Title of Invention

"COMPOUNDS FOR THE TREATMENT OF METABOLIC DISORDERS"

Abstract Agents useful for the treatment of various metabolic disorders, such as insulin resistance syndrome, diabetes, hyperlipidemia, fatty liver disease, cachexia, obesity, atherosclerosis and arteriosclerosis are disclosed. Formula (I), wherein n is 1 or 2; m is 0 or 1; q is 0 or 1; t is 0 or 1; R5 is alkyl having from 1 to 3 carbon atoms; R9 is hydrogen, halo, alkyl having from 1 to 3 carbon atoms, or alkoxy having from 1 to 3 carbon atoms; A is phenyl, unsubstituted or substituted by 1 or 2 groups selected from: halo, alkyl having 1 or 2 carbon atoms, perfluoromethyl, alkoxy having 1 or 2 carbon atoms, and perfluoromethoxy; or cycloalkyl having from 3 to 6 ring carbon atoms wherein the cycloalkyl is unsubstituted or one or two ring carbons are independently monosubstituted by methyl or ethyl; or a 5 or 6 membered heteroaromatic ring having -1 or 2 ring heteroatoms selected from N, S and 0 and the heteroaromatic ring is covalently bound to the remainder of the compound of formula I by a ring carbon; and X is -CH2-, Q is -OR'and R1 is methyl or ethyl; or X is -CH2CR12R13- or -CH2CH(NHAc)-wherein each of R12 and R13 is independently hydrogen or methyl, Q is OR1 and R1 is hydrogen or alkyl having from 1 to 7 carbon atoms; or X is -CH2CH2- and Q is NR10R1 wherein one of R10 and Rn is hydrogen, alkyl having from 1 to 3 carbon atoms or hydroxy, and the other is hydrogen. Alternatively, when R1 is hydrogen, the biologically active agent can be a pharmaceutically acceptable salt of the compound of Formula (I).
Full Text BACKGROUND OF THE INVENTION
Diabetes mellitus is a major cause of morbidity and mortality. Chronically elevated blood glucose leads to debilitating complications: nephropathy, often necessitating dialysis or renal transplant; peripheral neuropathy; retinopathy leading to blindness; ulceration of the legs and feet, leading to amputation; fatty liver disease, sometimes progressing to cirrhosis; and vulnerability to coronary artery disease and myocardial infarction.
There are two primary types of diabetes. Type I, or insulin-dependent diabetes mellitus (IDDM) is due to autoimmune destruction of insulin-producing beta cells in the pancreatic islets. The onset of this disease is usually in childhood or adolescence. Treatment consists primarily of multiple daily injections of insulin, combined with frequent testing of blood glucose levels to guide adjustment of insulin doses, because excess insulin can cause hypoglycemia and consequent impairment of brain and other functions.
Type II, or noninsulin-dependent diabetes mellitus (NIDDM) typically develops in adulthood. NEDDM is associated with resistance of glucose-utilizing tissues like adipose tissue, muscle, and liver, to the actions of insulin. Initially, the pancreatic islet beta cells compensate by secreting excess insulin. Eventual islet failure results in decompensation and chronic hyperglycemia. Conversely, moderate islet insufficiency can precede or coincide with peripheral insulin resistance. There are several classes of drugs that are useful for treatment of NEDDM: 1) insulin releasers, which directly stimulate insulin release, carrying the risk of hypoglycemia; 2) prandial insulin releasers, which potentiate glucose-induced insulin secretion, and must be taken before each meal; 3) biguanides, including metformin, which attenuate hepatic gluconeogenesis (which is paradoxically elevated in diabetes); 4) insulin sensitizers, for example the thiazolidinedione derivatives rosiglitazone and pioglitazone, which improve peripheral responsiveness to insulin, but which have side effects like weight gain, edema, and occasional liver toxicity; 5) insulin injections, which are often necessary in the later stages of NEDDM when the islets have failed under chronic hyperstimulation.

Insulin resistance can also occur without marked hyperglycemia, and is generally
associated with atherosclerosis, obesity, hyperlipidemia, and essential hypertension. This
cluster of abnormalities constitutes the "metabolic syndrome" or "insulin resistance
syndrome". Insulin resistance is also associated with fatty liver, which can progress to
chronic inflammation (NASH; "nonalcoholic steatohepatitis"), fibrosis, and cirrhosis.
Cumulatively, insulin resistance syndromes, including but not limited to diabetes,
underlie many of the major causes of morbidity and death of people over age 40.
Despite the existence of such drugs, diabetes remains a major and growing public health
problem. Late stage complications of diabetes consume a large proportion of national
health care resources. There is a need for new orally active therapeutic agents which
effectively address the primary defects of insulin resistance and islet failure with fewer or
milder side effects than existing drugs.
Currently there are no safe and effective treatments for fatty liver disease. Therefore such
a treatment would be of value in treating this condition.
WO 02/100341 (Wellstat Therapeutics Corp.) discloses certain compounds having
oxygen in place of sulfur, for example 4-(3-(2,6-DimethylbenzyIoxy)phenyl)-4-
oxobutyric acid.
SUMMARY OF THE INVENTION
This invention provides a biologically active agent as described below. This invention
provides the use of the biologically active agent described below in the manufacture of a
medicament for the treatment of insulin resistance syndrome, diabetes, cachexia,
hyperlipidemia, fatty liver disease, obesity, atherosclerosis or arteriosclerosis. This
invention provides methods of treating a mammalian .subject with insulin resistance
syndrome, diabetes, cachexia, hyperlipidemia, fatty liver disease, obesity, atherosclerosis
or arteriosclerosis comprising administering to the subject an effective amount of the
biologically active agent described below. This invention provides a pharmaceutical
composition comprising the biologically active agent described below and a
pharmaceutically acceptable carrier.
The biologically active agent in accordance with this invention is a compound of Formula I:
(Figure Removed)
wherein
n is 1 or 2; m is 0 or 1; q is 0 or 1; t is 0 or 1; Rs is alkyl having from 1 to 3
carbon atoms; R9 is hydrogen, halo, alkyl having from 1 to 3 carbon atoms, or alkoxy
having from 1 to 3 carbon atoms;
A is phenyl, unsubstituted or substituted by 1 or 2 groups selected from: halo, alkyl
having 1 or 2 carbon atoms, perfluoromethyl, alkoxy having 1 or 2 carbon atoms, and
perfluoromethoxy; or cycloalkyl having from 3 to 6 ring carbon atoms wherein the
cycloalkyl is unsubstituted or one or two ring carbons are independently mono-substituted
by methyl or ethyl; or a 5 or 6 membered heteroaromatic ring having 1 or 2 ring
heteroatoms selected from N, S and O and the heteroaromatic ring is covalently bound to
the remainder of the compound of formula I by a ring carbon; and
X is -CH2-, Q is -OR'and R1 is methyl or ethyl; or X is -CH2CRI2R13- or -
CH2CH(NHAc)-wherein each of R12 and R13 is independently hydrogen or methyl, Q is
OR1 and R1 is hydrogen or alkyl having from 1 to 7 carbon atoms; or X is -CHzCH2- and
Q is NRIORU wherein one of R10 and R" is hydrogen, alkyl having from 1 to 3 carbon
atoms or hydroxy, and the other is hydrogen;
or when R1 is hydrogen, a pharmaceutically acceptable salt of the compound.
The biologically active agents described above have activity in the biological activity
assay described below, which is an established animal model of human diabetes and
insulin resistance syndrome. Therefore such agents would be useful in the treatment of
diabetes and insulin resistance syndrome. The exemplified compound demonstrated
activity in such assay.
DETAILED DESCRIPTION OF THE INVENTION
DEFINITIONS
As used herein the term "alky!" means a linear or branched-chain alkyl group. An alkyl
group identified as having a certain number of carbon atoms means any alkyl group
having the specified number of carbons. For example, an alkyl having three carbon atoms
can be propyl or isopropyl; and alkyl having four carbon atoms can be n-butyl, 1-
methylpropyl, 2-methylpropyl or t-butyl.
As used herein the term "halo" refers to one or more of fluoro, chloro, bromo, and iodo.
As used herein the term "perfluoro" as in perfluoromethyl or perfluoromethoxy, means
that the group in question has fluorine atoms in place of all of the hydrogen atoms.
As used herein "Ac" refers to the group CH3C(O)-.
Certain chemical compounds are referred to herein by their chemical name or by the twoletter
code shown below. Compound CS is included within the scope of Formula I shown
above.
CS 4-(4-[(2,6-Dimethylbenzyl)-thio]-phenyI)-4-oxobutyric acid
As used herein the transitional term "comprising" is open-ended. A claim utilizing this
term can contain elements in addition to those recited in such claim.
COMPOUNDS OF THE INVENTION
In an embodiment of the agent, use, method or pharmaceutical composition described
above, n is 1; q is 0; t is 0; R9 is hydrogen; and A is phenyl, unsubstituted or substituted
by 1 or 2 groups selected from: halo, alkyl having 1 or 2 carbon atoms, perfluoromethyl,
alkoxy having 1 or 2 carbon atoms, and perfluoromethoxy. In a more specific
embodiment, A is 2,6-dimethylphenyl. Examples of such compounds include Compound
CS.
In a preferred embodiment of the biologically active agent of this invention, the agent is
in substantially (at least 98%) pure form.
REACTION SCHEMES
The compound of formula I where X is -CHzCR12R13-, q is 0, m is 0 or 1, t is 0 or 1, and n
is 1 or 2, R9 is hydrogen, halo, alkoxy having 1 to 3 carbon atoms or alkyl having 1 to 3
carbon atoms, Q is OR1 where R1 is hydrogen or alkyl having from 1 to 7 carbon atoms,
i.e. compounds of formula:
(Figure Removed)wherein A is described as above, R12 and R13 is independently hydrogen or methyl, can be
prepared via Reaction Scheme 1.
In Reaction Scheme 1, A, t, n, R12, R13 and R9 are as above. R6 is an alkyl group
containing from 1 to 7 carbon atoms, and Y is a halo group.
The compound of formula IV can be prepared by alkylating the compound of formula n
with a compound of formula in via reaction of step (a) by using suitable base such as
potassium carbonate, sodium hydride, triethylamine, pyridine and the like. Generally, the
reaction is carried out in an inert solvent such as tetrahydrofuran, dichloromethane, N, Ndimethylformamide
and the like. Any conditions conventional for the preparation of
thioethers can be utilized to carry out the reaction of step (a).
The compound of formula IV is converted to the compound of formula VI via reaction of
step (b) by alkylating the compound of formula IV with the compound of formula V. This
reaction is carried out utilizing a conventional base that converts acetophenone to 3-keto
ester (i.e. gamma-keto ester). In carrying out this reaction it is generally preferred to
utilize alkali metal salts of hexamethyldisilazane such as lithium bis(trimethylsilyl)amide.
Generally, the reaction is carried out in an inert solvent such as tetrahydrofuran: 1,3-
dimethyl-3,4,5,6-tetrahydro-2(lH)-pyrimidinone (5:1). Generally, the reaction is carried
out at temperatures of from -65°C to 25°C. The product can be isolated and purified by
techniques such as extraction, evaporation, chromatography, and recrystallization.
The compound of formula VI is the compound of formula I where R1 is an alkyl group
containing from 1 to 7 carbon atoms. The compound of formula VI can be converted to
the free acid i.e. the compound of formula I where R1 is H by ester hydrolysis. Any
conventional method of ester hydrolysis will produce the compound of formula I where
(Figure Removed)
The compound of formula I where X is -CH?CR12R13-, q is 1, m is 0 or 1, t is 0 or 1, n is 1
or 2, R9 is hydrogen, halo, alkoxy having 1 to 3 carbon atoms or alkyl having 1 to 3
carbon atoms, Q is OR1 where R1 is hydrogen or alkyl having from 1 to 7 carbon atoms
ind Rs is an alkyl group having 1 to 3 carbon atoms, i.e. compounds of formula:
(Figure Removed)
wherein A is described as above, R12 and R13 is independently hydrogen or methyl, can be
prepared via the reaction of Scheme 2.
In Scheme 2, t, n, A, R9, R12, R13 and R5 are as above. R6 is an alkyl group having 1 to 7
carbon atoms. Y1 is chloro or bromo.
In the reaction of Scheme 2, the compound of formula VII can be mesylated to furnish the
compound of formula Vni via reaction of step (c). Any conventional conditions to carry
out mesylation reaction can be utilized. The compound of formula VIE is then heated
with the compound of formula IX to produce the compound of formula X. Any of the
conditions conventional to produce amino alcohol can be utilized in reaction of step (d).
In the compound of formula X, alcohol is displaced by chloro or bromo by treating the
compound of formula X with thionyl chloride, bromine, phosphorus tribromide, carbon
tetrabromide and the like to produce the compound of formula XI via reaction of step (e).
Any conventional conditions to displace alcohol with chloro or bromo can be utilized to
carry out this reaction.
The compound of formula XI can be reacted with a compound of formula n in the
presence of a suitable base such as potassium carbonate, sodium hydride, triethylamine
and the like. The reaction is carried out in conventional solvents such as N, Ndimethylformamide,
tetrahydrofuran, dichloromethane and the like to produce the
corresponding compound of formula Xn via reaction of step (f).
The compound of formula XII can be converted to the compound of formula XCQ via
reaction of step (g) by alkylating the compound of formula Xn with the compound of
formula V. This reaction can be carried out in the presence of approximately a molar
equivalent of a suitable base such as lithium hexamethyldisilane or sodium
hexamethyldisilane. This reaction is carried out in the same manner as described
hereinbefore in connection with reaction of step (b) of Scheme 1. The product can be
isolated and purified by techniques such as extraction, evaporation, chromatography, and
recrystallization.
The compound of formula XIII is the compound of formula I where R1 is an alkyl group
having 1 to 7 carbon atoms. The compound of formula XIII can be converted to the free
acid i.e. the compound of formula I where R1 is H by ester hydrolysis. Any conventional
method of ester hydrolysis will produce the compound of formula I where R1 is H.
(Figure Removed)
The compound of formula I where X is -CH2CH(NHAc)-, q is 0 or 1, m is 0 or 1, t is 0 or
1, n is 1 or 2, R9 is hydrogen, halo, alkoxy having 1 to 3 carbon atoms or alkyl having 1 to
3 carbon atoms, Q is OR1 where Rl is hydrogftn or alkyl having from 1 to 7 carbon atoms
and R5 is an alkyl group having 1 to 3 carbon atoms, i.e. compounds of formula:
(Figure Removed)
wherein A is described as above, can be prepared via the reaction of Scheme 3.
In the reaction of Scheme 3, t, n, m, A, R1, R9, and R5 are as above. R7 is an alkyl group
having 1 to 7 carbon atoms.
The compound of formula IV or XII is prepared in the same manner as described
hereinbefore in connection with the reaction of Scheme 1 or 2 respectively.
The compound of formula IV or XII can be converted to compound of formula XIV by
selective bromination of the methyl ketone moiety via reaction of step (h) by treating the
compound of formula IV or XII with CuBrj. Any selective bromination conditions to
convert methyl ketone to 1-bromoketone can be utilized to carry out the reaction of step
(h).
The compound of formula XIV can be converted to compound of formula XVI via
reaction of step (i) by treating the compound of formula XIV with the compound of
formula XV. Generally, the reaction is carried out in the presence of approximately a
molar equivalent of a suitable base such as sodium ethoxide, or sodium methoxide. The
reaction is carried out in conventional solvents such as ethanol, methanol and the like to
produce the corresponding compound of formula XVI. Any conventional conditions for
this alkylation reaction can be utilized to carry out the reaction of step (i).
The compound of formula XVI can be converted to the compound of formula XVII via
reaction of step (j) by de-esterification employing 4 equivalents of sodium hydroxide.
Initial mono de-esterification followed by slow hydrolysis of the remaining ethyl ester
can be observed. Removal of the solvent and incubation or the residue in acetic acid
produced the compound of formula XVII.
The compound of formula XVII is the compound of formula I where R1 is H.
The compound of formula XVII can be converted to compound of formula XIX where R
is an alkyl chain having 1 to 7 carbon atoms by esterification of carboxylic acid with
compound of formula XVIII using 1,3-dicyclohexylcarbodiimide as dehydrating
condensing agent. Any conditions conventional for this reaction can be utilized to carry
out the reaction of step (k).
The product can be isolated and purified by techniques such as extraction, evaporation,
chromatography, and recrystallization.
The compound of formula XIX is the compound of formula I where R1 is an alkyl chain
having 1 to 7 carbon atoms.
(Figure Removed)
The compound of formula I where X is -CHj-, q is 0 or 1, m is 0 or 1, t is 0 or 1, n is 1 or
2, R9 is hydrogen, halo, alkoxy having 1 to 3 carbon atoms or alkyl having 1 to 3 carbon
atoms, Q is OR1 where R1 is methyl or ethyl and R5 is an alkyl group having 1 to 3 carbon
atoms, i.e. compounds of formula:
(Figure Removed)
wherein A is described as above, can be prepared via the reaction of Scheme 4.
In the reaction of scheme 4, t, n, m, A, R9, and R5 are as above. R15 is ethyl or methyl.
The compound of formula IV or XII (prepared in the same manner as described
hereinbefore in the connection of reaction of schemes 1 or 2 respectively) can be treated
with a base such as sodium hydride and the like in an appropriate solvent such as N, Ndimethylformamide
followed by addition of C-1 or C-2 alkyl carbonate of formula XX to
give the compound of formula XXI via reaction of step (1).
The product can be isolated and purified by techniques such as extraction, evaporation,
chromatography, and recrystallization.
The compound of formula XXI is the compound of formula I where R1 is ethyl or methyl.
(Figure Removed)
The compound of formula I where X is -CH2CHj-, q is 0 or I, m is 0 or 1, t is 0 or 1, and
n is 1 or 2, R9 is hydrogen, halo, alkoxy having 1 to 3 carbon atoms or alkyl having 1 to 3
carbon atoms, Q is NR10R" wherein one of R10 and R" is hydroxy, and the other is
hydrogen, R5 is an alkyl group having 1 to 3 carbon atoms, i.e. compounds of formula:
wherein A is described as above, can be prepared via the Reaction Scheme 5.
In Scheme 5, t, n, m, A, R9, R10, R" and R5 are as above. R1 is H.
The compound of formula VI or XIII (prepared in the same manner as described
hereinbefore in the connection with the reaction schemes of 1 or 2 respectively) can be
converted to the compound of formula XXH by reaction with chlorinating agent such as
thionyl or oxalyl chloride. Generally, the reaction is carried out in solvents such as
dichloromethane, N, N-dimethylformamide, or combination of both. The suitable
temperature for this reaction can be from 0°C to 70°C. The intermediate acid chloride can
be reacted with hydrazine hydrochloride in the presence of solvents such as mixture of
tetrahydrofuran: water (5:1), ethanol and the like by utilizing excess base such as
triethylamine, sodium carbonate, potassium carbonate and the like to give the compound
of formula XXII via reaction of step (m).
The product can be isolated and purified by techniques such as extraction, evaporation,
chromatography, and recrystallization.
The compound of formula I where X is -CI^CHa-, q is 0 or 1, m is 0 or 1, t is 0 or 1, and
n is 1 or 2, R9 is hydrogen, halo, alkoxy having 1 to 3 carbon atoms or alkyl having 1 to 3
carbon atoms, Q is NR10RU wherein R10 and R" are hydrogen, R5 is an alkyl group
having 1 to 3 carbon atoms, i.e. compounds of formula:
(Figure Removed)
wherein A is described as above, can be prepared via the Reaction Scheme 5.
In Scheme 5, t, n, m, A, R9, R10, R11 and R5 are as above. R1 is H.
The compound of formula VI or XIII (prepared in the same manner as described
hereinbefore in the connection with reaction of scheme 1 or 2 respectively) can be
converted to the compound of formula XXIII via reaction of step (n) by first activating
the compound of formula VI or Xin with for example, benzotriazol-1-yloxytris(
dimethylamino)phosphonium hexafluorophosphate or the like in an organic solvent
for example, dichloromethane, N, N-dimethylformamide or the like followed by addition
of aqueous ammonium hydroxide or ammonia. The reaction is carried out utilizing
conventional base such as triethylamine, diisopropylethylamine or the like. Any
conditions conventional for the synthesis of amide can be utilized to carry out the reaction
of step (n). The product can be isolated and purified by techniques such as extraction,
evaporation, chromatography, and recrystallization.
The compound of formula I where X is -CH2CH2-, q is 0 or 1, m is 0 or 1, t is 0 or 1, and
n is 1 or 2, R9 is hydrogen, halo, alkoxy having 1 to 3 carbon atoms or alkyl having 1 to 3
carbon atoms, Q is NR10R' wherein R10 and R" are independently hydrogen or alkyl
group having 1 to 3 carbon atoms, R5 is an alkyl group having 1 to 3 carbon atoms, i.e.
compounds of formula:
(Figure Removed)
wherein A is described as above, can be prepared via the Reaction Scheme 5.
In Scheme 5, t, n, m, A, R9, R10, R1 ' and R5 are as above. R1 is H.
The compound of formula VI or Xin (prepared in the same manner as described
hereinbefore in the connection with the reaction of scheme 1 or 2 respeptivcly) can be
converted to the compound of forrriula XXIV via reaction of step (o) by first reaction with
chlorinating agent such as thionyl or oxalyl chloride. Generally, the reaction is carried out
in solvents such as dichloramethaim, N, N-dimethylformamidc, or combination of both.
The suitable temperature for this reaction can be from 0°C to 70°C. The intermediate acid
chloride can be condensed with the corresponding amine by utilizing conventional base
for example pyridine, triethylamine, sodium carbonate, potassium carbonate and the like.
The compound of formula VI or XIII can also be condensed with corresponding amine by
using dehydrating condensing agent for example dicyclohexylcarbodiimide or the like.
Any conditions conventional in converting acid to an amide can be utilized to carry out
the reaction of step (o).
The product can be isolated and purified by techniques such as extraction, evaporation,
chromatography, and recrystallization.
(Figure Removed)
The compound of formula IIIwhere t is 0 or 1, n is 1 or 2, i.e. compounds of formula:
wherein A is described as above, can be prepared via reaction of scheme 6.
In the reaction of Scheme 6, Y is a halo group.
The compound of formula XXV can be reduced to the compound of formula XXVI via
reaction of step (p). The reaction is carried out utilizing a conventional reducing agent for
example alkali metal hydride such as lithium aluminum hydride. The reaction is carried
out in a suitable solvent, such as tetrahydrofuran. Any of the conditions conventional in
such reduction reactions can be utilized to carry out the reaction of step (p).
The compound of formula XXVI can be converted to the compound of formula XXVn by
displacing hydroxyl group with a halogen group preferred halogen being bromo or chloro.
Appropriate halogenating reagents include but are not limited to thionyl chloride,
bromine, phosphorous tribromide, carbon tetrabromide and the like. Any conditions
conventional in such halogenation reactions can be utilized to carry out the reaction of
step (q). The compound of formula XXVII is the compound of formula IE where t is 0
and n is 1.
The compound of formula XXVII can be converted to the compound of formula XXVIII
by reacting XXVII with an alkali metal cyanide for example sodium or potassium
cyanide. The reaction can be carried out in a suitable solvent, such as dimethyl sulfoxide.
Any of the conditions conventionally used in the preparation of nitrile can be utilized to
carry out the reaction of step (r).
The compound of formula XXVin can be converted to the compound of formula XXIX
via reaction of step (s) by acid or base hydrolysis. In carrying oul this reaction it is
generally preferred to utilize basic hydrolysis, for example aqueous sodium hydroxide.
Any of the conditions conventionally used in hydrolysis of nitrile can be utilized to carry
out the reaction of step (s).
The compound of formula XXIX can be reduced to give the compound of formula XXX
via reaction of step (t). This reaction can be carried out in the same manner as described
hereinbefore in the connection with the reaction of step (p).
The compound of formula XXX can be converted to the compound of formula XXXI via
reaction of step (u) in the same manner as described hereinbefore in connection with the
reaction of step (q).
The compound of formula XXXI is the compound of formula HI where t is 1 and n is 1.
The compound of formula XXXI can be reacted with diethyl malonate utilizing a suitable
base for example sodium hydride to give compound of formula XXXII. The reaction is
carried out in suitable solvents, such as N, N-dimethylformamide, tetrahydrofuran and the
like. Any of the conditions conventional in such alkylation reactions can be utilized to
carry out the reaction of step (v).
The compound of formula XXXII can be hydrolyzed by acid or base to give compound of
formula XXXIII via reaction of step (w).
The compound of formula XXXin can be converted to the compound of formula XXXTV
via reaction of step (x) in the same manner as described hereinbefore in connection with
the reaction of step (p).
The compound of formula XXXIV can be converted to the compound of formula XXXV
via reaction of step (y) in the same manner as described hereinbefore in connection with
the reaction of step (q).
The compound of formula XXXV is the compound of formula III where t is 1 and n is 2.
(Figure Removed)
The compound of formula n where m is 0 and R9 is hydrogen, halo or alkyi having from
1 to 3 carbon atoms, i.e. compound of formula:
can be prepared via Reaction Scheme 7.
In the Reaction Scheme 7, m and R* are described as above.
The compound of formula XXXVI can be converted to the compound of formula
XXXVII via reaction of step (z) by using method as described in J. Org. Chem. 1983,48,
1550-1552.
In the compound of formula XXXVEI, the nitro group can be reduced to an amino group
to give the compound of formula XXXVIII via reaction of step (a1). The reaction can be
done using the routine procedures known in the prior art.
The compound of formula XXXVIII can be converted to the compound of formula II via
reaction of step (b') by diazotization of amino group followed by substitution with
mercapto group. The reaction can be done using the routine procedures known in the
prior art.
(Figure Removed)
The compound of formula II where m is 0 and R9 is alkoxy having from 1 to 3 carbon
atoms, i.e. compound of formula:
can be prepared via Reaction Scheme 8.
In the Reaction Scheme 8, m and R9 are described as above.
The compound of formula XXXIX can be converted to the compound of formula XL via
reaction of step (c') by using method as described in J. Org. Chem. 1983, 48, 1550-1552.
The compound of formula XL can be converted to the compound of formula XLI via
reaction of step (d') by alkylating the hydroxy group with an alkyl halide of 1 to 3 carbon
atoms. Generally, the reaction is carried out in solvents for example, N, Ndimethylformamide,
terahydrofuran or the like by utilizing a conventional base such as
potassium carbonate, sodium hydride or the like. Any of the conditions conventional for
such alkylation reactions can be utilized to carry out the reaction of step (d1).
In the compound of formula XLI, the nitro group can be reduced to an amino group to
give compound of formula XLII via reaction of step (e'). The reaction can be carried out
utilizing the routine procedures known in the prior art.
The compound of formula XLII can be converted to the compound of formula n via
reaction of step (f) by diazotization of amino group followed by substitution with
mercapto group. The reaction can be carried out utilizing the routine procedures known in
the prior art.
(Figure Removed)
The compound of formula II where m is 1 and R9 is hydrogen, halo or alkyl having from
1 to 3 carbon atoms, i.e. compound of formula:
can be prepared via Reaction Scheme 9.
In the Reaction Scheme 9, m and R9 are described as above.
The compound of formula XXXVI can be reduced to the compound of formula XLIII via
reaction of step (gf) in the same manner as described hereinbefore in connection with the
reaction of step (p).
The compound of formula XLIII can be converted to the compound of formula XLIV via
reaction of step (h') in the same manner as described hereinbefore in connection with the
reaction of step (q).
The compound of formula XLIV can be converted to the compound of formula XLV via
reaction of step (i') in the same manner as described hereinbefore in connection with the
reaction of step (r).
The compound of formula XLV can be converted to the compound of formula XLVI via
reaction of step (j*) by using the method of synthesis of phenylacetone as described in
J.C.S. Perkin 1,1980,1555.
In the compound of formula XLVI, the nitro group can be reduced to an amino group to.
give compound of formula XLVII Via reaction of step (k1) hy utilizing the routine
procedures known in the prior art.
The compound of formula XLVII can be converted to the compound of formula n via
reaction of step (I') by diazotization of amino group followed by substitution with
mercapto group. The reaction can be carried out utilizing the routine procedures known in
the prior art.
(Figure Removed)
The compound of formula n where m is 1 and R is alkoxy having from 1 to 3 carbon
atoms, i.e. compound of formula:
can be prepared via Reaction Scheme 10.
In the Reaction Scheme 10, m and R9 are described as above. R14 is alkyl group having
from 1 to 2 carbon atoms.
The compound of formula XLVIII can be converted to the compound of formula XLIX
via reaction of step (m') by alkylating the hydroxy group with an alkyl halide of 1 to 3
carbon atoms. Generally, the reaction is carried out in solvents for example, N, Ndimethylformamide,
terahydrofuran or the like by utilizing a conventional base such as
potassium carbonate, sodium hydride or the like. Any of the conditions conventional for
such alkylation reactions can be used to carry out the reaction of step (m1).
The compound of formula XLIX can be reduced to the compound of formula L via
reaction of step (n') in the same manner as described hereinbefore in connection with the
reaction of step (p).
The compound of formula L can be converted to the compound of formula LI via reaction
of step (o1) in the same manner as described hereinbefore in connection with the reaction
of step (q).
The compound of formula LI can be converted to the compound of formula LII via
reaction of step (p') in the same manner as described hereinbefore in connection with the
reaction of step (r).
The compound of formula Ln can be converted to the compound of formula LIU via
reaction of step (q') by using the method of synthesis of phenylacetone as described in
J.C.S. Perkin I, 1980,1555.
In the compound of formula LIU, the nitro group can be reduced to an amino group to
give compound of formula LIV via reaction of step (r') by utilizing the routine procedures
known in the prior art.
The compound of formula LIV can be converted to the compound of formula II via
reaction of step (s') by diazotizatioi\ of amino group followed by substitution with
mercapto group. The reaction can be carried out utilizing the routine procedures known in
the prior an.
(Figure Removed)
The compound of formula XLVIH where RM is an alkyl group having from 1 to 2 carbon
atoms, i.e. compound of formula:
can be prepared via reaction of scheme 11.
In the Reaction Scheme 11, R14 is described as above.
The compound of formula XXXIX can be converted to compound of formula XLVHI via
reaction step of (t') by esterification with methanol or ethanol. The reaction can be carried
out either by using catalysts for example H2SO4, TsOH and the like or by using
dicyclohexylcarbodiimide as the dehydrating condensing reagent. Any of the conditions
conventional in such esterification reactions can be utilized to carry out the reaction of
step (f).
(Figure Removed)
USE IN METHODS OF TREATMENT
This invention provides a method for treating a mammalian subject with a condition
selected from the group consisting of insulin resistance syndrome and diabetes (both
primary essential diabetes such as Type I Diabetes or Type II Diabetes and secondary
nonessential diabetes), comprising administering to the subject an amount of a
biologically active agent as described herein effective to treat the condition. In
accordance with the method of this invention a symptom of diabetes or the chance of
developing a symptom of diabetes, such as atherosclerosis, obesity, hypertension,
hyperlipidemia, fatty liver disease, nephropathy, neuropathy, retinopathy, foot ulceration
and cataracts, each such symptom being associated with diabetes, can be reduced. This
invention also provides a method for treating hyperlipidemia comprising administering to
the subject an amount of a biologically active agent as described herein effective to treat
the condition. As shown in the Examples, compounds reduce serum triglycerides and
free fatty acids in hyperlipidemic animals. This invention also provides a method for
treating cachexia comprising administering to the subject an amount of a biologically
active agent as described herein effective to treat the cachexia. This invention also
provides a method for treating obesity comprising administering to the subject an amount
of a biologically active agent as described herein effective to treat the condition. This
invention also provides a method for treating a condition selected from atherosclerosis or
arteriosclerosis comprising administering to the subject an amount of a biologically active
agent us described herein effective to treat the condition. The active agents of this
invention are effective to ueal liypeilipidemia, fatty liver disease, cachexia, obesity,
atherosclerosis or arteriosclerosis whether or not the subject has diabetes or insulin
resistance syndrome. The agent can be administered by any conventional route of
systemic administration. Preferably the agent is administered orally. Accordingly, it is
preferred for the medicament to be formulated for oral administration. Other routes of
administration that can be used in accordance with this invention include rectally,
parenterally, by injection (e.g. intravenous, subcutaneous, intramuscular or
intraperitioneal injection), or nasally.
Further embodiments of each of the uses and methods of treatment of this invention
comprise administering any one of the embodiments of the biologically active agents
described above. In the interest of avoiding unnecessary redundancy, each such agent
and group of agents is not being repeated, but they are incorporated into this description
of uses and methods of treatment as if they were repeated.
Many of the diseases or disorders that are addressed by the compounds of the invention
fall into two broad categories: Insulin resistance syndromes and consequences of chronic
hyperglycemia. Dysregulation of fuel metabolism, especially insulin resistance, which
can occur in the absence of diabetes (persistent hyperglycemia) per se, is associated with
a variety of symptoms, including hyperlipidemia, atherosclerosis, obesity, essential
hypertension, fatty liver disease (NASH; nonalcoholic steatohepatitis), and, especially in
the context of cancer or systemic inflammatory disease, cachexia. Cachexia can also
occur in the context of Type I Diabetes or late-stage Type II Diabetes. By improving
tissue fuel metabolism, active agents of the invention are useful for preventing or
amelioriating diseases and symptoms associated with insulin resistance, as is
demonstrated in animals in the Examples. While a cluster of signs and symptoms
associated with insulin resistance may coexist in an individual patient, it many cases only
one symptom may dominate, due to individual differences in vulnerability of the many
physiological systems affected by insulin resistance. Nonetheless, since insulin resistance
is a major contributor to many disease conditions, drugs which address this cellular and
molecular defect are useful for prevention or amelioration of virtually any symptom in
any organ system that may be due to, or exacerbated by, insulin resistance.
When insulin resistance and concurrent inadequate insulin production by pancreatic inlets
are sufficiently severe, chronic hyperglycemia occurs, defining the onset of Type II
diabetes mellitus (NIDDM). In addition to the metabolic disorders related to insulin
resistance indicated above, disease symptoms secondary to hyperglycemia also occur in
patients with NIDDM. These include nephropathy, peripheral neuropathy, retinopathy,
microvascular disease, ulceration of the extremities, and consequences of nonenzymatic
glycosylation of proteins, e.g. damage to collagen and other connective tissues.
Attenuation of hyperglycemia reduces the rate of onset and severity of these
consequences of diabetes. Because, as is demonstrated in the Examples, active agents
and compositions of the invention help to reduce hyperglycemia in diabetes, they are
useful for prevention and amelioration of complications of chronic hyperglycemia.
Both human and non-human mammalian subjects can be treated in accordance with the
treatment method of this invention. The optimal dose of a particular active agent of the
invention for a particular subject can be determined in the clinical setting by a skilled
clinician. In the case of oral administration to a human for treatment of disorders related
to insulin resistance, diabetes, hyperlipidemia, fatty liver disease, cachexia or obesity the
agent is generally administered in a daily dose of from 1 mg to 400 mg, administered
once or twice per day. In the case of oral administration to a mouse the agent is
generally administered in a daily dose from 1 to 300 mg of the agent per kilogram of
body weight. Active agents of the invention are used as monotherapy in diabetes or
insulin resistance syndrome, or in combination with one or more other drugs with utility
in these types of diseases, e.g. insulin releasing agents, prandial insulin releasers,
biguanides, or insulin itself. Such additional drugs are administered in accord with
standard clinical practice. In some cases, agents of the invention will improve the
efficacy of other classes of drugs, permitting lower (and therefore less toxic) doses of
such agents to be administered to patients with satisfactory therapeutic results.
Established safe and effective dose ranges in humans for representative compounds are:
metformin 500 to 2550 mg/day; glyburide 1,25 to 20 mg/day; GLUCOVANCE
(combined formulation of metformin and glyburide) 1.25 to 20 mg/day glyburide and 250
to 2000 mg/day metformin; atorvastatin 10 to 80 mg/day; lovastatin 10 to 80 mg/day;
pravastatin 10 to 40 mg/day; and simvastatin 5-80 mg/day; clofibrate 2000 mg/day;
gemfibrozil 1200 to 2400 mg/day, rpsiglitazone 4 to 8 mg/day; pioglitazone 15 to 45
mg/day; acarbose 75-300 mg/day; repaglinide 0.5 to 16 mg/day.
Type I Diabetes Mellitus: A patient with Type I diabetes manages their disease primarily
by self-administration of one to several doses of insulin per day, with frequent monitoring
blood glucose to permit appropriate adjustment of the dose and timing of insulin
administration. Chronic hyperglycemia leads to complications such as nephropathy,
neuropathy, retinopathy, foot ulceration, and early mortality; hypoglycemia due to
excessive insulin dosing can cause cognitive dysfunction or unconsciousness. A patient
with Type I diabetes is treated with 1 to 400 mg/day of an active agent of this invention,
in tablet or capsule form either as a single or a divided dose. The anticipated effect will
be a reduction in the dose or frequency of administration of insulin required to maintain
blood glucose in a satisfactory range, and a reduced incidence and severity of
hypoglycemic episodes. Clinical outcome is monitored by measurement of blood glucose
and glycosylated hemoglobin (an index of adequacy of glycemic control integrated over a
period of several months), as well as by reduced incidence and severity of typical
complications of diabetes. A biologically active agent of this invention can be
administered in conjunction with islet transplantation to help maintain the anti-diabetic
efficacy of the islet transplant.
Type II Diabetes Mellitus: A typical patient with Type II diabetes (NIDDM) manages
their disease by programs of diet and exercise as well as by taking medications such as
metformin, glyburide, repaglinide, rosiglitazone, or acarbose, all of which provide some
improvement in glycemic control in some patients, but none of which are free of side
effects or eventual treatment failure due to disease progression. Islet failure occurs over
time in patients with NIDDM, necessitating insulin injections in a large fraction of
patients. It is anticipated that daily treatment with an active agent of the invention (with
or without additional classes of antidiabetic medication) will improve glycemic control,
reduce the rate of islet failure, and reduce the incidence and severity of typical symptoms
of diabetes. In addition, active agents of the invention will reduce elevated serum
triglycerides and fatty acids, thereby reducing the risk of cardiovascular disease, a major
cause of death of diabetic patients. As is the case for all other therapeutic agents for
diabetes, dose optimization is done in individual patients according to need, clinical
effect, and susceptibility to side effects.
Hyperlipidemia: Elevated triglyceride and free fatty acid levels in blood affect a
substantial fraction of the population and arc an important risk factor for atherosclerosis
and myocardial infarction. Active agents of the invention are useful for reducing
circulating triglycerides and free fatty acids in hyperlipidemic patients. Hyperlipidemic
patients often also have elevated blood cholesterol levels, which also increase the risk of
cardiovascular disease. Cholesterol-lowering drugs such as HMG-CoA reductase
inhibitors ("statins") can be administered to hyperlipidemic patients in addition to agents
of the invention, optionally incorporated into the same pharmaceutical composition.
Fatty Liver Disease: A substantial fraction of the population is affected by fatty liver
disease, also known as nonalcoholic steatohepatitis (NASH); NASH is often associated
with obesity and diabetes. Hepatic steatosis, the presence of droplets of triglycerides with
hepatocytes, predisposes the liver to chronic inflammation (detected in biopsy samples as
infiltration of inflammatory leukocytes), which can lead to fibrosis and cirrhosis. Fatty
liver disease is generally detected by observation of elevated serum levels of liverspecific
enzymes such as the transaminases ALT and AST, which serve as indices of
hepatocyte injury, as well as by presentation of symptoms which include fatigue and pain
in the region of the liver, though definitive diagnosis often requires a biopsy. The
anticipated benefit is a reduction in liver inflammation and fat content, resulting in
attenuation, halting, or reversal of the progression of NASH toward fibrosis and cirrhosis.
PHARMACEUTICAL COMPOSITIONS
This invention provides a pharmaceutical composition comprising a biologically active
agent as described herein and a pharmaceutically acceptable carrier. Further
embodiments of the pharmaceutical composition of this invention comprise any one of
the embodiments of the biologically active agents described above. In the interest of
avoiding unnecessary redundancy, each such agent and group of agents is not being
repeated, but they are incorporated into this description of pharmaceutical compositions
as if they were repeated.
Preferably the composition is adapted for oral administration, e.g. in the form of a tablet,
coated tablet, dragee, hard or soft gelatin capsule, solution, emulsion or suspension. In
general the oral composition will comprise from 1 mg to 400 mg of such agent. It is
convenient for the subject to swallow one or two tablets, coated tablets, dragees, or
gelatin capsules per day. However the composition can also be adapted for
administration by any other conventional means of systemic administration including
rectally, e.g. in the form of suppositories, parenterally, e.g. in the form of injection
solutions, or nasally.
The biologically active compounds can be processed with pharmaceutically inert,
inorganic or organic carriers for the production of pharmaceutical compositions. Lactose,
corn starch or derivatives thereof, talc, stearic acid or its salts and the like can be used, for
example, as such carriers for tablets, coated tablets, dragees and hard gelatin capsules.
Suitable carriers for soft gelatin capsules are, for example, vegetable oils, waxes, fats,
semi-solid and liquid polyols and the like. Depending on the nature of the active
ingredient no carriers are, however, usually required in the case of soft gelatin capsules,
other than the soft gelatin itself. Suitable carriers for the production of solutions and
syrups are, for example, water, polyols, glycerol, vegetable oils and the like. Suitable
carriers for suppositories are, for example, natural or hardened oils, waxes, fats, semilliquid
or liquid polyols and the like.
The pharmaceutical compositions can, moreover, contain preservatives, solubilizers,
stabilizers, wetting agents, emulsifiers, sweeteners, colorants, flavorants, salts for varying
the osmotic pressure, buffers, coating agents or antioxidants. They can also contain still
other therapeutical ly valuable substances, particularly antidiabetic or hypolipidemic
agents that act through mechanisms other than those underlying the effects of the
compounds of the invention. Agents which can advantageously be combined with
compounds of the invention in a single formulation include but are not limited to
biguanides such as metformin, insulin releasing agents such as the sulfonylurea insulin
releaser glyburide and other sulfonylurea insulin releasers, cholesterol-lowering drugs
such as the "statin" HMG-CoA reductase inhibitors such as atrovastatin, lovastatin ,
pravastatin and simvastatin, PPAR-alpha agonists such as clofibrate and gemfibrozil,
PPAR-gamma agonists such as thiazolidinediones (e.g. rosiglitazone and pioglitazone,
alpha-glucosidase inhibitors such as acarbose (which inhibit starch digestion), and
prandial insulin releasers such as repaglinide. The amounts of complementary agents
combined with compounds of the invention in single formulations are in accord with the
doses used in standard clinical practice. Established safe and effective dose ranges for
certain representative compounds are set forth above.
The invention will be better understood by reference to the following examples which
illustrate but do not limit the invention described herein.
EXAMPLES
EXAMPLE 1: 4-(4-[(2,6-Dimethylbenzy!)-thio]-phenyl)-4-oxobutyric acid
Step A: Preparation of 4'-Mercaptoacetophenone:
Synthesized according to procedure as described in WO 94/17054.
Step B: Preparation of 2,6-Dimethylbenzyl chloride:
To a stirred solution of 2,6-Dimethylbenzyl alcohol (9.94 g, 73 mmol) was added thionyl
chloride (81.55 g, 685 mmol) at room temperature. The reaction mixture was stirred for 6
hours, concentrated under reduced pressure and used without further purification.
StepC: Preparation of 4-[(2,6-DimethyIbenzyl)-thio]acetophenone:
To a stirred solution of NaH (60% in oil, 1.7 g, 51.1 mmol) in dry THF (20 ml) and dry •
DMF (5 ml) was added 4'-Mercaptoacetophenone (Step A, 5.18 g, 34 mmol) followed by
the dropwise addition of 2,6-Dimethylbenzyl chloride (Step B, 4.39 g, 28.4 mmol) diluted
in dry THF (5 ml). The reaction mixture was stirred at room temperature for 12 hours,
quenched slowly with water at 0°C. The organic layer was extracted with ethyl acetate,
washed with brine, dried over NazSO4, filtered and concentrated. The purification was
done by flash column chromatograghy on a silica gel column using ethyl acetate: hexane
(1:4) to give the title compound.
'H NMR (270 MHz, CDCb): 2.4 (s, 6H); 2.6 (s, 3H); 4.2 (s, 2H); 6.9-7.1 (m, 3H); 7.4 (d,
2H); 7.9 (d, 2H).
Step D: Preparation of Ethyl 4-(4-[(2,6-dimethylbenzyl)-thio]-phenyl)-4-oxobutyrate:
To a stirred solution of 4-[(2,6-Dimethylbenzyl)-thio]acetophenone (Step C, .693 g, 2.57
mmol) in dry THF (10 ml) and DMPU (3 ml) was added a solution of lithium
bis(trimethylsilyl)amide (1.0 M, 3 ml) at -60°C under argon. After 10 minutes of stirring
at -60°C, Ethyl bromoacetate (4.51 g, 3.8 mmol) was added rapidly. The reaction mixture
was stirred for an additional 10 minutes and then warmed to room temperature for 4
hours. The crude mixture was taken in EtOAc and washed with water and brine. The
aqueous layer was extracted one more time with EtOAc. The combined organic layers
were dried over Na2SC>4, filtered, concentrated and purified by flash chromatography on a
silica gel column (ethyl acetate: hexane, 1:4) to provide the title compound.
'H NMR (270 MHz, CDC13): 1.2 (t, 3H); 2.4 (s, 6H); 2.8 (t, 2H); 3.3 (t, 2H); 4.2 (s, 2H);
4.4 (q, 2H); 6.9-7.1 (m, 3H); 7.4 (d, 2H); 7.9 (d, 2H).
Step E: Preparation of 4-(4-[(2,6-Dimethylbenzyl)-thio]-phenyl)-4-oxobutyric acid:
A solution of Ethyl 4-(4-[(2,6-dimethylbenzyl)-thio]-phenyl)-4-oxobutyrate (Step D, .680
g, 2 mmol) in abs ethanol (20 ml) was treated with IN NaOH (3 ml) at room temperature.
The reaction mixture was stirred for 3 hours, acidified with 1M HC1 and concentrated.
The residue was taken in chloroform and washed with .1 M HC1, brine, dried over
Na2SO4, filtered and concentrated. The purification was done by flash chromatography on
a silica gel column (chloroform: methanol (95:5) spiked with acetic acid) to provide the
title compound as off white solid.
' NMR (270 MHz, CDC13): 2.4 (s, 6H); 2.8 (t, 2H); 3.3 (t, 2H); 4.2 (s, 2H); 6.9-7.1 (m,
3H); 7.4 (d, 2H); 7.9 (d, 2H).
EXAMPLE 2: Antidiabetic effects of Compound CS in db/db mice.
C57BL/Ksola (db/db) mice have a defect in leptin signaling, leading to hypcrphagia,
obesity, hypertriglyceridemia, and diabetes. Moreover, unlike ob/ob mice on a C57BL/6J
background, db/db mice on a C57BLKS background undergo failure of their insulin-
producing pancreatic islet cells, resulting in progression from hyperinsulinemia
(associated with peripheral insulin resistance) to hypoinsulinemic diabetes.
Male obese (db/db homozygote) C57BL/Ksola mice approximately 8 weeks of age, were
obtained from Jackson Labs (Bar Harbor, ME) and sorted into groups of 7 animals each
animals such that the body weights (40 -45 g) and serum glucose levels (>300 mg/dl in
fed state) were similar between groups. A minimum of 7 days was allowed for adaptation
after arrival. All animals were maintained under controlled temperature (23 °C), relative
humidity (50 + 5 %) and light (7:00 - 19:00), and allowed free access to standard chow
(Formulab Diet 5008, Quality Lab Products, Elkridge, MD) and water.
Groups of mice received daily oral doses of vehicle (1% hydroxypropylmethylcellulose)
or Compound CS (60 mg/kg) for 17 days. At the end of the treatment period, blood
samples were collected and serum glucose, triglycerides, and free fatty acids were
measured. (Table Removed)



We claim:
1. A biologically active agent for the treatment of metabolic disorders wherein the agent is a compound of the formula:
(formula removed)
wherein
n is 1 or 2;
m is 0 or 1;
q is 0 or 1;
t is 0 or 1;
R5 is alkyl having from 1 to 3 carbon atoms;
R9 is hydrogen, halo, alkyl having from 1 to 3 carbon atoms, or alkoxy having
from 1 to 3 carbon atoms;A is 2,6-dimethylphenyi; or
cycloalkyl having from 3 to 6 ring carbon atoms wherein the cycloalkyl is
unsubstituted or one or two ring carbons are independently mono-substituted by
methyl or ethyl; and
X is -CH2-, Q is -OR1 and R1 is methyl or ethyl; or X is-CH2CR12R13 -or-
CH2CH(NHAc) -wherein each of R12 and R13 is independently hydrogen or methyl, Q
is OR1 and R' is hydrogen or alkyl having from 1 to 7 carbon atoms; or
X is -CH2CH2- and Q is NR'°R11wherein one of R10 and R11is hydrogen, alkyl having
from 1 to 3 carbon atoms or hydroxy, and the other is hydrogen; or
when R1 is hydrogen, a pharmaceutically acceptable salt of the compound.


2. The biologically active agent as claimed in claim 1, wherein n is 1; q is 0; t is 0; R9 is hydrogen; and A is
3.The biologically active agent of 3-as claimed in claim 2 is 4- (4- [ (2, 6-Dimethylbenzyl)-thio]- phenyl) -4-oxobutyric acid.


Documents:

452-DELNP-2006-Abstract-(21-07-2009).pdf

452-delnp-2006-abstract.pdf

452-delnp-2006-Claims (11-11-2009).pdf

452-DELNP-2006-Claims-(21-07-2009).pdf

452-delnp-2006-claims.pdf

452-delnp-2006-Correspondence Others-(10-01-2013).pdf

452-delnp-2006-Correspondence Others-(12-02-2013).pdf

452-delnp-2006-Correspondence Others-(12-09-2013).pdf

452-delnp-2006-Correspondence Others-(13-12-2012).pdf

452-delnp-2006-Correspondence Others-(14-05-2012).pdf

452-delnp-2006-Correspondence Others-(17-10-2013).pdf

452-delnp-2006-Correspondence Others-(22-08-2014).pdf

452-delnp-2006-Correspondence Others-(25-06-2013).pdf

452-delnp-2006-Correspondence Others-(25-07-2011).pdf

452-delnp-2006-Correspondence Others-(25-11-2013).pdf

452-DELNP-2006-Correspondence-Others (03-11-2009).pdf

452-delnp-2006-Correspondence-Others (09-11-2009).pdf

452-delnp-2006-Correspondence-Others (11-11-2009).pdf

452-DELNP-2006-Correspondence-Others (12-02-2010).pdf

452-delnp-2006-Correspondence-Others (19-11-2009).pdf

452-DELNP-2006-Correspondence-Others-(08-08-2008).pdf

452-DELNP-2006-Correspondence-Others-(09-11-2012).pdf

452-DELNP-2006-Correspondence-Others-(10-05-2010).pdf

452-DELNP-2006-Correspondence-Others-(21-07-2009).pdf

452-delnp-2006-Correspondence-Others-(24-05-2013).pdf

452-delnp-2006-Correspondence-Others-(28-04-2011).pdf

452-DELNP-2006-Correspondence-Others-(6-1-2010).pdf

452-delnp-2006-correspondence-others.pdf

452-DELNP-2006-Description (Complete)-(21-07-2009).pdf

452-delnp-2006-description (complete).pdf

452-DELNP-2006-Form-1-(21-07-2009).pdf

452-delnp-2006-form-1.pdf

452-delnp-2006-form-18-(08-08-2008).pdf

452-DELNP-2006-Form-2-(21-07-2009).pdf

452-delnp-2006-form-2.pdf

452-delnp-2006-Form-26 (09-11-2009).pdf

452-delnp-2006-form-26.pdf

452-delnp-2006-Form-3-(14-05-2012).pdf

452-delnp-2006-Form-3-(22-08-2014).pdf

452-delnp-2006-form-3.pdf

452-delnp-2006-form-5.pdf

452-delnp-2006-pct-101.pdf

452-delnp-2006-pct-210.pdf

452-delnp-2006-pct-220.pdf

452-delnp-2006-pct-237.pdf

452-delnp-2006-pct-301.pdf

452-delnp-2006-pct-308.pdf

452-delnp-2006-pct-326.pdf

452-delnp-2006-pct-373.pdf

452-delnp-2006-Petition-137-(14-05-2012).pdf


Patent Number 265658
Indian Patent Application Number 452/DELNP/2006
PG Journal Number 11/2015
Publication Date 13-Mar-2015
Grant Date 03-Mar-2015
Date of Filing 25-Jan-2006
Name of Patentee WELLSTAT THERAPEUTICS CORPORATION
Applicant Address 930 CLOPPER ROAD, GAITHERSBURG, MD 20878, USA.
Inventors:
# Inventor's Name Inventor's Address
1 SHARMA, SHALINI 211 BRISTOL DOWN DRIVE, GAITHERSBURG, MD 20878, USA.
2 VON BORSTEL, REID, W 8310 FOX RUN, POTOMAC, MD 20854, USA.
3 HODGE, KIRVIN, L. 8115 MISSISSIPPI ROAD, LAUREL, MD 20724, USA.
PCT International Classification Number A61K 31/19
PCT International Application Number PCT/US2004/026561
PCT International Filing date 2004-08-16
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 NA