(12) Patent Application Publication (10) Pub. No.: US 2010/0009970 A1 Johansen Et Al
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US 20100.009970A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2010/0009970 A1 Johansen et al. (43) Pub. Date: Jan. 14, 2010 (54) COMPOSITIONS AND METHODS FOR Publication Classification TREATMENT OF VRAL DISEASES (51) Int. Cl. (75) Inventors: Lisa M. Johansen, Belmont, MA A63L/36 (2006.01) (US); Christopher M. Owens, A63L/404 (2006.01) Cambridge, MA (US); Christina A63L/366 (2006.01) Mawhinney, Jamaica Plain, MA A 6LX 3L/505 (2006.01) (US); Todd W. Chappell, Boston, A63/495 (2006.01) MA (US); Alexander T. Brown, CD7C 2 II/33 (2006.01) Watertown, MA (US); Michael G. C07C 21 7/56 (2006.01) Frank, Boston, MA (US); Michael A6IP 25/00 (2006.01) A. Foley, Chestnut hill, MA (US); A6II 3/445 (2006.01) Ralf Altmeyer, Singapore (SG); Yu A6II 3/55 (2006.01) Chen, Singapore (SG) A 6LX 3/5.375 (2006.01) A63/4965 (2006.01) Correspondence Address: (52) U.S. Cl. ......... 514/218: 514/647: 514/419:514/460; Gearhart Law LLC 514/275: 514/255.04:564/367: 514/603; 4 Femdale Avenue 514/655; 564/384: 514/331; 514/239.5: 514/255.03 Chatham, NJ 07928 (US) (73) Assignee: Combinatorx (Singapore) Pte. (57) ABSTRACT Ltd., Singapore (SG) The present invention features compositions, methods, and kits useful in the treatment of viral diseases. In certain (21) Appl. No.: 12/406,626 embodiments, the viral disease is caused by a single stranded RNA virus, a flaviviridae virus, or a hepatic virus. In particu (22) Filed: Mar. 18, 2009 lar embodiments, the viral disease is viral hepatitis (e.g., hepatitis A, hepatitis B, hepatitis C, hepatitis D. hepatitis E) Related U.S. Application Data and the agent or combination of agents includes sertraline, a (60) Provisional application No. 61/070,047, filed on Mar. Sertraline analog. UK-416244, or a UK-416244 analog. Also 19, 2008, provisional application No. 61/089,850, featured are screening methods for identification of novel filed on Aug. 18, 2008. compounds that may be used to treat a viral disease. Patent Application Publication Jan. 14, 2010 Sheet 1 of 2 US 2010/0009970 A1 80 ---- Vehicle 0.5% HPMC E. - - - Sertraline-30mg/kg/day - A - 60 Sertraline-100mg/kg/day/kg/day E. - V-- Oseltamivir-30mg/kg/day --- is a Oseltamivir-100mg/kg/day CRX-165 (Sertraline 30mg/Kg+ -0. ------- 40 Prednisolone 0.1 mg/Kg) Figure 1 Patent Application Publication Jan. 14, 2010 Sheet 2 of 2 US 2010/0009970 A1 OO 58 OO 4 O 2 O Wehicle Seitaline 10ng. Kg Sertaline 30mg Kg Sentraline 100mg Kg Figure 2 US 2010/0009970 A1 Jan. 14, 2010 COMPOSITIONS AND METHODS FOR and the currently recommended therapy, a combination of TREATMENT OF VIRAL DISEASES pegylated interferon and ribavirin, is effective in only about 50% of those infected with HCV genotype 1. Further, both CROSS-REFERENCE TO RELATED interferon and ribavirin have potentially serious side effects, APPLICATIONS which include seizures, acute heart or kidney failure, and 0001. This application claims the benefit of U.S. Provi anemia. sional Application No. 61/070,047, filed Mar. 19, 2008 and 0005 Given the lack of safe, efficacious treatments for U.S. Provisional Application No. 61/089,850, filed Aug. 18, many viral diseases, there exists a need for improved thera 2008, each of which is hereby incorporated by reference. p1es. BACKGROUND OF THE INVENTION SUMMARY OF THE INVENTION 0002. The invention relates to the treatment of diseases 0006 Based on the results of our screen identifying com caused by a virus. pounds and combinations of compounds having antiviral 0003 Diseases caused by viruses are major health prob activity, the present invention features compositions, meth lems worldwide, and include many potentially fatal or dis ods, and kits for the treatment of viral disease (e.g., caused by abilitating illnesses. Viral diseases include diseases caused by the viruses described herein). In certain embodiments, the single stranded RNA viruses, flaviviridae viruses, and hepatic viral disease may be caused by a virus which is a member of viruses. In one example, viral hepatitis (e.g., hepatitis A, one or more of the following groups: single Stranded RNA hepatitis B, hepatitis C, hepatitis D, and hepatitis E) can result viruses, flaviviridae viruses (e.g., a hepacivirus Such as HCV. in chronic or acute hepatitis. While vaccines protective flavivirus, pestivirus, or hepatitis G Virus), and hepatic against hepatitis A and hepatitis B exist, no cures for many viruses. HCV, for example, is a single stranded RNA virus, a viruses, including hepatitis B, C, D, or E, are available. flaviviridae virus, and a hepatic virus. In certain embodi 0004. With regard to the hepatitis C virus (HCV), the ments, the viral disease is caused by the hepatitis C virus. Center for Disease Control estimates that 4.1 million Ameri Additional exemplary viruses are described herein. cans (1.6%) have been infected with this virus. Of those 0007 Accordingly in a first aspect, the invention features infected, 3.2 million are chronically infected, and HCV is the a composition including a first agent selected from the agents leading cause of death from liver disease in the United States. of Table 1, Table 2, and Table 3, or an analog thereof, and a Hepatitis C is a major risk factor for developing liver cirrhosis second agent selected from the agents of Table 1, Table 2, and hepatocellular carcinoma, and the World Health Organi Table 3, Table 4, and Table 5, or an analog thereof (e.g., Table zation indicates that hepatitis C is responsible for two thirds 4 and Table 5, or excluding the combinations of Table 6). In of liver transplants. Worldwide, an estimated 180 million certain embodiments, the first agent is sertraline, a sertraline people, or about 3% of the world's population, are infected analog, UK-416244, or a UK-4162244 analog (e.g., any of with HCV. No vaccine for hepatitis C is presently available, those described herein). TABLE 1 Compound IC50* Compound IC50: 1.2-Bis-(2-aminophenoxy)ethane N.N.N.N.- 14.50 Isosulfan Blue 24.86 tetreacetic acid 1,5-Isoquinolinediol 25.88 JSH-23 2.55 10-Deacetylbaccatine Ii 10.34 Levothyroxine (e.g., sodium) 3.79 2,2'-(Pentamethylenedioxy)diacetanilide 3.14 Loratadine 8.16 2-Hydroxyflavanone 2.48 Manganese gluconate 24.71 2-Methoxyestradiol 7.91 Maprotiline (e.g., hydrochloride) 7.18 3,3'-(Pentamethylenedioxy)dianiline 1.63 Mebeverine (e.g., hydrochloride) 4.88 6-Nitroquipazine 16.41 Mechlorethamine (e.g., hydrochloride) 4.15 AG-490 5.03 Meclizine 4.62 AG-494 3.45 Mecobalamin O.179 Albendazole 0.324 Melphalan 5.94 Amitraz 26.4 Mequinol 8.6S Amitrole 14.62 Mesoridazine (e.g., Besylate) 9.00 Amorolfine (e.g., hydrochloride) 1.62 Mesterolone S.18 Anisomycin 0.608 Methylglyoxal bis(guanylhydrazone) dihydrochloride O.80 hydrate Auranofin 1.07 Methyltestosterone 9.11 Azelastine 6.22 Mianserin (e.g., hydrochloride) 3.72 Bay 11-7082 15.01 Mitotane 28.1% Bay 41-2272 O.754 ML 9 4.44 Benoximate (e.g., hydrochloride) 3.02 Mofebutazone 4.6O Benzamil (e.g., HCI) 4.73 MometaSone (e.g., furoate) 1.35 Benzocaine 13.91 Monobenzone 1.59 Benztropine (e.g., mesylate) 5.70 Mosapride (e.g., citrate) O.91 Benzydamine (e.g., hydrochloride) 9.00 Narasin O.176 Beta Escin 4.27 Noscapine 5.83 Beta-Caroteine 18.50 NSC 663284 O.614 Beta-Ionol 21.00 N-Tosyl-L-phenylalanine chloromethyl ketone 6.67 Betaxolol (e.g., hydrochloride) 29.4 Octyl Methoxycinnamate 1.24 BHQ 23.28 Oxeladin 8.72 US 2010/0009970 A1 Jan. 14, 2010 TABLE 1-continued Compound C50% Compound IC50: Bifonazole 6.15 Oxfendazole 7.30 Bismuth Subsalicylate 8.09 Oxibendazole O.300 Bromhexine 4.25 Oxyphenbutazone (e.g., hydrate) 4.17 Bromocriptine (e.g., meSylate) 3.38 Paclitaxel O.O092 Budesonide S.66 Padimate O 5.44 Bufexamac 8.29 P-Aminosalicylic acid 1316 Camptothecin O.O26 Parthenolide 2.69 Capsaicin 1.72 Perospirone 3.60 Carbaryl 9.65 Phenazopyridine (e.g., hydrochloride) 7.85 CAY10433 7.88 Piceatannol 547 O449 Picotamide 28.78 6.21 PKR inhibitor 1.75 Chlorophyllin 1.30 Pramoxine (e.g., hydrochloride) 5.17% Chlorphenoxamine (e.g., hydrochloride) 6.2O Promazine (e.g., hydrochloride) 16.12 Citalopram (e.g., hydrobromide) 27.30 Propidium (e.g., iodide) 9.38 Cladribine O. 112 Quinacrine 4.17 Clomiphene (e.g., citrate) 1.19 Quinestrol 5.43 Cobamamide O.410 R(+)-Verapamil (e.g., hydrochloride) 15.67 Cyclocytidine (e.g., hydrochloride) O.183 Raloxifene (e.g., hydrochloride) 3.74 Cycloheximide O.184 Repaglinide 12.21 Cyproheptadine (e.g., hydrochloride) 17.97 Rescinnamine 7.88 Dehydroepiandrosterone 1119 Reserpine 25.29 Deptropine (e.g., citrate) 11.14 Rifabutin 17.25 Desoratadine 6.07 Rifaximin 19.36 Desoxycorticosterone (e.g., acetate) 14.65 Saponin 361.62 Dextrothyroxine (e.g., sodium) S.OO Satraplatin 4.8O Dibucaine (e.g., hydrochloride) 6.68 SB-2021.90 S.18 Dicyclomine (e.g., hydrochloride) 25.01 Sertraline (e.g., hydrochloride) 5.39 Dienestrol 16.49 Shikonin 26.4% Diethylstilbestrol 12.18 SiguaZodan 2.20 Dihydroergotamine (e.g., meSylate) 22.75 Silver sulfadiazine 2.20 Dilazep (e.g., dihydrochloride) 13.87 Sirolimus 0.005* Diphenidol (e.g., hydrochloride) 25.45 Fusidic acid (e.g., sodium fusidate) 7.72 Disulfiram 5.50 Spiperone 7.21 DNA-PK inhibitor II 6.52 Stanozolol 15.18 Donepezil (e.g., hydrochloride) 29.29 Suberohydroxamic acid 4.02 Doxepin (e.g., hydrochloride) 1488 Tamoxifen (e.g., citrate) 3.13 Dydrogesterone 2.75 Terconazole 2.55 Erbstatin 7.63 Testosterone 8.11 Ergoloid Mesylates 15.25 Thapsigargin O.O113 Evans Blue 1.94 Thiostrepton 3.84 Exemestane 29.04 Thiram 3.64 Ezetimibe 4.2O Tioxolone 6.24 Fascaplysin 0.444 Tirapazamine 1.83 Fenbendazole O419 Tiratricol 5.56 Fenretinide 2.26 Tolterodine (e.g., tartrate)