Title of Invention

NOVEL COMPOUNDS AND COMPOSITION THEREOF AS ANTICOAGULANT

Abstract The subject invention provides anticoagulant compounds of formula (I): and pharmaceutically acceptable salts thereof, wherein R1, R3, n and Ar are as defined herein. The compounds of the subject invention can be used to treat at-risk populations thereby bringing relief of symptoms, improving the quality of life, preventing acute and long-term complications, reducing mortality and treating accompanying disorders. The invention further comprises pharmaceutical compositions comprising the compounds and salts of the invention, as well as methods of using the compounds, salts, and compositions of the invention.
Full Text Background of Invention
Warfarin (coumarin) is an anticoagulant that acts by inhibiting vitamin K-
dependent coagulation factors. Warfarin based compounds are, typically, derivatives
of 4-hydroxycoumarin, such as 3-{a-acetohylbenzyl)-4-hydroxycouniarin
(COUMADIN). COUMADIN and other coumarin anticoagulants inhibit the
synthesis of vitamin K dependent clotting factors, which include Factors II, YEL, DC
and X. Anticoagulant proteins C and S are also inhibited by warfarin anticoagulants.
Warfarin is believed to interfere with clotting factor synthesis by inhibiting vitamin K
epoxide reductase, thereby inhibiting vitamin K regeneration.
An anticoagulation effect is generally seen about 24 hours after administration
of a single dose of warfarin and is effective for 2 to 5 days. While anticoagulants
have no direct effect on an established thrombus and do not reverse ischemic tissue
damage, anticoagulant treatment is intended to prevent the extension of formed clots
and/or to prevent secondary thromboembolic complications. These complications
may result in serious and possibly fatal sequelae.
The FDA has approved warfarin for the following indications: 1) the treatment
or prophylaxis of venous thrombosis and pulmonary embolism, 2) thromboembolic
complications associated with atrial fibrillation and /or cardiac valve replacement, and
3) reducing the risk of death, recurring myocardial infarction, and stroke or systemic
embolism after myocardial infarction.
A number of adverse effects are associated with the administration of
warfarin. These include fatal or nonfatal hemorrhage from any tissue or organ and
hemorrhagic complications such as paralysis. Other adverse effects include
paresthesia including feeling cold and chills; headache; chest, abdomen, joint, muscle
or other pain; dizziness; shortness of breath; difficult breathing or swallowing;
unexplained swelling, weakness, hypotension, or unexplained shock. Other adverse
reactions reported include hypersensitivity/allergic reactions, systemic cholesterol
microembolization, purple toes syndrome, hepatitis, cholestatic hepatic injury,
jaundice, elevated liver enzymes, vasculitis, edema, fever, rash, dermatitis, including
bullous eruptions, urticaria, abdominal pain including cramping, flatulence/bloating,
fatigue, lethargy, malaise, asthenia, nausea, vomiting, diarrhea, pain, headache,
dizziness, taste perversion, pruritus, alopecia and cold intolerance.
Drug toxicity is an important consideration in the treatment of humans and
animals. Toxic side effects resulting from the administration of drugs include a
variety of conditions that range from low grade fever to death. Drug therapy is
justified only when the benefits of the treatment protocol outweigh the potential risks
associated with the treatment. The factors balanced by the practitioner include the
qualitative and quantitative impact of the drug to be used as well as the resulting
outcome if the drug is not provided to the individual. Other factors considered
include the physical condition of the patient, the disease stage and its history of
progression, and any known adverse effects associated with a drug.
Drug elimination is the result of metabolic activity upon the drug and the
subsequent excretion of the drug from the body. Metabolic activity can take place
within the vascular supply and/or within cellular compartments or organs. The liver is
a principal site of drug metabolism. The metabolic process can be broken down into
primary and secondary metabolism, also called phase-1 and phase-2 metabolism. In
phase-1 metabolism, the drug is chemically altered by oxidation, reduction,
hydrolysis, or any combination, of the aforementioned processes and usually yields a
more polar product than the parent drug. In Phase-2 metabolism the products of the
phase-1 reaction are combined with endogenous substrates, e.g., glucuronic acid, to
yield an addition or conjugation product that is even more hydrophilic than the
product of phase-1 and which is readily eliminated in the bile or in the urine. In some
cases, a drug can undergo only phase-2 (conjugation) metabolism, in other cases a
drug can be eliminated unchanged. The first step in such synthetic reactions is often
an oxidative conjugation performed by the cytochrome P450 (CYP450) system.
Metabolites formed in phase-2 reactions are typically the product of a conjugation
reaction performed by a transferase enzyme. These reactions include glucuronidation,
amino acid conjugation, acetylation, sulfoconjugation, and methylation.
Mammalian cytochrome) P450 enzymes (CYP450), including human CYP450,
are membrane-bound heme-containing proteins that were originally discovered in rat
liver microsomes. In order to function, CYP450 enzymes need a source of electrons.
There are two different kinds of electron transfer chains for CYP450s. These depend
on the location of the enzyme in the cell. Some P450s are found in the mitochondrial
inner membrane and some are found in the endoplasmic reticulum (ER). The protein
that donates electrons to CYP450s in the ER is called NADPH cytochrome P450
reductase. Ferredoxin is the immediate donor of electrons to the CYP450s in
mitochondria (CYP11A1, CYP11B1, CYP11B2, CYP24, CYP27A1, CYP27B1,
CYP27C1). NADPH is the source of electrons that flow from ferredoxin reductase to
ferredoxin and then to CYP450.' A few P450s also can accept electrons from
cytochrome b5.
Polymorphisms (differences in DNA sequence found at 1% or higher in a
population) can lead to differences in drug metabolism, so they are important features
of CYP450 genes in humans. CYP2C19 has a polymorphism that changes the
enzyme's ability to metabolize mephenytoin (a marker drug). In Caucasians, the
polymorphism for the poor metabolizer phenotype is only seen in 3% of the
population. However, it is seen in 20% of the Asian population. Because of this
difference, it is important to be aware of a person's race when drugs are given that are
metabolized differently by different populations. Some drugs that have a narrow
range of effective dose before they become toxic might be overdosed in a poor
metabolizer.
CYP2D6 is perhaps the best studied P450 with a drug metabolism
polymorphism. This enzyme is responsible for more than 70 different drug
oxidations. Since there may be no other way to clear these drugs from the system,
poor metabolizers may be at severe risk for adverse drug reactions. CYP2D6
Substrates include antiarrhythmics . (Flecainide, Mexiletine, Propafenone),
antidepressants (Amitriptyline, Paroxetine, Venlafaxine, Fluoxetine, Trazadone),
antipsychotics (Clorpromazine, Haloperidol, Thioridazine), beta-blockers (Labetalol,
Timolol, Propanolol, Pindolol, Metoprolol), analgesics (Codeine, Fentanyl,
Meperidine, Oxycodone, Propoxyphene), and many other drugs. CYP2E1 is induced
in alcoholics. There is a polymorphism associated with this gene that is more
common in Chinese people.
The CYP3A subfamily is one of the most important drug metabolizing
families in humans. CYP3A4 is "the most abundantly expressed CYP450 in human
liver". (Arch. Biochem. Biophys. 369, 11-23 1999) CYP3A4 is known to metabolize
more than 120 different drugs, e.g., acetaminophen, codeine, cyclosporin A,
diazepam, erythromycin, lidocaine, lovastatin, taxoL cisapride, terfenadine, and
warfarin, to name a few.
The number of adverse drag reactions (ADRs) in the United States has risen
dramatically in recent years and now represents a critical national health problem.
The World Health Organization (WHO) defines an ADR as "a response to a drug that
is noxious and unintended and occurs at doses normally used in man for the
prophylaxis, diagnosis or therapy of disease, or for modification of physiological
function". To highlight the importance of error in the genesis of ADRs and the fact
that most (30-80%) ADRs are preventable, a more recent definition of an ADR is "an
appreciably harmful or unpleasant reaction, resulting from an intervention related to
the use of a medicinal product, which predicts hazard from future administration and
warrants prevention or specific treatment, or alteration of the dosage regimen, or
withdrawal of the product"
Because ADRs are a major source of morbidity and mortality in our health
care system, reducing the incidence of ADRs has become a national priority (FDA,
Center for Drag Evaluation and Research). According to formal estimates, greater
than 2.5 million ADRs occur each year in hospitals, ambulatory settings and nursing
homes, resulting in over 106,000 deaths, and costing the US economy $136B annually
in drug-related morbidity and mortality. This expense is greater than the annual cost
of cardiovascular disease and diabetes in the United States. In addition, the estimated
mortality rate associated with ADRs make them the fourth leading cause of death in
this country.
Many ADRs arise from the fact that most drags developed by the
pharmaceutical industry significantly interact with components of the CYP system,
either by relying on them for their metabolism and/or by inhibiting or inducing
various CYP fractions. In other words, because so many important drug classes (e.g.,
antihypertensives, antihistamines, antidepressants, immunosuppressants, statins)
interact with the CYP system, it can act as a "bottleneck" for the safe metabolism and
elimination of these agents and lead to toxic effects. With regard to drug metabolism,
two fractions of the CYP system merit special mention: CYP3A4 and CYP2D6.
Approximately one half of all known drugs interact with CYP3A4. Likewise,
CYP2D6, an enzyme fraction whose activity is highly dependent on genetics (genetic
polymorphisms), metabolizes one third of drugs in clinical use. Both of these
enzymes are involved in the metabolism of warfarin-like compounds.
The vast majority (70-90%) of ADRs occur as extensions of their expected
pharmacological effects (exaggerated pharmacology). This is particularly relevant to
the use of warfarin since the extension of the warfarin pharmacological effect is
bleeding. Although many different factors can contribute to the development of
ADRs, altered drug metabolism leading to elevated drug levels, either due to drag
interactions at the enzymatic level, genetic alterations in enzyme activity, and/or
organ dysfunction (liver, kidney), play a particularly important role in the genesis of
ADRs.
Drug therapy using warfarin is particularly difficult because the metabolism of
warfarin is complex and subject to interactions with a host of other drugs, including
drugs that are commonly prescribed in patients suffering from atrial fibrillation, such
as amiodarone for example. Warfarin is a mixture of enantiomers having different
intrinsic activities at the vitamin K epoxide reductase (VKER) enzyme. These
enantiomers have different metabolic pathways using different CYP450 isozymes.
The CYP450 metabolic system is highly inducible or repressible by a host of external
factors such as diet and other medications. Also, the CYP450 system is subject to
many genetic variations and has a low capacity and is easily saturable. For these
reasons the metabolism of warfarin is subject to unpredictable variations and each
enantiomer has a different metabolic fate and different potencies at the VKER
enzyme.
In addition, warfarin activity at the VKER enzyme results in inhibition of
coagulation factors II, VII, IX, and X, which have different half-lives of their own,
ranging from hours (factor VIII) to days (factor X). Because of this complex situation,
the pharmacological effect (increased coagulation time) of warfarin becomes apparent
only 5 to 10 days after a dose. It is therefore easy to understand why warfarin therapy
is extremely difficult to predict and why patients are at high risk of bleeding
complications including death. In the current state of warfarin therapy, patients on
warfarin must report to a coagulation lab once a week in order to be monitored and in
order to detect any early risk of bleeding complications. Even with this strict
monitoring system, many patients on warfarin die every year from bleeding
complications.
The potential clinical problems and business risk associated with developing
drugs, which must past through the P450 metabolism "gauntlet", is markedly
increased in the United States by the following two facts: 1) the number of
prescriptions filled in this country has increased to about 3 billion per year or 10 per
person, and 2) patients, particularly those that live longer and have more complex
medical problems, tend to take multiple medications. The latter issue is important
because the incidence of ADRs rises exponentially when subjects take more than four
drugs. Although it is good practice to avoid polypharmacy, in many cases this is not
possible because patients require different classes of drugs to effectively treat
complex medical conditions,
The landscape of drug R&D is littered by failed drugs that were withdrawn by
the FDA because they caused fatal ADRs involving CYP metabolism. These drags
were clinically effective and in many cases commercially successful. Notable drugs
that were withdrawn due to ADR-related deaths involving CYP450 metabolism
include terfenadine (February 1998), astemizole (July 1999) and cisapride (January
2000). In each of these cases, drug interactions involving CYP3A4 caused
concentrations of the pharmaceutical agent to increase to such a degree that it
significantly inhibited a particular type of potassium channel in the heart called Ik,
which in turn, prolonged the QT interval and caused: a potentially fatal form of
ventricular tachyarrhythmia called torsades de pointes.
A warfarin analog that has a controllable and a predictable metabolic fate, not
depending on CYP450, is therefore highly desirable and would be an important
addition to the armamentarium of drugs available for treating atrial fibrillation
patients. Certain warfarin analogs have been previously reported. See, for example,
WO 02/085882, which is incorporated herein by reference.
Summary of the Invention
The subject invention provides compounds and pharmaceutical compositions
that are useful as anticoagulants or useful in anticoagulant therapy.
According to a first aspect of the present invention there is provided a
compound of the formula:

and pharmaceutically acceptable salts thereof, wherein
R is C1-Cg alkyl substituted with at least one halogen;
R is C2-C8 alkyl substituted with at least one halogen;
R is C3-C7 alkyl substituted with at least one halogen; or
R is C3-C6 alkyl substituted with at least one halogen.
According to a second aspect of the present invention there is provided a
compound of Claim 1, wherein:
R is C1-C8 alkyl substituted with at least one chloro group;
R is C2-C8 alkyl substituted with at least one chloro group;
R is C3-C7 alkyl substituted with at least one chloro group:
R is C3-C6 substituted with at least one chloro group:
R is C3-C6 substituted with at least two chloro groups;
R is a tert-butyl group substituted with six chloro groups; or

These compounds interact with VKER and/or are useful as anticoagulants and/or
in anticoagulant therapy. The invention also, encompasses pharmaceutical
compositions containing these compounds and the use of such compounds or
compositions in the treatment of coagulation disorders.

Brief Description of the Accompanying Figures
Figure 1 shows VKER inhibitory activity of 3-(4-Hydroxy-2-oxo-2H-
chromen-3-yl)-3-(4-trifluoromethoxy-phenyl)-propionicacid.
Figure 2 shows VKER inhibitory activity of 4-(4-Hydroxy-2-oxo-2H-
cnromen-3-ylmethyl)-benzoic acid2,2,3,3=3-pentafluoro-propyl ester.
Figare 3 shows VKER inhibitory activity of 4-(4-Hydroxy-2-oxo-2H-
c3iromen-3-ylmethy'l)-benzoic acid 3.3,3-trifluoro-propyl ester.
Figure 4 shows VKER inhibitory activity of 4-(4-Hydroxy-2-oxo-2H-
chromen-3-yImethy-l}-benzoic acid 2,2,3,3,3-pentafluoro-l-meuiyl-propyl ester.
Figure 5 shows VKER inhibitory activity of 4-(4-Hydroxy-2-»xo-2H-
criromen-3-ylmethyl)-benzoic acid 4-fluoro-benzyI ester.
Figure 6 shows VKER inhibitory activity of 4-(4-Hydroxy-2-oxo-2H-
chromen-3-ylmethyI)-beazoic acid 2-(4-fluoro-phenoxy)-ethyl ester.
Figure 7 shows VKER inhibitory activity of 4-(4-Hydrcxy-2~oxo-2H-
chromen-3-ylmethyl)-ben2;oic acid 2,2,2-trifluoro-l-metbyl-ethyl ester.
Figure 8 shows VKER inhibitory activity of 4-(4-Hydroxy-2-oxo-2H-
chromen-3-ylmethyl)-benzoic acid 2,2,2-tri3uoro-l-trifiuororneihyl-etbyl ester.
Figure 9 shows VKER inhibitory activity of 4-(4-Hydroxy-2-oxo-2H-
chromen-3-y]mefhyl)-benzoic acid 2,2,2-trifluoro-l-methyl-l-trifluoromethyl-ethyl
ester.
Figure 10 shows VKER inhibitory activity of warfarin.
Figure 11 shows VKER inhibitory activity of 4~[(4-hydroxy-2-oxo-2H-
chromea-3-yl)methyl]benzoic acid.
Figure 12 shows the effect of fluorination on the metabolism by cytochrome
P450 and esterase in pooled human microsomes. Peak area ratios are shown for
microsomal incubations in the presence (solid bars) or absence (open bars) of
NADPH. Solid bars represent CYP450 + esterase and open bars represent esterase
alone.
Figure 13 shows the effect of fluorination on the metabolism by cytochrome
P450 and esterase in pooled human microsomes. Peak area ratios are shown for
microsomal incubations in the presence (solid bars) or absence (open bars) of
NADPH. Solid bars represent CYP450 + esterase and open bars represent esterase
alone.
Figure 14 shows the disappearance of a parent compound in pooled human
microsomes containing NADPH, in the absence (solid bars) of paraoxon, or in the
presence (open bars) of paraoxon, a known esterase inhibitor.
Insofar as any compounds identified in the Figures are not within the scope of the
claims, they are for information.
Detailed Disclosure
The invention provides compounds of the formula:

and pharmaceutically acceptable salts thereof; wherein:
R is C1-C8 alkyl substituted with at least one halogen.
In still another aspect, the invention provides compounds wherein R is C2-C8
alkyl substituted with at least one halogen.
In still yet another aspect, the invention provides compounds wherein R is C3-
C7 alkyl substituted with at least one halogen.
In still another aspect the invention provides compounds wherein R is C3-
C6 substituted with at least one halogen.
In still another aspect, the invention provides compounds wherein R is C3-C6
substituted with at least one fluoro group.
In yet another aspect, the invention provides compounds wherein R is C3-C6
substituted with at least two fluoro groups.
In still another aspect, the invention provides compounds wherein R is a tert-
butyl group substituted with six fiuoro groups.
In still another aspect, the invention provides compounds wherein R is

In still another aspect, the invention provides l,l,1,3,3,3-hexafmoro-2-
methylpropan-2-yl 4-((4-hydroxy-2-oxo-2H-chromen-3-yl)methyl)benzoate, or
pharmaceutically acceptable salts thereof.
In still another aspect, the invention provides l,l,l,3,3,3-hexafluoro-2-
methylpropan-2-yl 4-((4-hydroxy-2-oxo-2H-chromen-3-yl)methyl)benzoate.
In still another aspect, the invention provides the sodium or potassium salt of
1,1,1,3 ,3,3-hexafIuoro-2-methylpropan-2-yl 4-((4-hydroxy-2-oxo-2H-chromen-3-
yl)methyl)benzoate with the sodium salt being preferred.
Specific embodiments of the present invention include the following compounds:

By "alkyl" .is meant a straight or brasehed, non-cyclic, hydrocarbon.
Examples of alkyl' groups include methyl, ethyl, propyl, isopropyl n-butyl, sec-butyl, .
tert-butyl, pentyl, 2-pentyl, isopeptyl, neopentyi, hexyl, 2-hexyi, 3-hexyI, 3-
methylpentyl, heptyl and octyl "C1-C6 alkyl" denotes straight or branched, non-
cyclic, alkyl groups having 1-6 carbon atoms. Likewise, "C1-C4 alkyl" denotes
straight or branched, non-cyclic, alkyl groups having 1-4 carbon atoms.
The terms "halogen" or "halo" indicate fluorine, chlorine, bromine, and iodine.
The subject invention provides materials and methods for anticoagulant
treatment Advantageously, the therapeutic compounds of the subject invention are
stable in storage but have a shorter half-life in the physiological environment than
other drugs that are available for anticoagulant treatment; therefore, the compounds of
the subject invention can be used with a lower incidence of side effects and toxicity.
In a preferred embodiment, the subject invention provides therapeutic anticoagulant
compounds. The compounds of the subject invention can be used to treat at-risk
populations thereby bringing relief of symptoms, improving the quality of life,
preventing acute and long-term complications, reducing mortality and treating
accompanying disorders.
Advantageously, the subject invention provides compounds that are readily
metabolized by the physiological metabolic drug detoxification systems. Specifically,
in a preferred embodiment, the therapeutic compounds of the subject invention
contain a halogenated ester group, which does not detract from the ability of these
compounds to provide a therapeutic benefit, but which makes these compounds more
susceptible to degradation by hydrolases, particularly serum and/or cytosolic
. esterases. Advantageously, the compounds have been found to inhibit the vitamin K
epoxide reductase (VKER) enzyme.
In addition to their activity at the VKER enzyme, the presence of at least one
halogen atom in the ester moiety gives these compounds certain advantageous
properties. Specifically, the addition of halogen to these compounds greatly reduces
or eliminates their metabolism by CYP450; while at the same time greatly increasing
esterase mediated hydrolysis. Thus, halogenation unexpectedly confers a predilection
for esterase metabolism when in the absence of such halogenation there is a
predilection for CXP450 metabolism. This property gives the halogenated ester
compounds important therapeutic advantages over non-halogenated analogs.
Because the halogenated compounds of the subject invention do not depend on
CYP450 enzymes for metabolism, they are not likely to interact with other drags at
the CYP450 site and therefore they are safe to use in patients who are already taking
other medications, unlike their non-halogenated analogs. The compounds of the subject
invention are useful in methods of treatment comprising the administration of these
compounds to individuals in need of anticoagulant treatment.
In a further embodiment, the subject invention'pertains to breakdown products
that are formed when the therapeutic compounds of the subject invention are acted
upon by esterases. These breakdown products can be used, for example, as described
herein to monitor the clearance of the therapeutic compounds from a patient
The compounds of the subject invention are useful in methods for the treatment of
coagulation disorders. Specifically, the subject invention provides compounds which
are readily metabolized by the hydrolytic drug detoxification systems preferentially to
the oxidative drug detoxification. system. Specifically, this invention provides
compounds that are susceptible to degradation by hydrolases, particularly serum
and/or cytosolic esterases.
This invention is drawn to compounds which are more easily metabolized by
the hydrolytic drug detoxification systems.
Specifically, this invention provides analogs of
drugs which have been designed to be more susceptible to degradation by hydrolases,
particularly serum and/or cytosolic esterases and methods of treatment comprising the
administration of these analogs to individuals.
Advantageously, use of the compounds of the subject invention can result in a
reduction of clinically relevant metabolic interactions involving the CYP system
(particularly the CYP3A4 fraction) and helps to avoid ADRs. These compounds do
not rely on the CYP450 enzyme system, but instead, exploit widely distributed
esterases for metabolism and generation of a metabolite that is substantially
pharmacologically inactive. This approach makes anticoagulant agents safer while
maintaining efficacy, and also significantly reduces the financial risk of drug
development.
In a preferred embodiment of the subject invention, therapeutic compounds
are provided which are useful in providing anticoagulant treatment and which contain
a halogenated ester group that is acted upon by hydrolytic enzymes, thereby breaking
down the compound to a substantially inactive and water soluble metabolite and
facilitating its efficient removal from the treated individual. As referred to herein, a
"substantially inactive" metabolite may exhibit, e.g., less than or equal to about 10%
(and more preferably less than or equal to about 5%; even more preferably less than
or equal to about 2%; and most preferably less man or equal to about 1%) of the
parent compound's activity. In a preferred embodiment the therapeutic compounds
are metabolized by plasma esterases, tissue esterases, and/or non-oxidatrve/hydrolytic
microsomal esterases.
A further aspect of the subject invention pertains to the breakdown products
that are produced when the therapeutic compounds of the subject invention are acted
upon by esterases. The presence of these breakdown products in the urine or serum
can be used to monitor the rate of clearance of the therapeutic compound from a
patient
The ester linkage may be introduced into
the compound at a site that is convenient in the manufacturing process for the target
drug. Additionally, the sensitivity of the ester linkage may be manipulated by the
addition of side groups which hinder or promote the hydrolytic activity of the
hydrolases or esterases responsible for cleaving the drug at the ester locus. Methods
of adding such side groups, as well as the side groups themselves, are well known to
the skilled artisan and can be readily carried out utilizing the guidance provided
herein.
The compounds of the present invention are useful in anticoagulant treatment comprising the
administration of a therapeutically effective amount of halogenated ester compounds
to an individual in need of treatment Accordingly, the subject invention provides
halogenated esters and pharmaceutical compositions of these ester compounds. In a
preferred embodiment the patient is a human; however, non-human animals also can
be treated.
Adverse drug-drug interactions (DDI), elevation of liver function test (LFT)
values, and QT prolongation leading to torsades de pointes (TDP) are three major
reasons why drug candidates fail to obtain FDA approval. All these causes are, to
some extent, metabolism-based. A drug that has two metabolic pathways, one
oxidative and one non-oxidative, built into its structure is highly desirable in the
pharmaceutical industry. An alternate, non-oxidative metabolic pathway provides the
treated subject with an alternative drug detoxification pathway (an escape route) when
one of the oxidative metabolic pathways becomes saturated or non-functional. While
a dual metabolic pathway is desirable and necessary in order to provide an escape
metabolic route in case the primary route is blocked, in the case of VKER inhibitors
such as the disclosed compounds of the subject invention, it is very important that the
primary metabolism route be non-oxidative, because oxidative metabolism is
especially sensitive to drug-drug interactions. The halogenated esters of this
invention are primarily, if not only, metabolized by esterases, a non-oxidative
enzymatic system, and therefore are especially useful to treat patients who are taking
other medications.
Additional modifications of the compounds disclosed herein can readily be
made by those skilled in the art. Thus, analogs and salts of the exemplified
compounds are within the scope of the subject invention. With a knowledge of the
compounds of the subject invention, skilled chemists can use known procedures to
synthesize these compounds from available substrates. As used in this application,
the term "analogs" refers to compounds which are substantially the same as another
compound but which may have been modified by, for example, adding additional side
groups. The term "analogs" as used in this application also may refer to compounds
which are substantially the same as another compound but which have atomic or
molecular substitutions at certain locations in the compound.
Analogs of the exemplified compounds can be readily prepared using
commonly known, standard reactions. These standard reactions include, but are not
limited to, hydro genation, methylation, acylation, halogenation and acidification
reactions. For example, new salts within the scope of the invention can be made by
adding mineral bases, e.g., NaOH, etc., or strong organic bases, e.g., triethanolamine,
etc., in appropriate amounts to form the salt of the parent compound or its derivative.
Also, synthesis type reactions may be used pursuant to known procedures to add or
modify various groups in the exemplified compounds to produce other compounds
within the scope of the invention.
Non-toxic pharmaceutically acceptable salts include, but are not limited to
salts of inorganic acids such as hydrochloric, sulfuric, phosphoric, diphosphoric,
hydrobromic, and nitric or salts of organic acids such as formic, citric, malic, maleic,
fumaric, tartaric, succinic, acetic, lactic, memanesulfonic, p-toluenesulfonic, 2-
hydroxyethylsulfbnic, salicylic and stearic. Similarly, pharmaceutically acceptable
cations include, but are not limited to sodium, potassium, calcium, aluminum, lithium
and ammonium. Those skilled in the art will recognize a wide variety of non-toxic
pharmaceutically acceptable addition salts. The present invention also encompasses
prodrugs of the compounds of the present invention.
Advantageously, the halogenated compounds are less favorable substrates for
cytochrome CYP450 than their non-halogenated analogs. They are therefore more
likely to be metabolized by esterases, which is desirable for eliminating drug-drug
interactions according to the subject invention.
The syndesis of the compounds of the present invention can be achieved as shown in
scheme 1.

la scheme 1, 4-hydroxycournarin and an optionally
substituted aromatic aldehyde are heated in a mixture of triethylamine and formic acid
(2:5 molar ratio) to give the correspondingly substituted 3-benzyI-4-hydroxycoumarin
wherein R is defined as above.
The subject invention further pertains to enantiomericallyenriched compounds,
and compositions comprising the compounds, useful for the treatment of
coagulation disorders. The isolated enantiomeric forms of the compounds of the
invention are substantially free from one another (i.e., in enantiomeric excess). In
other words, fee "R" forms of the compounds are substantially free from the "S"
forms of the compounds and are, thus, in enantiomeric excess of the "S" forms.
Conversely, "S" forms of the compounds are substantially free of "R" forms of die
compounds and are, thus, in enantiomeric excess of the "R" forms. In one
embodiment of the invention, the isolated enantiomeric compounds are at least about
in 80% enantiomeric excess. In a preferred embodiment, the compounds are in at
least about 90% enantiomeric excess. In a more preferred embodiment, the
compounds are in at least about 95% enantiomeric excess. In an even more preferred
embodiment, the compounds are in at least about 97.5% enantiomeric excess. Ia a
most preferred embodiment the compounds are in at least 99% enantiomeric excess.
The compounds of the subject invention are useful in methods for treating coagulation disorde
comprising the administration of a therapeutically effective amount of the halogenated
esters of this invention to an individual in need of treatment. The therapeutic
compounds of this invention have applicability in both veterinary and human clinical
contexts. Further, the compounds of this invention have therapeutic properties similar
to those of the unmodified parent compound (COUMADIN). Accordingly, dosage
rates and routes of administration of the disclosed compounds are similar to those
already used in the art and known to the skilled artisan (see, for example, Physicians'
Desk Reference, 54th Ed., Medical Economics Company, Montvale, NJ, 2000 or U.S.
Patent 5,856,525 ).
The compounds of the present invention may be administered orally, topically,
parenterally, by inhalation or spray or rectally in dosage unit formulations containing
conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles.
The term, parenteral as used herein includes percutaneous, subcutaneous, intravascular
(e.g., intravenous), intramuscular, or intrathecal injection or infusion techniques and
the Eke. In addition, there is provided a pharmaceutical formulation comprising a
compound of the present invention and a pharmaceutically acceptable carrier. One or more
compounds of the present invention may be present in association with one or more
non-toxic pharmaceutically acceptable carriers and/or diluents and/or adjuvants, and if
desired other active ingredients. The pharmaceutical compositions containing
compounds of the present invention may be in a form suitable for oral use, for example,
as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or
granules, emulsion, hard or soft capsules, or syrups or elixirs.
Formulations are described in detail in a number of sources which are well
known and readily available to those skilled in the art For example, Remington's
Pharmaceutical Science by E.W. Martin describes formulations which can be used in
connection with the subject invention. In general, the compositions of the subject
invention will be formulated such that an effective amount of the bioactive
compound(s) is combined with at least one suitable carrier, solvent, excrpient, and/or
adjuvant in order to facilitate effective administration of the composition.
In accordance with the invention, pharmaceutical compositions comprising, as
an active ingredient, an effective amount of one or more of the compounds of the
invention and one or more non-toxic, pharmaceutically acceptable carrier(s) and/or
diluent(s). Examples of such carriers for use in the invention include ethanol,
dimethylsnlfoxide, glycerol, silica, alumina, starch, and equivalent carriers and
diluents.
Further, acceptable carriers can be either solid or liquid. Solid form
preparations include powders, tablets, pills, capsules, cachets, suppositories and
dispersible granules. A solid carrier can be one or more substances which may act as
diluents, flavoring agents, solubilizers, lubricants, suspending agents, binders,
preservatives, tablet disintegrating agents or an encapsulating material;
The -disclosed pharmaceutical compositions may be suhdisdded into unit doses,
containing appropriate quantities of the active component The unit dosage form can
be a packaged preparation, such as packeted tablets, capsules, and powders in paper or
plastic containers or in vials or ampoales, Also, the unit dosage can be a liquid based
preparation or formulated to be incorporated into solid food products, chewing gum,
or lozenge.
The term "individuals)" is defined as a single mammal to which is
administered a compound of the present invention. The mammal may be a rodent, for
example a mouse or a rat, or a non-rodent, for example a pig, a horse, a rabbit, a goat,
a cow, a cat, a dog, or can be a human. In a preferred embodiment, the individual is a
human.
Following are examples which illustrate procedures for practicing the
invention. These examples should not be construed as limiting. All percentages are
by weight and all solvent mixture proportions are by volume unless otherwise noted.
Reactions were performed in dry solvents under an atmosphere of nitrogen unless
otherwise specified, and were followed by thin-layer chromatography (TLC) on
Analtech (0.25 mm) glass-packed precoated silica gel plates which were visualized by
short wave UV light or in an iodine chamber. The term "standard work-up" refers to
addition of water to the reaction mixture, extraction, with EtOAc (3x), washing the
combined organic layers successively with water and brine, drying over anhydrous
Na2SO4, filtering and concentrating on a Buchi R-114 rotary evaporator.
Chromatographic separations were performed on silica gel columns (Aldrich Silica
Gel 70-230 mesh, 60 A) or on a Gilson liquid handler using a reverse phase Polaris
C18 column (5µ, 100x212). 1H NMR spectra were recorded on a Nicolet/GE NT 300
spectrometer.
Example 1 — Preparation of 4-(4-Hydroxv-2-oxo-2H-chromen-3-vlmethvl)-benzoic
acid 2.2.2-trifiuoro-l-methvl-l-trifiuoromethvl-ethvl ester

Triethylammonium formate (TEAF) is prepared by adding TEA (20.0mL) to
formic acid (16.5 mL) with ice cooling. To TEAP is added 4-(2,2,2-trifluoro-l-
methyl-l-trifiuoromethyl-ethoxycarbonyl)benzaldehyde (3.78 mL) and 4-hydroxy-
chromen-2-one (6.0g) and the resulting mixture heated to 130-140 °C for 3 hours,
cooled to room temperature, diluted with water, and extracted with EtOAc.
The organic layer is washed with brine, dried over MgS04 and cone, in vacuo
to give a light yellow solid. The crude solid is recrystallized from EtOH to give 4-(4-
Hydroxy-2-oxo-2H-chromen-3-ylmethyI)-benzoic acid 2,2,2-trifluoro-l-methyl-l-
trifmoromethyl-ethyl ester (1.95g).
Information Example 2 — Preparation of 4-Hydroxy-3-(3-oxo-l,3-diliydro-isobeii2ofbran-l-yl)-
chxomen-2-one
A solution of 4-hydroxy-chrornen-2-one (650mg) and 2-
carboxybenzyladehyde (300mg) in EtOH is heated to reflux for 4 hours, cooled to
room temperature then concentrated in vacuo to give a crude oil, which is diluted with,
water.
The precipitated 4-hydroxy-chromen-2-one is collected by filtration (490 mg).
A second crop of solid is collected from the mother liquor and triturated with hot
EtOAc and filtered to provide 4-Hydroxy-3-(3-oxo-l,3-dihydro-isobenzofaran-l-yl)
chxomen-2-one as white solid.
InformationExample 3 — Preparation of 2-(4-HyaVoxy-2H5xo-2H^hronieii-3-ylmethyI)-beri2oic
acid chloromethyl ester
To a solution 4-Hyadroxy-3-(3-oxo-1,3-dihyoro-isobenzofuran-l-yI)-chromen-
2-one (60mg) in ethanol is added 10% Pd/C (10 mg) then stirred tinder a hydrogen
balloon for 12 hours. The reaction mixture is filtered through a pad of cents and the
filtrate concentrated in vacuo to give 2-(4-Hydroxy-2-oxo-2H-chromen-3-ylmethyl)-
benzoic acid as white solid (50 mg). MS: 295[M-H|.
• A solution of 2-(4-Hydroxy-2-oxo-2H-chromen-3-ylmethyi)-benzoic acid in a
5% sodium bicarbonate solution is added to a solution of 1.5 equivalent of
chloromethylchlorosulfate in' methylene chloride. Tetrabutylarnmoniurn
hydrogensulfate (catalytic amount) is added, and the mixture stirred vigorously for 5
hours. The organic layer is dried over MgS04 and conc, in vacuo to give 2-(4-
Hydroxy-2-oxo-2H-chromen-3-ylmethyl)-benzoic acid chloromethyl ester as white
solid.
Example 4 - Preparation of l,l,l,3,3,3-hexafluorc-2-methylpropan-2-yI 4-((4-
hydroxy-2-ox:o-2H-chromen-3-yI)methyl)benzoate
Step 1 The preparation of l,l,l,3,3,3-hexafluoro-2-methylpropan-2-yl 4-
formylbenzoate

A mixiture of 41.1 g (274 mmol) 4-carboxybenzaldeliyde, 50 g (274 mmol)
l,l,l,3,3,3-hexafluoro-2-methyl-2-propanoI, and 33.4 g (274 mmol) DMAP in 700
mL DCM wa.s stirred until homogeneous (approximately 0.5 hr). The solution was
cooled over an ice bath, under Ar, and 52.3 g (274 mmol) EDCI was added portion-
wise. The reaction was stirred at RT for 48 hr. and concentrated to an oil on the
rotovap. The; oil was taken up with EA and washed with water, 2X with dil. Citric
acid, 2X with. dil. Sodium bicarbonate, and brine. The organic layer was dried over
sodium sulfate and concentrated to 25.5 g pale yellow solid.

A mixture of 22 g (70 mmol) of the benzaldehyde, 11.3 g (70 mmol) of 4-
hydroxycouiriarin, and 70 mL of 1.2:1 (v/v) TEA/formic acid was heated to 140 C
under nitrogen for 2 hrs. (3 hrs would have been better). Reaction progress was
monitored by TLC using 1:1 (1% HOAc/EA) / Hexane. Mixture was allowed to cool
briefly and treated with 50 mL THE (to inhibit crystallization) and poured into 500
mL of EA. The EA layer was washed 3X with water, once with brine and then dried
over sodium sulfate. Filtration and concentration provided a white solid which can be
recrystallized from EA or acetone.
If desired, the title compound can be converted into a pharmaceutical ly
acceptable salt, such as the sodium salt.
Example 5
Preparation of 3,3,4,4,4-pentafluorobutan-2-yl 4-((4-hydroxy-2-oxo-2H-
chromen-3-yl)methyl)benzoate
Step 1: Preparation of 3,3,4,4,4-pentafhiorobutan-2-yl 4-formyIbenzoate (3)

A mixture of 4-carboxybenzaldehyde (21.9 g, 145.9 mmol), 3,3,4,4,4-
pentafiuoro-2-butanol (24.1 g, 146.9 mmol), EDC (33.5 g, 174.8 mmol) and DMAP
(18.1 g, 148.1 mmol) was dissolved in DMF (60 ml) at rt. It was stirred for 36 h at rt
Hexane was added, it was washed with 1 N HCL sat NaHC03 and brine. The aqueous
layers were extracted three times with hexane. It was dried over Na2S04, filtered,
concentrated, and the residue was purified by silica gel chromatography (ethyl
acetate:hex'ane 1:10) to yield the desired aldehyde as a yellow oil (67%).

Formic acid (35.8 ml) was added to 4-Hydroxycoumarin (15.8 g, 97.5 mmoY)
and aldehyde 3 (28.9 g, 97.6 mmol). Triethylamine (43 ml) was added (exothermic) at
0 °C. It was warmed to 140 °C and stirred for 4 h at this temperature. The yellow
solution was cooled to rt, ethyl acetate was added, it was washed with 1 N HC1 and
brine, it was dried over Na2SO4 and the solvent was removed. The slightly yellow-
solid was recristallized from ethylacetate to yield the title compound as a white solid
in 98% purity (60% yield).
The sodium salt was made as follows: the free acid (21.39 g, 48.35 mmol) and
NaHC03 (4.06 g, 48.30 mmol) were dissolved in acetonitrile (400 ml) and water (10O
ml) aad lyophilized to yield the Na-salt, as a white solid.
Example 6: Preparation of (S)-((R)-3,3,4,4,4-pentafluorobutan-2-yl) 2-(6-
methoxynaphthalen-2-yI)propanoate
Step 1: Preparation of (2S)-3,3,4,4,4-pentafluorobutan-2-yI 2-(6-
methoxynaphthalen-2-yl)propanoate (mix of diastereomers) (6)

A mixture of (S)-naproxea (9.23 g, 40.1 mmol), racemic 3,3,4,4,4-pentafluoro-
2-butanol (6.58 g, 40.1 mmol), EDC (9.20 g, 48.0 mmol) and DMAP (4.89 g, 40.O
mmol) was dissolved in CH2C12 (40 mL) at room temperature. After stirring for 8 h ai:
room temperature, the mixture was diluted with CH2Cl2, then washed successively
with 1 N HO, sat. NaHC03 and brine. After drying over Na2SO4 and concentrating;,
a mixture of diastereomeric naproxen esters was obtained as a white solid.
Step 2: Small amounts of the diastereomers were separated via reverse phase HPLC
(C18-column, with 50% to 70 % CH3CN/water.)
(.S,S)-Naproxen ester (single diastereomer) 1HNMR (CDCl3, 400 MHz) d 7.70
(d, J= 8.8 Hz, 2H), 7.65 (d: J= 1.2 Hz, 1H), 7.37 (dd J= 1.8, 8.6 Hz, 1H), 7.15 (dd, J
= 2.8, 8.8 Hz, 1H), 7.12 (d, J= 2.4 Hz, 1H), 5.35-5.42 (m, 1H), 3.92 (s, 3H), 3.90 (q,
7= 7.2 Hz, 1H), 1.60 (d, J= 7.2 Hz, 3H)S 1.39 (d, J= 6.0 Hz, 3H); I9F NMR (CDCl3,
376 MHz) d -82.0 (s, 3F), 122.7 (dd, J= 7.0, 278.2 Hz, IF), -128.6 (dd, J = 16.0,
278.9 Hz, IF).
(S,R)-Naproxen ester (single diastereomer) !H NMR. (CDC13, 400 MHz) 5
7.71 (d, J= 8.4 Hz, 2H), 7.66 (d, J= 1.2 Hz, 1H), 7.38 (dd, J= 1.8, 8.6 Hz, 1H), 7.15
(dd, J= 2.4, 8.8 Hz, 1H), 7.12
(d, J= 2.4 Hz, 1H), 5.39-5.47 (m, 1H), 3.92 (s, 3H),
3.90 (q, J= 7.2 Hz, 1H), 1.59 (d, J= 7.2 Hz, 3H), 127 (d, J= 6.4 Hz, 3H); 19F NMR
(CDCl3, 376 MHz) d -82.0 (s, 3F), -122.7 (dd, J= 7.0, 278.2 Hz, 1F), -128.6 (dd, J=
16.0,279.1 Hz, 1F).
Step 3: The Naproxen resolving agent was hydrolytically removed.

The (S,S)Naproxen ester (3.83 g, 10.18 mmol) from step 2 was treated with 1
N KOH (19 ml) and THF (19.5 mL) at room temperature. The emulsion was stirred
at room temperature and became a clear solution after 3 h. After stirring for one
additional hour, CH2Cl2 (50 mL) was added and the solution was washed with sat
NaHCO3 (four times) and dried over Na2SO4 and filtered to afford a solution of the S
isomer of the alcohol. The solution was used directly in the next step, without
purification.

To a solution of the S isomer of the alcohol from step 3) was added 4-
carboxybenzaldehyde (3.35 g, 22.3 mmol), EDC (5.14 g, 26.8 mmol) and DMAP
(2.70 g, 22.1 mmol). The reaction mixture was stirred for 16 h at room temperature.
Ethyl acetate was added and the organic layer was washed successively with sat.
NaHCO3(aq) and brine. After drying over Na2S04, filtering, and concentrating, the
residue was purified by silica gel chromatography (ethyl acetaterhexane 1:10) to yield
(5)-4-formyl-beozoic acid 2,2,3,3,3-pentafluoro-l-melhyl-propyl ester as a yellow oil
(82%).
Step 5: The final coupling - preparation of (S)-3,3,4,4,4-pentafluorobutan-2-yl 4-((4-
hydroxy-2-oxo-2H-chromen-3-yi)methyI)b6nzoate

4-Hydroxycoumarin (1.367 g, 8.44 mmol) and (5)-4-formyl-benzoic acid
2,2,3,3,3-pentafluoro-l-methyl-propyl ester (2.505 g, 8.46 mmol) were dissolved in
formic acid (3.0 mL) and Et3N (3.6 mL) at 0 °C. After stirring at 140 °C for 4 b, the
yellow solution was cooled to rt, EtOAc was added, and the organic layer was washed
successively with 1 N HC1 and brine. After drying over Na2SC>4 and concentrating,
the pale yellow solid was purified twice by silica gel chromatography (DCM:MeOH
100:6 and DCM:MeOH 100:5) to yield the title compound in 92.5 % ee as determined
bychiralHPLC.
The sodium salt was made as follo-ws: The free acid (1.60 g, 3.62 mmol) and
NaHC03 (303 mg, 3,62 mmol) were dissolved in acetonitrile (25 mL) and water (5
mL), and then lyophilized to yield the desired Na-salt, as a white solid. MS m/e 465
(MNa*), 441 (M-H); !H NMR (DMSO-4r) 5 7.76-7.80 (m, 3H), 7.43 (d, J = 8.3 Hz,
2H), 7.31 (dt, 1H), 7.02-7.08 (m, 2H), 5.71-5.79 (m, 1H), 3.70 (s, 2H), 1.48 (d, J= 6.9
Hz, 3H); 19F NMR (DMSO-^) 5 -81.3-(s, 3F), -121.2 (dd, J= 7.0, 276.7 Hz, IF),
-128.2 (d, J= 17.1,276.7 Hz, IF).
Preparation of (R)-3,3,4,4,4-pentafluorobu.-tan-2-yl 4-((4-hydroxy-2-oxo-2H-
chromen-3-yl)metiiyI)betizoate
Using methods and procedures essentially analogous to those in Example 6,
the (S,R) diastereomer from Example 6, step 2 wis hydrolyzed to afford the desired
(R)-isomer of the alcohol, which was then coupled with 4-carboxybenzaldehyde to
afford (R>3,3,4,4,4-pentafIiiorobutan-2-yl 4-formyIbenzoate, which was then coupled
with 4-hydroxycoumarin to afford the title compound.
The sodium salt was made as follows: the free acid (1.605 g, 3.63 mmol) and
NaHC03 (303 mg, 3.62 mmol) were dissolved in a-cetonitrile (20 mL), water (5 mL),
and then lyophilaed to yield the Na-salt, as a white solid. MS m/e 465 (MNa4), 441
(M-H); 'H NMR (DMSO-d6) 5 7.81 (dd, J= 1.1, 7.9 Hz, 1H), 7.77-7.80 (m, 2H), 7.43
(d, J= 8.3 Hz, 2H), 7.32-7.36 (m, 1H), 7.05-7.11 (rn, 2H), 5.71-5.80 (m, 1H), 3.72 (s,
2H), 1.49 (d, J= 6.1 Hz, 3H); !9F NMR (DMSO-cfe) 5 -81.3 (s, 3F), -1212 (dd, J=
6.0, 265.6 Hz, IF), -128.2 (dd, J= 16.2,265.8 Hz, IF).
Example 8
The foDowing compounds were prepared essentially according to the methods
and schemes described herein.
The following compounds were prepared essentially according to the methods and schemes
described herein. Any compounds not falling within the scope of the claims axe provided for
information purposes.

Example 9 —Effects of compounds on vitamin K epoxide reductase activity
Compounds of the subject invention were tested against vitamin K epoxide
reductase.
Briefly: increasing concentrations of compounds were incubated in the
presence of vitamin K epoxide and in the presence of a bovine microsomal
preparation containing vitamin K epoxide reductase. The amount of residual vitamin
K epoxide at the end of the incubation period was directly proportional to the
inhibitory activity of the test compounds on the enzyme.
The tests were performed as follows:
Microsomes were prepared from fresh cow liver according to the method
described in: 'Turification of gamma-glutamyl carboxylase from bovine liver. Wu
SM, Mutucumarana VP, and Stafford DW. Methods in Enzymology (1997) 28Z:346-
57."
Serial dilutions of test compounds were prepared as follows: Dissolve trie test
compounds to a final dilution of lOmM either in water or in DMSO (if not sohi"ble in
water). From this mother solution, prepare 2 further dilutions by diluting it with
water: one 200pM solution and one 5mM solution. Prepare a series of tubes as
follows:
Table 1
Tube# Substrate Water (uL)
1 30uL of 200uM solution 0
2 20p.L of 200 uM solution 10
3 1 OuL of 200uM solution 20
4 45 uL of 5 uM solution
5 30
6 30
7 30
8 30
9 30
Remove 15uL from tube 4 and add to tube 5, vortex, then remove 15juL from
tube 5 and add to tube 6, vortex, etc... until 15uL is added to tube 9. Vortex and then
remove 15p.L from tube 9.
Prepare another set of 4 tubes and add 30uL of water.
A reaction mixture consisting of 600uL buffer (2.5M NaCl, 0.125M MOPS,
pH7.5), 520uL water, and 150pL of 10% CHAPS was prepared. The tubes were kept
on ice for 5 minutes and then 500uL of microsomal preparation was added. The
mixture was mixed by vortex and kept on ice for 10 min for sufficient solubilization.
To this was added 150uL of vitamin K epoxide solution (1.5mg/ml in isopropanol),
then again vortexed and kept on ice for 5 minutes. An aliquot (70uL) of this reaction
mix was added to each one of the series of tubes prepared as above and containing
serial dilutions of test compounds in 30uL of water. The tubes were then vortexed
and then kept on ice for 5 min. To 2 of the water-containing tubes was addecl 500pL
of a stop reagent consisting of 5 volumes of 50mM AgN03 and 5 volumes of
isopropanol. These 2 tubes were used to measure a zero value.
The tubes were placed in a 30C mixer for 3 min and 5uL of IOOidlM DTT
solution in water was added. The tubes were then vortexed and kept in "the dark
without shaking for another 20 min, at the end of which 500uL of the stop> reagent
was added.
To each tube was then added 600uL of a lOOug/ml solution of vitamin E in
hexane, the tubes were capped and then vortexed for 1 minute. The tubes were then
centrifuged for 5 min at 5,000g3 and the upper layer (the hexane layer) was transferred
to a series of fresh tubes. The hexane was evaporated at room temperature in the dark
using a speedvac, and the resulting pellet was resuspended in 100p.L of methanol.
The amount of vitamin K epoxide in each sample was then measured using a
HPLC determination method. Residual vitarnin K epoxide was then plotted against
test compound concentration. The results are shown in Figures 1-9.
Example 10-Metabolism in pooled human microsomes
Pooled human liver microsomes were used as an in vitro model of drug
metabolism. These microsomes contain both esterase and CYP450 drug metabolizing
enzymes. Pooled human microsomes were suspended in Tris buffer (50 mM, pH 7.4)
at a final concentration of 1 mg/mL of microsomal protein. Test compounds
dissolved in acetonitrile:DMSO (1:99) were added to a final concentration of 2 uM.
Incubations were performed at 37° C and samples (50 uL) were collected after 5, 15,
30, 60 and 90 minutes and then were precipitated by the addition of 100 uL of
acetonitrile containing Internal Standard and centrifuged at 14,000 rpm for 15 min at
4°C. Samples were analyzed by LC/MS/MS for the content of parent drag.
To determine the role of CYP450 in the metabolism, incubations were run
either with or without an NADPH regenerating system - NADPH is an obligate
cofactor for CYP450 enzymes. Incubations that included NADPH cofactor represent
the total metabolism by CYP450 + esterase. Incubations that do not contain any
NADPH represent esterase metabolism alone. Thus, when the relative decline of
parent drug observed is greater in the presence of NADPH, the metabolism is
CYP450-mediated. When the relative decline is equivalent in the presence and
absence of cofactor the metabolism is esterase mediated.
An additional set of incubations was run as a control: these incubations did not
contain microsomes and established the stability of the compound in the test system.
All of the compounds were stable.
The test compounds had the general formula:

wherein R represents a group capable of forming an ester moiety. Similar structures
were tested such that the only difference was the presence or the absence of a halogen
atom in the ester group. Results are shown in Figures 12-14.
Similarly, compounds were tested in which R is CH3, CH2-CH3, (O^CHs,
CH2-CHrOH, CH2-C(CH3)3, CH2-CH2-O-CH3, 1-pyrroUdinylethyl, CH2-CH2-S02-
CH3, benzyl, CH2-CH2-0-Phenyl, CHa-CHs-SQj-PhenyL CH2-Cyclopropyl, phenyl,
substituted phenyl. In all cases CYP450 was either the only metabolic agent, or if
esterases were present, CYP450 was the major pathway. Other halogenated esters
were tested such as compounds in which R is CH(CH2Fh, C(CH3)(CF3)2,
polyfiuorinated cyclohexyl. In every case the metabolism was mainly by esterase.
In a separate set of incubations the effects of paraoxon, a known esterase
inhibitor, were tested in order to confirm that the metabolism observed was due to
esterase. Paraoxon, at a final concentration of 320 ug/mL, effectively inhibited the
metabolism of the halogenated esters, as is shown in Figure 15, coiifirming that
esterase was the primary enzyme involved in the metabolism of halogenated
compounds.
Further data generated essentially using the assay protocol described above
appears below.

Example 11 HEK-293 Cell Stadv
Electrophysiological recordings of Ik* in stably transfected HEK-293 cells
were made in the whole cell configuration of the patch-clamp technique (Hamill et al,
1981) using an Axopatch 200B amplifier (Axon Instruments, Foster City, CA). Patch
microelectrodes were pulled from 1.5-mm borosilicate glass tubing using a two-stage
vertical pipette puller (Narishige, East Meadow, NY). When filled with recording
solution, patch microelectrodes had a resistance of 3-5 MO. HEK-293 cells were
plated in 35 mm plastic cell and tissue culture dishes for 2-3 days. For application of
drag-containing solutions to cells, the SF-77B system (Warner Instrument Corp,
Hamden, CT) was used. Solution exchanges were completed within 20 ms. Current
data were digitized online using a DigiData 1200A analog-to-digital board (Axon
Instruments) and stored on the hard disc of an IBM compatible Pentium computer
(GP7-600 MHz, Gateway Computer, Sioux City, ND). Voltage-clamp experimental
protocols and off-line data analysis were performed using the software program
pCLAMP7 (Axon Instruments). The experiments were performed at room
temperature (22-23°C).
The composition of the extracellular control solution is described in the table
below. Its pH was adjusted to 7.4 using NaOH.
The solution for filling the patch electrodes is described in the table below and

The effect of warfarin, 2,2,2-trifluoro-l-methyl-l-(trifluoromethyl)ethyl 4-[(4-
hydroxy-2-oxo-2H-chromen-3-yl)methyl]benzoate and its corresponding acid
metabolite, 4-[(4-hydroxy-2-oxo-2H-chromen-3-yl)methyl]benzoic acid on IKr was
studied in a stably transfected HEK-293 cell line using a two-pulse protocol. Cells
were clamped at a holding potential of-80 mV and depolarized to +10 mV for a 20 s
period to activate IKr and tlien a repolarizing step to -50 mV was applied for 5 sec to
elicit an outward deactivating tail current (tail Ik,). The two-pulse protocol was
applied every 45 s. Tail IKr amplitude was measured as the difference between the
peak current and baseline current at -50 mV in control and in the presence of ATI-
compounds when steady-state block was obtained
The study showed that 2,2,2-triiluoro-l-methyl-I-{triiIiioromerIryl)et!iyI 4-[(4-
hydroxy-2-oxo-2H-chromen-3-yl)methyr{benzoate and its corresponding acid
metabolite, 4-[(4-hydroxy-2-oxo-2H-chromen-3-yl)inethyl]beriZoic acid, had no
inhibitory effect on human Ikr (IC50 > 100 and >1000 µM, respectively.) Nor did
either compound exhibit significant activity in a broad cellular and biochemical
receptor screening assay, at concentrations up to 10 10µM.
Modifications of the compounds disclosed herein can readily be made by
those skilled in the art Thus, analogs, derivatives, enantiomers and salts of the
exemplified compounds are within the scope of the subject invention. With
knowledge of the compounds of the subject invention, and their structures, skilled
chemists can use known procedures to synthesize these compounds from available
substrates.
It should be understood that the examples and embodiments described herein
are for illustrative purposes only and that various modifications or changes in light
thereof will be suggested to persons skilled in the art and are to be included within the
spirit and purview of this application.
The invention and the manner and process of making and using it, are now
described in such full, clear, concise and exact terms as to enable any person skilled in
the art to which it pertains, to make and use the same. It is to be understood that the
foregoing describes preferred embodiments of the invention and that modifications
may be made therein without departing from the scope of the invention as set
forth in the claims. To particularly point out and distinctly claim the subject matter
regarded as invention, the following claims conclude this specification.
WE CLAIM:
I. A compound of the formula:

and pharmaceutically acceptable salts thereof; wherein
R is C1-C8 alkyl substituted with at least one halogen;
R is C2-C8 alkyl substituted with at least one halogen;
R is C3-C7 alkyl substituted with at least one halogen; or
R is C3-C6 alkyl substituted with at least one halogen,
2. A compound as claimed in claim 1, wherein
R is C3-C6 alkyl substituted with at least one fluoro group;
R is C3-C5 alkyl substituted with at least two fluoro group;
R is a tert-butyl group substituted with six fiuoro groups; or

3. A compound as claimed in claim 1, wherein:
R is C1-C8 alkyl substituted with at least one chloro group;
R is C2-C8 alkyl substituted with at least one chloro group;
R is C3-C7 alkyl substituted with at least one chloro group; or
R is C3-C6 alkyl substituted with at least one chloro group.
4. Compounds or pharmaceutically acceptable salts thereof, that are
(R)-3.3,4,4,4-pentafluorobutan-2-yl 4-((4-hydroxy-2-oxo-2H-chromen-3 -yI)methyI)benzoate; or
(S)-3,3,4,4,4-pentafluorobutan-2-yl4-((4-hydroxy-2-oxo-2H-chromen-3-yI)methyl)ben2oate.
5. The compound of the formula:

6. A compound as claimed in claim 1, that is:
l,l,l,3,3,3-hexafluoro-2-metIiylpropan-2-yl 4-((4-hydroxy-2-oxo-2H-chromen-3-yl)methyl)benzoate,
or phannaceutically acceptable salts thereof;
1,1, l,3,3,3-hexafluoro-2-methyIpropan-2-yl 4-((4-hydroxy-2-oxo-2H-chromen-3-yl)methyl)benzoate;
or
the sodium or potassium salt of l,l,l,3,3,3-hexailuoro-2-metliyIpropan-2-yI 4-((4-hydroxy-2-oxo-2H-
chromen-3 -yl)methyI)benzoate.
7. A composition comprising a compound or salt as claimed in any one of claims 1 to 4 or claim 6
and at least one pharmaceutically acceptable gildant, solvent, adjuvant, diluent, lubricant, excipient,,
such as herein described, or combination thereof.
8. The composition or a pharmaceutically acceptable salt as claimed in claim 7, which is capable
of being used as a medicament
9. The composition as claimed in claim 8, which is capable of being used in treating coagulation
disorders or is suitable for use in patients who are at risk of developing a disorder.


The subject invention provides anticoagulant compounds of formula (I): and
pharmaceutically acceptable salts thereof, wherein R1, R3, n and Ar are as defined herein. The
compounds of the subject invention can be used to treat at-risk populations thereby bringing
relief of symptoms, improving the quality of life, preventing acute and long-term complications,
reducing mortality and treating accompanying disorders. The invention further comprises
pharmaceutical compositions comprising the compounds and salts of the invention, as well as
methods of using the compounds, salts, and compositions of the invention.

Documents:

02793-kolnp-2006 abstract.pdf

02793-kolnp-2006 claims.pdf

02793-kolnp-2006 correspondence others.pdf

02793-kolnp-2006 description (complete).pdf

02793-kolnp-2006 drawings.pdf

02793-kolnp-2006 form-1.pdf

02793-kolnp-2006 form-3.pdf

02793-kolnp-2006 form-5.pdf

02793-kolnp-2006 international publication.pdf

02793-kolnp-2006 international search report.pdf

02793-kolnp-2006 pct others.pdf

02793-kolnp-2006 priority document.pdf

02793-kolnp-2006-assignment.pdf

02793-kolnp-2006-correspondence-1.1.pdf

02793-kolnp-2006-g.p.a.pdf

02793-kolnp-2006-pct other document.pdf

2793-KOLNP-2006-ABSTRACT 1.1.pdf

2793-KOLNP-2006-ABSTRACT-1.2.pdf

2793-KOLNP-2006-AMANDED CLAIMS.pdf

2793-KOLNP-2006-ASSIGNMENT.pdf

2793-KOLNP-2006-CLAIMS.pdf

2793-KOLNP-2006-CORRESPONDENCE-1.1.pdf

2793-KOLNP-2006-CORRESPONDENCE.pdf

2793-KOLNP-2006-CORRESPONDENCE1.2.pdf

2793-KOLNP-2006-DESCRIPTION (COMPLETE) 1.1.pdf

2793-KOLNP-2006-DESCRIPTION (COMPLETE)-1.2.pdf

2793-KOLNP-2006-DRAWINGS 1.1.pdf

2793-KOLNP-2006-DRAWINGS-1.2.pdf

2793-KOLNP-2006-EXAMINATION REPORT REPLY RECIEVED.pdf

2793-KOLNP-2006-EXAMINATION REPORT.pdf

2793-KOLNP-2006-FORM 1 1.1.pdf

2793-KOLNP-2006-FORM 1-1.2.pdf

2793-KOLNP-2006-FORM 18.1.pdf

2793-kolnp-2006-form 18.pdf

2793-KOLNP-2006-FORM 2-1.1.pdf

2793-KOLNP-2006-FORM 2.pdf

2793-KOLNP-2006-FORM 3 1.1.pdf

2793-KOLNP-2006-FORM 3.pdf

2793-KOLNP-2006-FORM 5.pdf

2793-KOLNP-2006-FORM-27.pdf

2793-KOLNP-2006-GPA.pdf

2793-KOLNP-2006-GRANTED-ABSTRACT.pdf

2793-KOLNP-2006-GRANTED-CLAIMS.pdf

2793-KOLNP-2006-GRANTED-DESCRIPTION (COMPLETE).pdf

2793-KOLNP-2006-GRANTED-DRAWINGS.pdf

2793-KOLNP-2006-GRANTED-FORM 1.pdf

2793-KOLNP-2006-GRANTED-FORM 2.pdf

2793-KOLNP-2006-GRANTED-SPECIFICATION.pdf

2793-KOLNP-2006-OTHERS 1.1.pdf

2793-KOLNP-2006-OTHERS-1.2.pdf

2793-KOLNP-2006-OTHERS.pdf

2793-KOLNP-2006-PETITION UNDER RULR 137.pdf

2793-KOLNP-2006-REPLY TO EXAMINATION REPORT.pdf

2793-KOLNP-2006-TRANSLATED COPY OF PRIORITY DOCUMENT.pdf

abstract-02793-kolnp-2006.jpg


Patent Number 250594
Indian Patent Application Number 2793/KOLNP/2006
PG Journal Number 02/2012
Publication Date 13-Jan-2012
Grant Date 11-Jan-2012
Date of Filing 25-Sep-2006
Name of Patentee ARYX T HERAPEUTICS
Applicant Address 6300, DUMBARTON CIRCLE FREMONT, CALIFORNIA 94555
Inventors:
# Inventor's Name Inventor's Address
1 DRUZGALA,PASCAL 120, HATONA DRIVE, SANTA ROSA, CALIFORNIA 95403
2 BECKER,CYRUS 136, KINGSTON STREET SAN FRANCISCO, CALIFORNIA 94110
PCT International Classification Number A61K 31/366
PCT International Application Number PCT/US2005/012091
PCT International Filing date 2005-04-08
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 10/822,129 2004-04-08 U.S.A.
2 60/561,121 2004-04-08 U.S.A.