Inhibitors of TNF superfamily costimulatory interactions and methods for uses of the same
10562848 ยท 2020-02-18
Assignee
Inventors
Cpc classification
C07C237/42
CHEMISTRY; METALLURGY
A61P29/00
HUMAN NECESSITIES
C07C309/51
CHEMISTRY; METALLURGY
International classification
C07C309/51
CHEMISTRY; METALLURGY
A61P29/00
HUMAN NECESSITIES
A61P37/06
HUMAN NECESSITIES
Abstract
Disclosed herein are inhibitors of TNF superfamily costimulatory interactions, and methods for their use in modulating TNF superfamily costimulatory interactions and treating immune system related disorders. In particular, disclosed herein are compounds of Formula (I), and pharmaceutically acceptable salts thereof: ##STR00001##
wherein the substituents are described herein.
Claims
1. A compound of formula (I): ##STR00017## wherein L has a structure: ##STR00018## and X.sub.1 and X.sub.2 are each independently CR or N; each R.sub.1 independently is SO.sub.3H, CO.sub.2R, or NO.sub.2; each R.sub.2 independently is NO.sub.2, CO.sub.2R, NH.sub.2, Cl, F, CF.sub.3, phenyl, or phenyl substituted with one or more of NO.sub.2, CO.sub.2R, NH.sub.2, Cl, F, or CF.sub.3, and/or two adjacent R.sub.2 together form (NNNH); each R independently is H, C.sub.1-5 alkyl, or OC.sub.1-5 alkyl; n is 1, 2, 3, or 4; and m is 1, 2, 3, or 4; or a pharmaceutically acceptable salt thereof.
2. The compound of claim 1, wherein at least one of X.sub.1 and X.sub.2 is CR.
3. The compound of claim 2, wherein R is H.
4. The compound of claim 1 wherein at least one of X.sub.1 and X.sub.2 is N.
5. The compound of claim 1, wherein at least one R.sub.1 is SO.sub.3H or CO.sub.2R.
6. The compound of claim 5, wherein R is selected from C.sub.1-5 alkyl and H.
7. The compound of claim 1, wherein the compound-is substituted with R.sub.1 at position 1, 4, 5, or a combination thereof.
8. The compound of claim 1, wherein R.sub.1 is 1-SO.sub.3H, 5-SO.sub.3H, 4-CO.sub.2Me, 5-CO.sub.2H, or a combination thereof.
9. The compound of claim 1, wherein at least one R.sub.2 is NO.sub.2, NH.sub.2, or CO.sub.2R.
10. The compound of claim 9, wherein R is selected from C.sub.1-5 alkyl and H.
11. The compound of claim 1, wherein two adjacent R.sub.2 together form (NNNH).
12. The compound of claim 1, wherein the compound is substituted with R.sub.2 at the 4 position or the 3 position.
13. The compound of claim 1, wherein R.sub.2 is 4-NO.sub.2, 4-CO.sub.2Me, 4NH.sub.2, 3,4-(NNNH), 4-C.sub.6H.sub.4-(4-NO.sub.2), or 4-C.sub.6H.sub.4-(4CO.sub.2R).
14. The compound of claim 1 selected from the group consisting of: ##STR00019##
15. A pharmaceutical composition comprising the compound of claim 1 and a pharmaceutically acceptable carrier.
16. A method of modulating TNF superfamily costimulatory interactions in a subject, comprising administering to the subject a compound according to claim 1.
17. The method of claim 16, wherein the compound or composition modulates one or more interactions selected from the group consisting of CD40-CD40L, TNF-R.sub.1-TNF-, CD80(137)-CD28, CD80(137)-CD152(CTLA4), CD86(67-2)-CD28, CD86-CD152, CD27-CD70, CD137(4-1BB)-4-1BBL, HVEM-LIGHT(CD258), CD30-CD30L, GITR-GITRL, BAFF-R(CD268)-BAFF(CD257), RANK(CD265)-RANKL(CD254), OX40(CD134)-OX40L(CD252), and combinations thereof.
18. A method of treating an inflammatory or immune system disorder in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of the compound of claim 1.
19. The method of claim 18, wherein the subject is a nonautologous organ or cell transplant recipient and suffers from rejection of the nonautologous organ or cell transplant.
20. The method of claim 18, wherein the inflammatory or immune system disorder comprises rheumatoid arthritis, systemic lupus erythematosus (SLE), multiple sclerosis (MS), type I (juvenile) diabetes, mixed connective tissue disease MCTD, Celiac disease, Crohn's disease, ulcerative colitis, Grave's disease, Sjgren's syndrome, dermatomyositis, psoriasis, scleroderma, polymyositis, vasculitis, Wegener's granulomatosis, alopecia areata, chronic inflammatory disease, autoimmune disease, neurodegenerative disorder, graft-versus-host disease, cancer, atherosclerosis, a rejection of a nonautologous organ transplant, or a rejection of nonautologous cell transplant.
Description
DESCRIPTION OF THE DRAWINGS
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
DETAILED DESCRIPTION
(9) Disclosed herein are compounds and corresponding compositions containing the compounds that can modulate or interrupt TNFSF costimulatory interactions. The compounds and compositions disclosed herein can be used for immune suppression or tolerance induction in a recipient of a nonautologous organ or cell, or to treat or prevent autoimmune diseases. In some embodiments, the compounds disclosed herein demonstrate improved potency over other small molecule inhibitors such as direct red 80, crocein scarlet 7B, mordant brown, and chlorazol violet N which are active in the low M range (see Margolles-Clark et al, J Mol Med 87:1133-1143 (2009); Margolles-Clark et al., Chem Biol Drug Des 76:305-313 (2010); and Song et al., Br J Pharmacol 171:4955-4969 (2014)).
(10) In some cases, a compound disclosed herein exhibits a binding affinity for TNFSF or TNFSF-R in the range from about 100 nM (0.1 M) to about 50 M. In some embodiments, the binding affinity is about 100 nM to about 40 M, about 100 nM to about 30 M, about 100 nM to about 20 M, about 100 nM to about 10 M, about 100 nM to about 5 M, about 100 nM to about 2.5 M, about 100 nM to about 1 M, or about 100 nm to about 500 nM.
(11) The inhibitors disclosed herein have a structure of Formula (I), wherein the substituents are described in detail below.
(12) ##STR00006##
Definitions
(13) As used herein, the term alkyl refers to straight chained and branched saturated hydrocarbon groups containing one to thirty carbon atoms, for example, one to twenty carbon atoms, one to ten carbon atoms, or one to five carbon atoms. The term C.sub.n means the alkyl group has n carbon atoms. For example, C.sub.4 alkyl refers to an alkyl group that has 4 carbon atoms. C.sub.1-5 alkyl refers to an alkyl group having a number of carbon atoms encompassing the entire range (i.e., 1 to 5 carbon atoms), as well as all subgroups (e.g., 1-4, 2-5, 1-3, 2-4, 3-4, 2-3, 1, 2, 3, 4, and 5 carbon atoms). Nonlimiting examples of alkyl groups include, methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl (2-methylpropyl), t-butyl (1,1-dimethylethyl), n-pentyl, 1,1-dimethylpropyl, 2,2-dimethylpropyl, 1,2-dimethylpropyl, 3-methylbutyl, 2-methylbutyl, 1-methylbutyl. Unless otherwise indicated, an alkyl group can be an unsubstituted alkyl group or a substituted alkyl group.
(14) As used herein, the term aryl refers to monocyclic or polycyclic (e.g., fused bicyclic and fused tricyclic) carbocyclic aromatic ring systems. Examples of aryl groups include, but are not limited to, phenyl, naphthyl, tetrahydronaphthyl, phenanthrenyl, biphenylenyl, indanyl, indenyl, anthracenyl, and fluorenyl. Unless otherwise indicated, an aryl group can be an unsubstituted aryl group or a substituted aryl group.
(15) As used herein, the term heteroaryl refers to monocyclic or polycyclic (e.g., fused bicyclic and fused tricyclic) aromatic ring systems, wherein one to four-ring atoms are selected from oxygen, nitrogen, or sulfur, and the remaining ring atoms are carbon, said ring system being joined to the remainder of the molecule by any of the ring atoms. Nonlimiting examples of heteroaryl groups include, but are not limited to, pyridyl, pyrazinyl, pyrimidinyl, pyrrolyl, pyrazolyl, imidazolyl, thiazolyl, tetrazolyl, oxazolyl, isooxazolyl, thiadiazolyl, oxadiazolyl, furanyl, thiophenyl, quinolinyl, isoquinolinyl, benzoxazolyl, benzimidazolyl, and benzothiazolyl. Unless otherwise indicated, a heteroaryl group can be an unsubstituted heteroaryl group or a substituted heteroaryl group.
(16) As used herein, the term halo refers to a fluoro, chloro, bromo, or iodo group. The term haloalkyl refers to an alkyl group that is substituted with at least one halogen.
(17) As used herein, the term ether refers to an alkyl-O-alkyl group. The ether group can be unsubstituted or substituted.
(18) A used herein, the term substituted, when used to modify a chemical functional group, refers to the replacement of at least one hydrogen radical on the functional group with a substituent. Substituents can include, but are not limited to, alkyl, cycloalkyl, alkenyl, cycloalkenyl, alkynyl, heterocycloalkyl, thioether, polythioether, aryl, heteroaryl, hydroxyl, oxy, alkoxy, heteroalkoxy, aryloxy, heteroaryloxy, ester, thioester, carboxy, cyano, nitro, amino, amido, acetamide, and halo (e.g., fluoro, chloro, bromo, or iodo). When a chemical functional group includes more than one substituent, the substituents can be bound to the same carbon atom or to two or more different carbon atoms.
(19) As used herein, the term therapeutically effective amount means an amount of a compound or combination of therapeutically active compounds that ameliorates, attenuates or eliminates one or more symptoms of a particular disease or condition, or prevents or delays the onset of one of more symptoms of a particular disease or condition.
(20) As used herein, the terms patient and subject may be used interchangeably and mean animals, such as dogs, cats, cows, horses, and sheep (i.e., non-human animals) and humans. Particular patients or subjects are mammals (e.g., humans). The terms patient and subject includes males and females.
(21) As used herein, the terms disease and disorder may be used interchangeably.
(22) As used herein, the term pharmaceutically acceptable means that the referenced substance, such as a compound of the present disclosure, or a formulation containing the compound, or a particular excipient, is safe and suitable for administration to a patient or subject. The term pharmaceutically acceptable carrier refers to a medium that does not interfere with the effectiveness of the biological activity of the active ingredient(s) and is not toxic to the host to which it is administered.
(23) As used herein the terms treating, treat or treatment and the like include preventative (e.g., prophylactic) and palliative treatment. In some cases, the treating refers to treating a symptom of a disorder or disease as disclosed herein.
(24) As used herein, the term excipient means any pharmaceutically acceptable additive, carrier, diluent, adjuvant, or other ingredient, other than the active pharmaceutical ingredient (API).
(25) As used herein, the term modulate means that a compound or composition as disclosed herein alters an interaction between a member of a TNF super family and a costimulatory agent. For example, a compound as disclosed herein can interrupt the interaction between one or more of the following: CD40-CD40L, TNF-R1-TNF-, CD80(B7)-CD28, CD80(B7)-CD152(CTLA4), CD86(B7-2)-CD28, CD86-CD152, CD27-CD70, CD137(4-1BB)-4-1BBL, HVEM-LIGHT(CD258), CD30-CD30L, GITR-GITRL, BAFF-R(CD268)-BAFF(CD257), RANK(CD265)-RANKL(CD254), OX40(CD134)-OX40L(CD252).
(26) As used herein immune system related disorder relates to diseases or disorders that result in over-activity of the immune system or in some cases abnormally low activity of the immune system. Specific immune system related disorders contemplated include systemic lupus erythematosus (SLE), multiple sclerosis (MS), type 1 (juvenile) diabetes, rheumatoid arthritis, mixed connective tissue disease (MCTD), Celiac disease, Crohn's disease, ulcerative colitis, Grave's disease, Sjgren's syndrome, dermatomyositis, psoriasis, scleroderma, polymyositis, vasculitis, Wegener's granulomatosis, alopecia areata, chronic inflammatory disease, autoimmune disease, neurodegenerative disorder, graft-versus-host disease, cancer, atherosclerosis and a rejection of nonautologous organ or cell transplant.
(27) Small Molecule Inhibitors of TNF Superfamily Costimulatory Interactions
(28) Provided herein are compounds of Formula (I), or pharmaceutically acceptable salts thereof:
(29) ##STR00007##
wherein:
L is fluorenyl, phenyl, or has a structure:
(30) ##STR00008##
wherein X.sub.1 and X.sub.2 are each independently CR or N; each R.sub.1 independently is SO.sub.3H, CO.sub.2R, or NO.sub.2; each R.sub.2 independently is NO.sub.2, CO.sub.2R, NH.sub.2, Cl, F, CF.sub.3, phenyl, or substituted phenyl, e.g., substituted with NO.sub.2, CO.sub.2R, NH.sub.2, Cl, F, or CF.sub.3, and/or two adjacent R.sub.2 together form (NNNH); each R independently is H, C.sub.1-5 alkyl, or OC.sub.1-5 alkyl; n is 1, 2, 3, or 4; and m is 1, 2, 3, or 4.
(31) In some embodiments, L is phenyl. In various embodiments, L is fluorenyl. In some embodiments, L has a structure
(32) ##STR00009##
In some cases at least one of X.sub.1 and X.sub.2 is CR. In various cases, each of X.sub.1 and X.sub.2 is CR. In some embodiments, R is H. In some embodiments, R is C.sub.1-5 alkyl. In some embodiments, R is OC.sub.1-5 alkyl. In some cases R is selected from the group consisting of hydrogen, methyl, ethyl, n-propyl, isopropyl, n-butyl, and t-butyl. In some cases R is selected from the group consisting of hydrogen and methyl. In some cases, at least one of X.sub.1 and X.sub.2 is N. In various cases, each of X.sub.1 and X.sub.2 is N.
(33) In some embodiments, at least one R.sub.1 is SO.sub.3H. In various embodiments, at least one R.sub.1 is CO.sub.2R. In some cases R is H. In various cases, R is C.sub.1-5 alkyl. In some embodiments, when R.sub.1 is CO.sub.2R, R is not OC.sub.1-5alkyl. In some cases R is selected from the group consisting of hydrogen, methyl, ethyl, n-propyl, isopropyl, n-butyl, and t-butyl. In some cases R is selected from the group consisting of hydrogen and methyl. In some embodiments, at least one R.sub.1 is NO.sub.2.
(34) R.sub.1 can suitably be positioned at any one or more of positions 1-7. In various embodiments, position 1 is substituted with R.sub.1. In some cases, position 2 is substituted with R.sub.1. In various embodiments, position 3 is substituted with R.sub.1. In some embodiments, position 4 is substituted with R.sub.1. In some embodiments, position 5 is substituted with R.sub.1. In some cases, position 6 is substituted with R.sub.1. In various embodiments, position 7 is substituted with R.sub.1. In some cases, positions 1 and 2 are substituted with R.sub.1. In some cases, positions 1 and 3 are substituted with R.sub.1. In some cases, positions 1 and 4 are substituted with R.sub.1. In some cases, positions 1 and 5 are substituted with R.sub.1. In some cases, positions 1 and 6 are substituted with R.sub.1. In some cases, positions 1 and 7 are substituted with R.sub.1. In some cases, positions 2 and 3 are substituted with R.sub.1. In some cases, positions 2 and 4 are substituted with R.sub.1. In some cases, positions 2 and 5 are substituted with R.sub.1. In some cases, positions 2 and 6 are substituted with R.sub.1. In some cases, positions 2 and 7 are substituted with R.sub.1. In some cases, R.sub.1 is at least one of 1-SO.sub.3H, 2-SO.sub.3H, 3-SO.sub.3H, 4-SO.sub.3H, 5-SO.sub.3H, 6-SO.sub.3H, and/or 7-SO.sub.3H. In some cases, R.sub.1 is at least one of 1-CO.sub.2R, 2-CO.sub.2R, 3-CO.sub.2R, 4-CO.sub.2R, 5-CO.sub.2R, 6-CO.sub.2R, and/or 7-CO.sub.2R. In some cases R.sub.1 is 1-SO.sub.3H, 5-SO.sub.3H, 4-CO.sub.2Me, 5-CO.sub.2H, or a combination thereof. For example, R.sub.1 can be 1-SO.sub.3H, 5-CO.sub.2H, or a combination thereof.
(35) In some embodiments, n is 1. In various embodiments, n is 2. In some embodiments, n is 3. In some embodiments, n is 4.
(36) In some cases R is H. In various cases, R is C.sub.1-5 alkyl. In some cases, R is OC.sub.1-5 alkyl. In some cases R is selected from the group consisting of hydrogen, methyl, ethyl, n-propyl, isopropyl, n-butyl, and t-butyl. In some cases R is selected from the group consisting of hydrogen and methyl.
(37) In some embodiments, at least one R.sub.2 is NO.sub.2. In some embodiments, at least one R.sub.2 is CO.sub.2R. In some embodiments, when R.sub.2 is CO.sub.2R, R is not OC.sub.1-5alkyl. In various embodiments, at least one R.sub.2 is NH.sub.2. In some embodiments, at least one R.sub.2 is substituted phenyl. In some cases, the phenyl is 4-NO.sub.2 substituted. In some cases, the phenyl is 4-CO.sub.2R substituted. In some embodiments, when the phenyl is CO.sub.2R substituted, R is not OC.sub.1-5alkyl. In various embodiments, at least one R.sub.2 is a halogen. For example, in some embodiments at least one R.sub.2 is Cl. In some cases, at least one R.sub.2 is F. In various embodiments, at least one R.sub.2 is CF.sub.3. In some embodiments, two adjacent R.sub.2 together form (NNNH).
(38) R.sub.2 can suitably be positioned at any one or more of positions 2 to 6. In some embodiments, position 2 is substituted with R.sub.2. In various embodiments, position 5 is substituted with R.sub.2. In some embodiments, position 4 is substituted with R.sub.2. In various embodiments, position 3 is substituted with R.sub.2. In some embodiments, position 6 is substituted with R.sub.2. In some cases, R.sub.2 is at least one of 2-NO.sub.2, 3-NO.sub.2, 4-NO.sub.2, 5-NO.sub.2, and/or 6-NO.sub.2. In various embodiments, R.sub.2 is at least one of 2-CO.sub.2R, 3-CO.sub.2R, 4-CO.sub.2R, 5-CO.sub.2R, and/or 6-CO.sub.2R. In some embodiments, R.sub.2 is a para-substituted phenyl such as 4-C.sub.6H.sub.4(4-NO.sub.2). In some embodiments, R.sub.2 is a para-substituted phenyl such as 4-C.sub.6H.sub.4(4-CO.sub.2R). In some cases R is selected from the group consisting of hydrogen, methyl, ethyl, n-propyl, isopropyl, n-butyl, and t-butyl. In some cases R is selected from the group consisting of hydrogen and methyl. In some embodiments, R.sub.2 is at least one of 2-NH.sub.2, 3-NH.sub.2, 4-NH.sub.2, 5-NH.sub.2, and/or 6-NH.sub.2. In various embodiments, R.sub.2 is at least one of 2-halo, 3-halo, 4-halo, 5-halo, and/or 6-halo. In some cases, halo is selected from the group consisting of F, Cl, Br, and I. In some cases, halo is selected from the group consisting of F and Cl. In some embodiments, R.sub.2 is at least one of 2CF.sub.3, 3-CF.sub.3, 4-CF.sub.3, 5-CF.sub.3, and/or 6-CF.sub.3. In some cases, R.sub.2 is at least one of 2,3-(NNNH), 3,4-(NNNH), 4,5-(NNNH), and/or 5,6(NNNH). In various embodiments, R.sub.2 is 4-NO.sub.2, 4-CO.sub.2Me, 4-NH.sub.2, or 3,4-(NNNH). In some embodiments, R.sub.2 is 4-NO.sub.2 or 4 CO.sub.2Me.
(39) When R.sub.2 is substituted phenyl, the substitution can suitably be positioned at any one or more of positions 2 to 6. In some embodiments, position 2 is substituted. In some embodiments, position 3 is substituted. In some embodiments, position 4 is substituted. In some embodiments, position 5 is substituted. In some embodiments, position 6 is substituted. In various embodiments, the phenyl substitution is selected from the group consisting of with NO.sub.2, COR, NH.sub.2, Cl, F, or CF.sub.3.
(40) In some embodiments, m is 1. In various embodiments, m is 2. In some embodiments, m is 3. In some embodiments, m is 4.
(41) For example, the compound of formula (I) can be selected from the group consisting of:
(42) ##STR00010##
Synthesis of Inhibitors of TNF Superfamily Costimulatory Interactions
(43) The inhibitors described herein can be synthesized by any method known to one skilled in the art. For example, three steps consisting of two amide couplings and one hydrogenation (Scheme 1). In particular, for example, 8-amino-1-naphthalenesulfonic acid can be coupled with 4-nitrobiphenyl-4-carboxylic acid (Scheme 1, step a) to form an intermediate, 8-[(4-nitrobiphenyl-4-yl-carbonyl)amino]naphthalene-1-sulphinic acid. This intermediate can then be reduced to the corresponding amine, 8-[(4-aminobiphenyl-4-yl-carbonyl)amino]naphthalene-1-sulphinic acid (Scheme 1, step b), which, in turn, can be coupled with 4-nitrobenzoic acid (Scheme 1, step c) to form a compound of Formula (I), 8-(4-(4-nitrobenzamido)biphenyl-4-ylcarboxamido)naphthalene-1-sulphinic acid (21041).
(44) ##STR00011##
(45) It will be appreciated that other compounds of Formula I can be prepared using a similar reaction scheme, modifying for starting reagents having the appropriate substitutions, and protecting and deprotecting reactive groups as necessary. Additional synthetic procedures for preparing the inhibitors disclosed herein can be found in the Examples section.
(46) Methods
(47) The compounds disclosed herein can modulate TNF superfamily costimulatory interactions, which is useful in treating inflammatory or immune system related disorders. Thus, provided herein is the use of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, or a pharmaceutical composition comprising a compound of Formula (I) or a pharmaceutically acceptable salt thereof as a medicament.
(48) Further provided are methods of modulating TNF superfamily costimulatory interactions and treating an inflammatory or immune system related disorder in a subject in need thereof, using a compound of Formula (I) or a pharmaceutically acceptable salt thereof, as disclosed herein.
(49) Thus, provided herein is the use of a compound of Formula (I) or a pharmaceutically acceptable salt or composition thereof to modulate TNF superfamily costimulatory interactions. In various embodiments, the TNF superfamily costimulatory interaction modulated is selected from the group consisting of CD40-CD40L, TNF-R1-TNF-, CD80(B7)-CD28, CD80(B7)-CD152(CTLA4), CD86(B7-2)-CD28, CD86-CD152, CD27-CD70, CD137(4-1BB)-4-1BBL, HVEM-LIGHT(CD258), CD30-CD30L, GITR-GITRL, BAFF-R(CD268)-BAFF(CD257), RANK(CD265)-RANKL(CD254), OX40(CD134)-OX40L(CD252), and combinations thereof.
(50) As discussed above, TNF superfamily costimulatory interactions are implicated immune responses. Thus, further provided is a method of treating an immune system related disorder in a subject, such as a human, in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt thereof, as described herein, or a pharmaceutical composition comprising a compound of Formula (I) or a pharmaceutically acceptable salt or composition thereof. In some embodiments, the inflammatory or immune system related disorder is selected from the group consisting of systemic lupus erythematosus (SLE), multiple sclerosis (MS), type 1 (juvenile) diabetes, rheumatoid arthritis, mixed connective tissue disease (MCTD), Celiac disease, Crohn's disease, ulcerative colitis, Grave's disease, Sjgren's syndrome, dermatomyositis, psoriasis, scleroderma, polymyositis, vasculitis, Wegener's granulomatosis, alopecia areata, chronic inflammatory disease, autoimmune disease, neurodegenerative disorder, graft-versus-host disease, cancer, atherosclerosis and a rejection of nonautologous organ or cell transplant. In some embodiments, the immune system related disorder is selected from the group consisting of chronic inflammatory disease, autoimmune disease, neurodegenerative disorder, graft-versus-host disease, cancer, atherosclerosis and a rejection of nonautologous organ or cell transplant. In some embodiments, the subject suffers from chronic inflammatory disease. In various embodiments, the subject is a nonautologous organ or cell transplant recipient and suffers from rejection of the nonautologous organ or cell transplant. For example, the nonautologous organ or cell transplant is a pancreatic islet transplant.
(51) Pharmaceutical Formulations
(52) Also provided herein are pharmaceutical compositions comprising a compound of Formula (I) or a pharmaceutically acceptable salt thereof, as previously described herein, and one or more pharmaceutically acceptable excipients.
(53) The inhibitors described herein can be administered to a subject in a therapeutically effective amount. An inhibitor can be administered alone or as part of a pharmaceutically acceptable composition or formulation. In addition, an inhibitor can be administered all at once, multiple times, or delivered substantially uniformly over a period of time. It is also noted that the dose of the compound can be varied over time.
(54) A compound disclosed herein can be administered to a patient or subject by any suitable route, e.g. orally, rectally, parenterally (for example, intravenously, intramuscularly, or subcutaneously), intracisternally, intravaginally, intraperitoneally, intravesically, or as a buccal, inhalation, or nasal spray. The administration can be to provide a systemic effect (e.g. enteral or parenteral). All methods that can be used by those skilled in the art to administer a pharmaceutically active agent are contemplated.
(55) Compositions suitable for parenteral injection may comprise physiologically acceptable sterile aqueous or nonaqueous solutions, dispersions, suspensions, or emulsions, and sterile powders for reconstitution into sterile injectable solutions or dispersions. Examples of suitable aqueous and nonaqueous carriers, diluents, solvents, or vehicles include water, ethanol, polyols (propylene glycol, polyethylene glycol, glycerol, and the like), suitable mixtures thereof, vegetable oils (such as olive oil), synthetic aliphatic acid glycerides, and esters of higher aliphatic acids such as ethyl oleate. Proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.
(56) These compositions may also contain adjuvants such as preserving, wetting, emulsifying, solubilizing, suspending, stabilizing, and dispersing agents. Microorganism contamination can be prevented by adding various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, and the like. It may also be desirable to include isotonic agents, for example, sugars, sodium chloride, and the like. Prolonged absorption of injectable pharmaceutical compositions can be brought about by the use of agents delaying absorption, for example, aluminum monostearate and gelatin.
(57) Solid dosage forms for oral administration include capsules, tablets, powders, and granules. In such solid dosage forms, the active compound is admixed with at least one inert customary excipient (or carrier) such as sodium citrate or dicalcium phosphate or (a) fillers or extenders, as for example, starches, e.g., corn starch or potato starch, lactose, sucrose, mannitol, and silicic acid; (b) binders, as for example, crystalline cellulose, cellulose derivatives, carboxymethylcellulose, alginates, corn starch, gelatin, polyvinylpyrrolidone, sucrose, and acacia; (c) humectants, as for example, glycerol; (d) disintegrating agents, as for example, agar-agar, calcium carbonate, potato, corn, or tapioca starch, alginic acid, sodium carboxymethyl cellulose, certain complex silicates, and sodium carbonate; (a) solution retarders, as for example, paraffin; (f) absorption accelerators, as for example, quaternary ammonium compounds; (g) wetting agents, as for example, cetyl alcohol and glycerol monostearate; (h) adsorbents, as for example, kaolin and bentonite; and (i) lubricants, as for example, talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, or mixtures thereof. In some embodiments the solid dosage forms optionally include diluents, buffering agents, moistening agents, preservatives, and flavoring agents. In the case of capsules, and tablets, the dosage forms may also comprise buffering agents. Solid compositions of a similar type may also be used as fillers in soft and hard filled gelatin capsules using such excipients as lactose or milk sugar, as well as high molecular weight polyethylene glycols, and the like.
(58) Solid dosage forms such as tablets, capsules, pills, and granules can be prepared with coatings and shells, such as enteric coatings and others well known in the art. The solid dosage forms may also contain opacifying agents. Further, the solid dosage forms may be embedding compositions, such that they release the active compound or compounds in a certain part of the intestinal tract in a delayed manner. Examples of embedding compositions that can be used are polymeric substances and waxes. The active compound can also be in micro-encapsulated form, optionally with one or more excipients.
(59) Liquid dosage forms for oral administration include pharmaceutically acceptable emulsions, solutions, suspensions, syrups, and elixirs. In addition to the active compounds, the liquid dosage form may contain inert diluents commonly used in the art, such as water or other solvents, solubilizing agents and emulsifiers, as for example, ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, dimethylformamide, oils, in particular, cottonseed oil, groundnut oil, corn germ oil, olive oil, castor oil, and sesame seed oil, glycerol, tetrahydrofurfuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, or mixtures of these substances, and the like.
(60) Besides such inert diluents, the composition can also include adjuvants, such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, and perfuming agents. Suspensions, in addition to the active compound, may contain suspending agents, as for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar, and tragacanth, or mixtures of these substances, and the like.
(61) Compositions for rectal administration are preferably suppositories, which can be prepared by mixing the compounds of the disclosure with bases such as emulsifying bases or water-soluble bases, or with suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax, which are solid at ordinary room temperature, but liquid at body temperature, and therefore, melt in the rectum or vaginal cavity and release the active component.
(62) In cases of compositions for inhalations or aerosol preparations, the compounds of the disclosure in the form of a liquid or minute powder may be filled up in an aerosol container with gas or liquid spraying agents, and if desired, together with conventional adjuvants such as humidifying agents. Compounds of the disclosure may also be formulated as pharmaceuticals for non-pressured preparations such as in a nebulizer or an atomizer.
(63) A compound described herein can be administered to a patient or subject at dosage levels suitable to the intended use. The specific dosage and dosage range that will be used can potentially depend on a number of factors, including the requirements of the patient or subject, the severity of the disease or disorder being treated, and the pharmacological activity of the compound being administered. The determination of dosage ranges and optimal dosages for a particular patient or subject is within the ordinary skill in the art.
(64) When a patient or subject is to receive or is receiving multiple pharmaceutically active compounds, the compounds can be administered simultaneously, or sequentially. For example, in the case of tablets, the active compounds may be found in one tablet or in separate tablets, which can be administered at once or sequentially in any order. In addition, it should be recognized that the compositions may be different forms. For example, one or more compound may be delivered via a tablet, while another is administered via injection or orally as a syrup. All combinations, delivery methods and administration sequences are contemplated.
(65) In jurisdictions that forbid the patenting of methods that are practiced on the human body, the meaning of administering of a composition to a human subject shall be restricted to prescribing a controlled substance that a human subject will self-administer by any technique (e.g., orally, inhalation, topical application, injection, insertion, etc.). The broadest reasonable interpretation that is consistent with laws or regulations defining patentable subject matter is intended. In jurisdictions that do not forbid the patenting of methods that are practiced on the human body, the administering of compositions includes both methods practiced on the human body and also the foregoing activities.
EXAMPLES
(66) The following examples are provided for illustration and are not intended to limit the scope of the invention.
Example 1: Preparation of 8-[(4-[4-nitrobenzamido]biphenyl-4-yl-carbonyl)amino]naphthalene-1-sulfonic acid (A Compound of Formula I, 21041)
(67) ##STR00012##
(68) Coupling was performed following a general procedure that is a modified version of the procedure from Venkatraj, M. et al. Bioorg. Med. Chem. 20:1557-1568 (2012). Under an argon atmosphere, trimethylamine (Et.sub.3N) was added dropwise to a mixture of 4-nitrobiphenyl-4-carboxylic acid, O-(6-chlorobenzotriazol-1-yl)-N,N,N,N-tetramethyluronium hexafluorophosphate (HCTU), and dimethylformamide (DMF) at 0 C. and the resulting reaction mixture was stirred for 1 h at the same temperature. Subsequently, 8-amino-1-naphthalenesulfonic acid was added at the same temperature. The resulting reaction mixture was allowed to stir overnight at room temperature. Diethyl ether was added to the reaction mixture, and a yellow precipitate formed. This precipitate was collected by filtration and washed with diethyl ether to afford the triethylamine salt of 8-(4-nitrobiphenyl-4-ylcarboxamido)naphthalene-1-sulfonic acid as a yellow solid (66%). HRMS (ESI) [M+H].sup.+ calcd. for C.sub.23H.sub.17N.sub.2O.sub.6S.sup.+, 449.0802; found, 449.0781.
(69) ##STR00013##
(70) Hydrogenation was performed following a general procedure that is a modified version of the procedure from Kassack, M. U. et al. Eur. J. Med. Chem. 39:345-357 (2004). A mixture of 8-(4-nitrobiphenyl-4-ylcarboxamido)naphthalene-1-sulfonic acid and 10% Pd on carbon in a solvent mixture of EtOH and DMF was hydrogenated (H.sub.2 balloon) at 80 C. for 3.5 h. The reaction mixture was filtered via a short pad of Celite, concentrated in vacuo, and recrystallized from MeOH to afford the triethylamine salt of 8-(4-aminobiphenyl-4-ylcarboxamido)naphthalene-1-sulfonic acid as a white solid (86%). HRMS (ESI) [M+H].sup.+ calcd. for C.sub.23H.sub.19N.sub.2O.sub.4S.sup.+, 419.1060; found, 419.1058.
(71) ##STR00014##
(72) The general procedure for coupling described above was performed with 4-nitrobenzoic acid and 8-(4-aminobiphenyl-4-ylcarboxamido)naphthalene-1-sulfonic acid to give the triethylamine salt of 8-(4-(4-nitrobenzamido)biphenyl-4-ylcarboxamido)naphthalene-1-sulfonic acid (21041) as a yellow solid (87%) (99% pure by HPLC analysis (UV spectra at 254 nm)). HRMS [MH].sup. calcd. for C.sub.30H.sub.21N.sub.3O.sub.7S.sup., 566.1027; found, 566.1054. .sup.1H NMR (500 MHz, DMSO-d.sub.6): 12.64 (s, 1H), 10.75 (s, 1H), 8.85 (br, 1H), 8.39 (d, J=8.1 Hz, 2H), 8.36-8.16 (m, 6H), 8.02 (d, J=8.2 Hz, 1H), 7.95 (d, J=8.2 Hz, 2H), 7.91-7.81 (m, 5H), 7.59 (t, J=7.7 Hz, 1H), 7.49 (t, J=7.5 Hz, 1H), 3.07 (q, J=7.2 Hz, 6H), 1.15 (t, J=7.1 Hz, 9H); .sup.13C NMR (125 MHz, DMSO-d.sub.6): 165.1, 164.1, 149.2, 142.0, 141.8, 140.6, 138.8, 135.8, 134.9, 134.2, 133.3, 132.0, 129.4, 128.8, 127.5, 127.3, 126.0, 125.9, 125.4, 124.4, 124.1, 123.7, 123.0, 120.8, 45.7, 8.7; FTIR (neat) .sub.max 3360, 3017, 2714, 1679, 1666, 1592, 1521, 1489, 1432, 1416, 1398, 1340, 1321, 1279, 1235, 1194, 1152, 1131, 1102, 1038, 1009, 929, 895, 864, 852, 824, 761, 708, 675, 661 cm.sup.1
Examples 2-9: Preparation of Additional Inhibitors
(73) The compounds of Examples 2-9 were formed using the general procedures for coupling described in Example 1. The syntheses were achieved via the same three steps using the biphenyl as an aromatic linker in the first step and different acids as coupling partners in the third step. Example 7 (21042) was simply synthesized in one step by hydrogenation of 21041. Example 2 (25041) and 3 (25441) were assembled using the corresponding differently substituted naphthyl rings. Table 1 lists the compounds according to Examples 1-9.
(74) ##STR00015##
(75) TABLE-US-00001 TABLE 1 Example S# L R.sub.1 R.sub.2 1 21041 biphenyl 1-SO.sub.3H 4-NO.sub.2 2 25041 biphenyl 5-SO.sub.3H 4-NO.sub.2 3 25441 biphenyl 5-CO.sub.2H 4-NO.sub.2 4 24541 biphenyl 4-CO.sub.2Me 4-NO.sub.2 5 21045 biphenyl 1-SO.sub.3H 4-CO.sub.2Me 6 21080 biphenyl 1-SO.sub.3H 3,4-(NNNH) 7 21042 biphenyl 1-SO.sub.3H 4-NH.sub.2 8 11041 benzene 1-SO.sub.3H 4-NO.sub.2 9 51041 9H-fluorene 1-SO.sub.3H 4-NO.sub.2
Example 10: Cell-Free Binding Assays
(76) Compounds according to the disclosure were assessed for their ability to inhibit the binding of tagged ligands to plate-bound receptors using ELISA-type 96-well plate-based cell-free assays as described in the literature (see Margolles-Clark et al, J Mol Med 87:1133-1143 (2009); Margolles-Clark et al., Chem Biol Drug Des 76:305-313 (2010); Song et al., Br J Pharmacol 171:4955-4969 (2014); and Ganesan et al., Biochem Pharmacol 81:810-818 (2011)).
(77) Recombinant receptors (hCD40:Fc, TNF-R1:Fc) and tagged ligands (hCD154, MegaCD40L, and TNF-), were obtained from Enzo Life Sciences (San Diego, Calif.). Microtiter plates (Nunc F Maxisorp; 96-well) were coated overnight at 4 C. with 100 L/well of Fc chimeric receptors diluted in PBS 7.2. This was followed by blocking with 200 L/well of blocking solution (PBS 7.2, 0.05% Tween-20, 1% BSA) for 1 hour at room temperature. The plates were then washed twice using the washing solution (PBS 7.4, 0.05% Tween-20) and dried before the addition of the appropriate FLAG tagged/biotinylated ligands along with different concentrations of test compounds diluted in binding buffer (100 mM HEPES, 0.005% BSA pH 7.2) or protein-containing media (IMDM medium supplemented with 5% FBS) to give a total volume of 100 L/well. Either anti-FLAG-HRP or streptavidin-HRP conjugate was used to detect the bound FLAG-tagged or biotinylated ligand, respectively. Plates were washed three times before the addition of 120 L/well of HRP substrate TMB (3, 3, 5, 5-tetramethylbenzidine) and kept in the dark for 15-30 min. The reaction was stopped using 30 L 1M H.sub.2SO.sub.4, and the absorbance was read at 450 nm. Stock solutions of compounds at 10 mM in DMSO were used.
(78) Typical concentrations used were as followsreceptors: 0.3 g/mL for CD40, TNF-R1, and RANK; 0.6 g/mL for BAFF-R, OX40, and 4-1BB; and 2 g/mL for EGF-R-ligands: 0.02 g/mL for CD40L, TNF, and RANKL; 0.2 g/ml for BAFF, OX40L, 4-1BBL; and 0.3 g/mL for EGF. Assays were done in duplicate or triplicate per plate and repeated at least three times; the averaged data were normalized and used for data fitting and analysis. Binding data were fitted using the standard log inhibitor versus response model in GraphPad Prism to determine the corresponding IC.sub.50 values.
(79)
Example 11: Inhibition of CD40L-Induced NF-B Activation
(80) Activities of the compounds of the disclosure were confirmed in cell-based assays. As a first example, TNF-R1 and CD40 expressing sensor cells (HEK-Blue; InvivoGen, San Diego, Calif.) were used as described in the literature (see Song et al., Br J Pharmacol 171:4955-4969 (2014) and Cechin et al., Steroids 85:36-43 (2014)).
(81) Cells were maintained in DMEM at 80% confluence for each experiment. Cells were trypsinized and re-suspended in the same medium with 1% FBS and seeded on 96-well microtiter plates at a density of 110.sup.5 cells/well in the absence and presence of various concentrations of compounds diluted in the same media. For ligand mediated stimulation, final concentrations of recombinant human TNF (2 ng/mL) and CD40L (20 ng/mL) were maintained in the wells for this purpose. After 18-hour incubation at 37 C., 20 L supernatant of each well were taken and added to another 96-well microtiter plate containing 180 L/well of QUANTI-Blue (InvivoGen, CA). The level of SEAP was determined after 30-minute incubation at 37 C. by reading at 625 nm using a spectrophotometer.
Example 12: Inhibition of the CD40L-Induced THP-1 Cell Activation
(82) As a further assessment, the ability of the compounds of the disclosure to inhibit the CD40L-induced activation of THP-1 cells, which can serve as surrogate dendritic cells, was evaluated using an assay as described previously (see Margolles-Clark et al, J Mol Med 87:1133-1143 (2009)).
(83) THP-1 human myeloid cells obtained from American Type Culture Collection (ATCC; Manasses, Va.) were cultivated in RPMI media 1640 supplemented with 10% FBS, 100 U/mL penicillin, and streptomycin 100 g/mL to a density of 110.sup.6 cells/mL. Cells were centrifuged and cultured in the same medium without FBS for a period of 24 hours. Starved cells were placed in fresh medium without FBS and stimulated with 0.5 g/mL of rhCD154 (MegaCD40L; Enzo Life Sciences), in the presence of various concentrations of test compounds. After 48 h, cells were labeled with biotin conjugated monoclonal anti-human CD40 antibody (clone LOB7/6) (LifeSpan BioSciences, Seattle, Wash.), detected with allophycocyanin-eFluor 780 streptavidin (eBioscience, San Diego, Calif.), and labeled with monoclonal anti-human HLA-DR antibody APC-Alexa Fluor 750 (clone LN3) (eBioscience, San Diego, Calif.). All cultivations were carried out for 48 h at 37 C., 90% humidity, and 5% CO.sub.2. Stained THP-1 cells were analyzed using a BD LSR II Flow Cytometer (BD Biosciences, San Jose, Calif.). Cell surface markers were quantified in live cells only after gating out 4,6-diamidino-2-phenylindole (DAPI) labeled cells. All experiments were repeated at least three times.
(84)
Example 13: Inhibition of the CD40L-Induced Human B-Cell Proliferation Assay
(85) Because CD40 stimulation is an important signal for B cell proliferation, soluble CD40L can concentration-dependently induce the proliferation of human B cells. The CD40L-induced proliferation of human CD19.sup.+ B cells was used here to assess the inhibitory effect of selected compounds using the method as described before (see Margolles-Clark et al, J Mol Med 87:1133-1143 (2009) and Margolles-Clark et al., Biochem Pharmacol 77:1236-1245 (2009)).
(86) Inhibition of cell proliferation was determined in freshly isolated human CD19.sup.+ B cells using the colorimetric cell proliferation ELISA BrdU kit from Roche Applied Science (Indianapolis, Ind.). B cells were isolated from the PBMC as follows. Briefly, cells were washed three times with medium (RPMI 1640) and incubated for 20 min at 4 C. with 20 L/10.sup.7 cells of anti-CD19 Microbeads (Miltenyi Biotech, Bergisch Gladbach, Germany), according to the MiniMacs protocol (Miltenyi Biotech). Cells were then purified using magnetic columns. At the end of the purification procedure, cells were found to be almost exclusively (>90%) CD19.sup.+ by cytofluorimetric analysis. Cells were cultured in 96 wells plates (100 L/well) at a cell density of 210.sup.5 cells/mL in IMDM medium supplemented with 5% FBS, 100 U/mL penicillin, streptomycin 100 g/mL, insulin-transferrin-selenium-G (all materials from Invitrogen, San Diego, Calif.) and 10 g/mL of rhIL-4 (R&D Systems). Cells were activated with 0.1 g/mL of rhCD154 (MegaCD40L, Enzo Life Sciences) in the presence of various concentrations of test compounds. After 48 h, BrdU labeling solution was added as recommended, and cells were cultivated for another 48 h. Detection of incorporated BrdU was carried out following the instructions of the ELISA BrdU kit.
(87) As shown in
(88) Thus, Example 12 shows inhibition of the CD40L-induced human B-cell proliferation by compounds of the disclosure.
Example 14: Inhibition of the CD40L-Induced Human B-Cell Functionality
(89) Activities in blocking CD40L-induced effects were assessed in a human B cell functional assay that quantitates B-cell function by measuring AID activation via a downstream fluorescent marker using flow cytometry. Activation-induced cytidine deaminase (AID) is necessary for both class switch recombination (CSR) and somatic hypermutation (SHM) of Ig genes, which are important for the generation of high-affinity antibodies and robust humoral immune response (see Frasca et al., Methods Mol Biol 1343:107-114 (2015)). AID is encoded by the aicda gene that is exclusively expressed in B cells and is necessary for opening the DNA molecule in the switch (S) regions in order to allow CSR. Engagement of CD40, which is constitutively expressed on the surface of B cells, with CD40L on T cells has been shown to positively regulate the expression of AID in B cells through activation of NF-B signaling pathway. To further validate the activity of the present compounds, an aicda-lentiviral construct containing the promoter and enhancer region of aicda fused to the reporter Ds-Red was generated and used to transfect human B cells isolated from healthy donors. In these cells, regulation of AID expression through CD40-CD40L signaling following incubation at different conditions were evaluated by Ds-Red level assessed via flow cytometry.
(90) B cells were isolated using anti-CD19 Microbeads (Miltenyi Biotech) from PBMC collected from healthy donors, and they were purified using magnetic columns. These B cells were than transfected with an aicda-DsRed vector using a lentiviral protocol, 1.2510.sup.5 cells/mL of transfected B cells were stimulated with IL-4 at 0.2 g/mL and CD40 ligand at 0.2 g/mL in IMDM media with 10% FBS. In addition, various concentrations of candidate compounds diluted in the same media were added along with the described condition above. Also, 1 g/ml of CpG was used as positive control for activation. After culture for 2 days at 37 C. and 5% CO.sub.2, B cells were collected, and AID activation level as represented by the level of Ds-Red expression was assessed by flow cytometry using BD LSRFortessa cell analyzer.
(91)
(92) Thus, Example 14 shows inhibition of the CD40L-induced human B-cell functionality by compounds of the disclosure.
Example 15: Assessment of Cytotoxicity
(93) To ensure that compounds are suitable to be developed as possible therapeutics it is important that they have an adequate therapeutic index, i.e., sufficient separation between their effective and toxic doses. Therefore, cytotoxicities were also evaluated to eliminate those compounds that are likely to be unacceptably toxic. As a first evaluation, cytotoxicities were assessed using a standard in vitro toxicology assay kit (MTS). For the MTS assay, THP-1 human myeloid cells obtained from American Type Culture Collection (ATCC; Manasses, Va.) were cultured in RPMI-1640 medium (Invitrogen, CA) with 10% FBS (v/v; Invitrogen) and 1% penicillin-streptomycin (v/v; Invitrogen). Cells were centrifuged and re-suspended in the same medium without FBS for a 24 h starvation. Then cells were added to a 96-well microtiter plate at a density of 50,000 cells/well in the absence or presence of various concentrations of compounds diluted in the same media. The plate was incubated at 37 C. for 48 hours. 20 L per well of MTS tetrazolium (Promega, Madison, Wis.) was added to the culture after treatments, and cells were incubated at 37 C. for another 0.5 h. Formazan levels were measured using a plate reader at 490 nm.
Example 16: Activity in a Skin Transplant Model
(94) As a first in vivo test of the immunomodulating ability of the present compounds, the ability of compound 21045 to cause prolongation of skin allograft survival was examined. Full-thickness ear skins from donor mice (Balb/c, Jackson Laboratory; Bar Harbor, Me.) were transplanted onto the dorsal thorax of recipient mice (C57BL/6, Jackson Laboratory) by placing them on 1 cm diameter graft beds and securing with bandages. Following a protocol from Pinelli, D. F. et al. Am. J. Transplant. 13:3021-3030 (2013), mice were treated with CTLA4-Ig (Orencia; Bristol-Myers Squibb, New York City, N.Y.; 250 g, days 0, 2, 4, and 6 plus either CD40L antibody (MR-1; Bio X Cell; West Lebanon, N.H.; 250 g, days 0, 2, 4, and 6) or 21045 (30 mg/kg) (daily, s.c.). Because of solubility limitations, 21045 was administered in 20% w/v hydroxypropyl--cyclodextrin (HPCD) solution. Bandages were removed on day 7 post-transplant and grafts were monitored and scored daily. Skin grafts were rated visually (0: perfect skin, 1:10%-50% necrotic, 2:75% necrotic, 3:100% necrotic), and the first score of 3 was considered as the day of rejection. Mice treated with CTLA4-Ig alone rejected skin grafts with a mean survival time (MST) of 12.0 days. Addition of 21045 prolonged survival in a statistically significant manner (MST of 15 days), but less than the positive control MR-1 (MST of 19 days) (
(95) Inhibitory data (IC.sub.50, M) for various compounds is presented in Table 2.
(96) TABLE-US-00002 TABLE 2 (I)
(97) The foregoing description is given for clearness of understanding only, and no unnecessary limitations should be understood therefrom, as modifications within the scope of the invention may be apparent to those having ordinary skill in the art.
(98) Throughout this specification and the claims which follow, unless the context requires otherwise, the word comprise and variations such as comprises and comprising will be understood to imply the inclusion of a stated integer or step or group of integers or steps but not the exclusion of any other integer or step or group of integers or steps.
(99) Throughout the specification, where compositions are described as including components or materials, it is contemplated that the compositions can also consist essentially of, or consist of, any combination of the recited components or materials, unless described otherwise. Likewise, where methods are described as including particular steps, it is contemplated that the methods can also consist essentially of, or consist of, any combination of the recited steps, unless described otherwise. The invention illustratively disclosed herein suitably may be practiced in the absence of any element or step which is not specifically disclosed herein.
(100) The practice of a method disclosed herein, and individual steps thereof, can be performed manually and/or with the aid of or automation provided by electronic equipment. Although processes have been described with reference to particular embodiments, a person of ordinary skill in the art will readily appreciate that other ways of performing the acts associated with the methods may be used. For example, the order of various of the steps may be changed without departing from the scope or spirit of the method, unless described otherwise. In addition, some of the individual steps can be combined, omitted, or further subdivided into additional steps.
(101) All patents, publications and references cited herein are hereby fully incorporated by reference. In case of conflict between the present disclosure and incorporated patents, publications and references, the present disclosure should control.