtered (Celite) and the filtrate was concentrated to dryness. The residue was purified by flash chromatography (SiO 2 /hexanes-ethyl acetate, 80:20 to 20:80) to give the title compound (0.267 g, 46%) as a white foam. 1 H NMR (400 MHz, CDCl 3 ) δ 7.51 (m, 2H), 7.41 (m, 1H), 7.33 (m, 2H), 7.15 (m, 2H), 6.87 (m, 1H), 4.66 (s, 2H), 3.77 (m, 2H), 2.70 (m, 2H), 1.51 (s, 9H); LCMS: m/e 367 (M+H) + .

›Examples9
›EXAMPLE 1

1-(5-Phenyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indol-2-yl)-2-(4,7-dimethoxy-6-azaindol-3-yl)-ethane-1,2-dione. General Method: A solution of 5-phenyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indole-2-carboxylic acid tert-butyl ester (0.054 g, 0.155 mmol) in dry CH 2 Cl 2 (2 mL) was treated with TFA (0.20 mL). After stirring the mixture for 1 h, the solvent was evaporated in vacuo and the residue was dissolved in CHCl 3 (5 mL). To this mixture was added 4,7-dimethoxy-6-azaindol-3-yl-oxoacetic acid (0.042 g, 0.155 mmol), i-Pr2NEt (0.27 mL, 1.55 mmol) and then BOP-Cl (0.039 g, 0.153 mmol). The mixture was allowed to stir at room temperature for 2 h and then the solvent was removed in vacuo. The residue was partitioned with EtOAc-H2O, the organic phase was separated and the aqueous phase was re-extracted with EtOAc (2×). The combined organic layers were washed (H2O, brine), dried (Na2SO4) and evaporated. The residue was purified by preparative HPLC to give the title compound (0.025 g, 33%) as a white solid. 1 H NMR (400 MHz, CDCl 3 ) δ 9.27 (s, 0.67H), 9.22 (s, 0.33H), 8.06 (d, J=3.0 Hz, 0.67H), 8.00 (d, J=3.0 Hz, 0.33H), 7.59-7.07 (m, 10H), 4.11 (m, 1H), 4.05 (s, 3H), 3.88 (s, 1H), 3.85 (m, 2H), 3.72 (s, 2H), 2.88 (m, 1H), 2.78 (m, 2H); LCMS: m/e 481 (M+H)+.

›EXAMPLE 2

1-(1,3,4,5-Tetrahydro-pyrido[4,3-b]indol-2-yl)-2-(4,7-dimethoxy-6-azaindol-3-yl)-ethane-1,2-dione. Prepared according to the general method to give the title compound (53% yield) as a white solid. 1 H NMR (400 MHz, CDCl 3 ) δ 9.23 (s, 0.67H), 9.14 (s, 0.33H), 8.06 (d, J=3.0 Hz, 0.70H), 7.96 (d, J=3.0 Hz, 0.30H), 7.92 (s, 0.40H), 7.89 (s, 0.60H), 7.52-6.99 (m, 5H), 4.15 (m, 1H), 4.05 (s, 2H), 4.04 (s, 1H), 3.89 (m, 2H), 3.83 (s, 1H), 3.67 (s, 2H), 3.00 (m, 1H), 2.89 (m, 2H); LCMS: m/e 405 (M+H)+.

›EXAMPLE 3

1-(8-Fluoro-1,3,4,5-tetrahydro-pyrido[4,3-b]indol-2-yl)-2-(4,7-dimethoxy-6-azaindol-3-yl)-ethane-1,2-dione. Prepared according to the general method to give the title compound (15% yield) as a white solid. 1 H NMR (400 MHz, DMSO-d6) δ 11.12 (s, 0.33H), 11.06 (s, 0.67H), 8.17 (s, 0.56H), 8.09 (s, 0.44H), 7.42 (s, 0.38H), 7.39 (s, 0.62H), 7.32-7.24 (m, 1H), 6.91-6.83 (m, 1H), 3.99 (m, 1H), 3.97 (s, 2H), 3.96 (s, 1H), 3.74 (s, 1H), 3.70 (m, 2H), 3.59 (s, 2H), 2.93 (m, 1H), 2.76 (m, 2H); LCMS: m/e 423 (M+H)+.

›EXAMPLE 4

1-(8-Fluoro-5-methyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indol-2-yl)-2-(4,7-dimethoxy-6-azaindol-3-yl)-ethane-1,2-dione. Prepared according to the general method to give the title compound (36% yield) as a white solid. 1 H NMR (400 MHz, CDCl 3 ) δ 9.27 (s, 0.67H), 9.17 (s, 0.33H), 8.04 (d, J=3.5 Hz, 0.69H), 7.96 (d, J=3.5 Hz, 0.31H), 7.42 (s, 0.25H), 7.39 (s, 0.75H), 4.16 (m, 1H), 4.03 (s, 2H), 4.02 (s, 1H), 3.90 (m, 2H), 3.84 (s, 1H), 3.69 (s, 2H), 3.65 (s, 1H), 3.62 (s, 2H), 2.97 (m, 1H), 2.88 (m, 2H); LCMS: m/e 437 (M+H)+.

›EXAMPLE 5

1-(8-Trifluoromethyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indol-2-yl)-2-(4,7-dimethoxy-6-azaindol-3-yl)-ethane-1,2-dione. Prepared according to the general method to give the title compound (60% yield) as a white solid. 1 H NMR (400 MHz, CDCl 3 ) δ 13.04 (m, 0.67H), 12.96 (m, 0.33H), 11.50 (s, 0.33H), 11.46 (s, 0.67H), 8.18 (d, J=3.5 Hz, 0.63H), 8.10 (d, J=3.5 Hz, 0.37H), 7.95 (s, 0.67H), 7.80 (s, 0.33H), 7.51-7.31 (m, 3H), 4.01 (m, 1H), 3.98 (s, 2H), 3.97 (s, 1H), 3.74 (s, 1H), 3.72 (m, 2H), 3.59 (s, 2H), 2.97 (m, 1H), 2.80 (m, 2H); LCMS: m/e 473 (M+H)+.

›EXAMPLE 6

1-(5-Phenyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indol-2-yl)-2-[4-methoxy-7-(3-methyl-1,2,4-triazol-1-yl)-6-azaindol-3-yl]-ethane-1,2-dione. Prepared according to the general method to give the title compound (56% yield) as a white solid. 1 H NMR (400 MHz, CDCl 3 ) δ 11.01 (s, 0.7H), 10.96 (s, 0.3H), 9.13 (s, 1H), 8.28 (d, J=3.0 Hz, 0.7H), 8.21 (d, J=3.5 Hz, 0.3H), 7.73 (s, 0.3H), 7.70 (s, 0.7H), 7.59-7.04 (m, 9H), 4.13 (t, J=5.8 Hz, 1H), 3.98 (s, 1H), 3.89 (t, J=5.6 Hz, 2H), 3.84 (s, 2H), 2.90 (m, 1H), 2.81 (m, 2H), 2.57 (s, 2H), 2.56 (s, 1H); LCMS: m/e 532 (M+H)+.

›EXAMPLE 7

1-(5-Phenyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indol-2-yl)-2-[4-methoxy-7-(5-methyl-1,2,4-triazol-1-yl)-6-azaindol-3-yl]-ethane-1,2-dione. Prepared according to the general method to give the title compound (41% yield) as a light yellow solid. 1 H NMR (400 MHz, CDCl 3 ) δ 10.92 (s, 0.67H), 10.87 (s, 0.33H), 8.27 (d, J=3.0 Hz, 1H), 8.17 (d, J=3.0 Hz, 1H), 7.81 (s, 0.33H), 7.79 (s, 0.67H), 7.59-7.08 (m, 9H), 4.14 (m, 1H), 3.90 (m, 2H), 3.87 (s, 3H), 3.08 (s, 3H), 2.90 (m, 1H), 2.82 (m, 2H); LCMS: m/e 532 (M+H)+.

›EXAMPLE 8

1-(8-Fluoro-5-phenyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indol-2-yl)-2-[4-methoxy-7-(3-methyl-1,2,4-triazol-1-yl)-6-azaindol-3-yl]-ethane-1,2-dione. Prepared according to the general method to give the title compound (37% yield) as a white solid. 1 H NMR (400 MHz, CDCl 3 ) 11.03 (s, 0.64H), 11.00 (s, 0.36H), 9.10 (s, 1H), 8.23 (d, J=3.5 Hz, 0.67H), 8.22 (d, J=3.0 Hz, 0.33H), 7.74 (s, 0.29H), 7.71 (s, 0.71H), 7.57-6.84 (m, 9H), 4.13 (m, 1H), 3.99 (s, 1H), 3.88 (m, 2H), 3.86 (s, 2H), 2.88 (m, 1H), 2.80 (m, 2H), 2.56 (s, 2H), 2.55 (s, 1H); LCMS: m/e 550 (M+H)+.

›EXAMPLE 9

1-(8-Fluoro-5-phenyl-1,3,4,5-tetrahydro-pyrido[4,3-b]indol-2-yl)-2-[4-methoxy-7-(1,2,3-triazol-1-yl)-6-azaindol-3-yl]-ethane-1,2-dione. Prepared according to the general method to give the title compound (9% yield) as a white solid. 1 H NMR (400 MHz, CDCl3) 11.05 (s, 0.67H), 11.01 (s, 0.33H), 8.76 (s, 1H), 8.35 (m, 0.72H), 8.29 (m, 0.28H), 7.94 (s, 1H), 7.86 (s, 0.25H), 7.83 (s, 0.75H), 7.61-6.88 (m, 8H), 4.17 (s, 1H), 4.07 (s, 1H), 3.94 (s, 2H), 3.92 (m, 2H), 2.92 (m, 1H), 2.85 (m, 2H); LCMS: m/e 536 (M+H)+.

›Tables in the description — 2
TABLE 1 — EC 50 < 1 μM = A; 1-5 μM = B; >5 μM = C; >0.5 μM = D.
ExampleEC 50
1A
2C
3C
4A
5B
6A
7A
8A
9A
TABLE 2
DRUG NAMEMANUFACTURERINDICATION
ANTIVIRALS
097Hoechst/BayerHIV infection, AIDS,
(non-nucleosideARC
reverse transcriptase
inhibitor)
AmprenavirGlaxo WellcomeHIV infection, AIDS,
141 W94ARC
GW 141
(protease inhibitor)
Abacavir (1592U89)Glaxo WellcomeHIV infection, AIDS,
GW 1592ARC
(RT inhibitor)
AcemannanCarrington LabsARC
(Irving, TX)
AcyclovirBurroughs WellcomeHIV infection, AIDS,
ARC, in combination
with AZT
AD-439Tanox BiosystemsHIV infection, AIDS,
ARC
AD-519Tanox BiosystemsHIV infection, AIDS,
ARC
Adefovir dipivoxilGilead SciencesHIV infection, ARC,
AL-721EthigenPGL HIV positive, AIDS
(Los Angeles, CA)
Alpha InterferonGlaxo WellcomeKaposi's sarcoma
HIV in combination
w/Retrovir
AnsamycinAdria LaboratoriesARC
LM 427(Dublin, OH)
Erbamont
(Stamford, CT)
Antibody whichAdvanced BiotherapyAIDS, ARC
Neutralizes pHConcepts
Labile alpha aberrant(Rockville, MD)
Interferon
AR177Aronex PharmHIV infection, AIDS,
ARC
Beta-fluoro-ddANat'l Cancer InstituteAIDS-associated diseases
BMS-232623Bristol-Myers Squibb/HIV infection, AIDS,
(CGP-73547)NovartisARC
(protease inhibitor)
BMS-234475Bristol-Myers Squibb/HIV infection, AIDS,
(CGP-61755)NovartisARC
(protease inhibitor)
CI-1012Warner-LambertHIV-1 infection
CidofovirGilead ScienceCMV retinitis, herpes,
papillomavirus
Curdlan sulfateAJI Pharma USAHIV infection
CytomegalovirusMedImmuneCMV retinitis
Immune globin
CytoveneSyntexSight threatening
GanciclovirCMV peripheral, CMV
retinitis
DelaviridinePharmacia-UpjohnHIV infection, AIDS,
(RT inhibitor)ARC
Dextran SulfateUeno Fine Chem.AIDS, ARC, HIV
Ind. Ltd. (Osaka,positive asymptomatic
Japan)
ddCHoffman-La RocheHIV infection, AIDS,
DideoxycytidineARC
ddIBristol-Myers SquibbHIV infection, AIDS,
DideoxyinosineARC; combinationwith
AZT/d4T
DMP-450AVIDHIV infection, AIDS,
(protease inhibitor)(Camden, NJ)ARC
EfavirenzDuPont MerckHIV infection, AIDS,
(DMP 266)ARC
(−)6-Chloro-4-(S)-
cyclopropylethynyl-
4(S)-trifluoro-
methyl-1,4-dihydro-
2H-3,1-benzoxazin-
2-one, STOCRINE
(non-nucleoside RT
inhibitor)
EL10Elan Corp, PLCHIV infection
(Gainesville, GA)
FamciclovirSmith Klineherpes zoster, herpes
simplex
FTCEmory UniversityHIV infection, AIDS,
(reverse transcriptaseARC
inhibitor)
GS 840GileadHIV infection, AIDS,
(reverse transcriptaseARC
inhibitor)
HBY097Hoechst MarionHIV infection, AIDS,
(non-nucleosideRousselARC
reverse
transcriptaseinhibitor)
HypericinVIMRx Pharm.HIV infection, AIDS,
ARC
Recombinant HumanTriton BiosciencesAIDS, Kaposi's sarcoma,
Interferon Beta(Almeda, CA)ARC
Interferon alfa-n3Interferon SciencesARC, AIDS
IndinavirMerckHIV infection, AIDS,
ARC, asymptomatic HIV
positive, also in
combination with
AZT/ddI/ddC
ISIS 2922ISIS PharmaceuticalsCMV retinitis
KNI-272Nat'l Cancer InstituteHIV-associated diseases
Lamivudine, 3TCGlaxo WellcomeHIV infection, AIDS,
(reverse transcriptaseARC, also with AZT
inhibitor)
LobucavirBristol-Myers SquibbCMV infection
NelfinavirAgouronHIV infection, AIDS,
(protease inhibitor)PharmaceuticalsARC
NevirapineBoeheringerHIV infection, AIDS,
(RT inhibitor)IngleheimARC
NovaprenNovaferon Labs, Inc.HIV inhibitor
(Akron, OH)
Peptide TPeninsula LabsAIDS
Octapeptide(Belmont, CA)
Sequence
TrisodiumAstra Pharm.CMV retinitis, HIV
PhosphonoformateProducts, Inc.infection, other CMV
infections
PNU-140690Pharmacia UpjohnHIV infection, AIDS,
(protease inhibitor)ARC
ProbucolVyrexHIV infection, AIDS
RBC-CD4Sheffield Med.HIV infection, AIDS,
Tech (Houston, TX)ARC
RitonavirAbbottHIV infection, AIDS,
(protease inhibitor)ARC
SaquinavirHoffmann-HIV infection, AIDS,
(protease inhibitor)LaRocheARC
Stavudine; d4TBristol-Myers SquibbHIV infection, AIDS,
Didehydrodeoxy-ARC
thymidine
ValaciclovirGlaxo WellcomeGenital HSV &
CMVinfections
VirazoleViratek/ICNasymptomatic HIV-
Ribavirin(Costa Mesa, CA)positive, LAS, ARC
VX-478VertexHIV infection, AIDS,
ARC
ZalcitabineHoffmann-LaRocheHIV infection, AIDS,
ARC, with AZT
Zidovudine; AZTGlaxo WellcomeHIV infection, AIDS,
ARC, Kaposi's sarcoma,
in combination with
other therapies
Tenofovir disoproxil,GileadHIV infection, AIDS
fumarate salt
(Viread ®)
(reverse transcriptase
inhibitor)
Combivir ®GSKHIV infection, AIDS
(reverse transcriptase
inhibitor)
abacavir succinateGSKHIV infection, AIDS
(or Ziagen ®)
(reverse transcriptase
inhibitor)
Reyataz ®Bristol-Myers SquibbHIV infection, AIDS
(atazanavir)
FuzeonRoche/TrimerisHIV infection, AIDS,
(Enfuvirtide, T-20)viral fusion inhibitor
Trizivir ®HIV infection, AIDS
Kaletra ®AbbottHIV infection, AIDS,
ARC
IMMUNOMODULATORS
AS-101Wyeth-AyerstAIDS
BropiriminePharmacia UpjohnAdvanced AIDS
AcemannanCarrington Labs, Inc.AIDS, ARC
(Irving, TX)
CL246,738American CyanamidAIDS, Kaposi's sarcoma
Lederle Labs
EL10Elan Corp, PLCHIV infection
(Gainesville, GA)
FP-21399Fuki ImmunoPharmBlocks HIV fusion with
CD4+ cells
Gamma InterferonGenentechARC, in combination
w/TNF (tumor necrosis
factor)
GranulocyteGenetics InstituteAIDS
Macrophage ColonySandoz
Stimulating Factor
GranulocyteHoechst-RousselAIDS
Macrophage ColonyImmunex
Stimulating Factor
GranulocyteSchering-PloughAIDS, combination
Macrophage Colonyw/AZT
Stimulating Factor
HIV Core ParticleRorerSeropositive HIV
Immunostimulant
IL-2CetusAIDS, in combination
Interleukin-2w/AZT
IL-2Hoffman-LaRocheAIDS, ARC, HIV, in
Interleukin-2Immunexcombination w/AZT
IL-2ChironAIDS, increase in CD4
Interleukin-2cell counts
(aldeslukin)
Immune GlobulinCutter BiologicalPediatric AIDS, in
Intravenous(Berkeley, CA)combination w/AZT
(human)
IMREG-1ImregAIDS, Kaposi's sarcoma,
(New Orleans, LA)ARC, PGL
IMREG-2ImregAIDS, Kaposi's sarcoma,
(New Orleans, LA)ARC, PGL
Imuthiol DiethylMerieux InstituteAIDS, ARC
Dithio Carbamate
Alpha-2Schering PloughKaposi's sarcoma
Interferonw/AZT, AIDS
Methionine-TNI PharmaceuticalAIDS, ARC
Enkephalin(Chicago, IL)
MTP-PECiba-Geigy Corp.Kaposi's sarcoma AIDS,
Muramyl-TripeptideAmgenin combination w/AZT
Granulocyte
Colony Stimulating
Factor
RemuneImmune ResponseImmunotherapeutic
Corp.
rCD4GenentechAIDS, ARC
Recombinant
Soluble Human CD4
rCD4-IgGAIDS, ARC
hybrids
RecombinantBiogenAIDS, ARC
Soluble Human CD4
InterferonHoffman-La RocheKaposi's sarcoma, AIDS,
Alfa 2ain combination w/AZTARC
SK&F106528Smith KlineHIV infection
Soluble T4
ThymopentinImmunobiologyHIV infection
Research Institute
(Annandale, NJ)
Tumor NecrosisGenentechARC, in combination
Factor; TNFw/gamma Interferon
ANTI-INFECTIVES
Clindamycin withPharmacia UpjohnPCP
Primaquine
FluconazolePfizerCryptococcal meningitis,
candidiasis
PastilleSquibb Corp.Prevention of oral
Nystatin Pastillecandidiasis
OrnidylMerrell DowPCP
Eflornithine
PentamidineLyphoMedPCP treatment
Isethionate (IM & IV)(Rosemont, IL)
TrimethoprimAntibacterial
Trimethoprim/sulfaAntibacterial
PiritreximBurroughs WellcomePCP treatment
PentamidineFisons CorporationPCP prophylaxis
Isethionate for
Inhalation
SpiramycinRhone-PoulencCryptosporidial
diarrhea
Intraconazole-Janssen-Pharm.Histoplasmosis;
R51211cryptococcal meningitis
TrimetrexateWarner-LambertPCP
DaunorubicinNeXstar, SequusKaposi's sarcoma
Recombinant HumanOrtho Pharm. Corp.Severe anemia assoc.
Erythropoietinwith AZT therapy
Recombinant HumanSeronoAIDS-related wasting,
Growth Hormonecachexia
Megestrol AcetateBristol-Myers SquibbTreatment of anorexia
assoc. W/AIDS
TestosteroneAlza, Smith KlineAIDS-related wasting
Total EnteralNorwich EatonDiarrhea and
NutritionPharmaceuticalsmalabsorption related to
AIDS

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Classifications

11 codes
IPC · International Patent Classification
Section A — Human necessities
  • A61K31/506
  • A61K31/4745
  • A61K31/519
  • A61K31/497
  • A61K31/44
  • A61K31/437
Section C — Chemistry; metallurgy
  • C07D471/04
  • C07D519/00
  • C07D487/02
USPC · US Patent Classification
514/292546/81

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