Ester of Metronidazole with N,N-Dimethylglycine and Acid Addition Sait Thereof
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Europâisches Patentamt European Patent Office ® Publication number: Q 096 870 Office européen des brevets ® EUROPEAN PATENTPATE SPECIFICATION (45) Date of publication of patent spécification: 01.10.86 ® mtci.4: C 07D 233/95 //A61K31/415 (§) Application number: 83105717.9 (g) Dateoffiling: 10.06.83 (H) Ester of metronidazole with N,N-dimethylglycine and acid addition sait thereof. (D Priority: 11.06.82 DK 2643/82 ® Proprietor: A/S Dumex (Dumex Ltd.) 37, Prags Boulevard Post Box No. 1 736 DK-2300 Copenhagen S. (DK) (§) Date of publication of application: 28.12.83 Bulletin 83/52 ® Inventer: Thorbek, Pia Selmers Vaenge 14 (§) Publication of the grant of the patent: DK-2970 Horsholm (DK) 01.10.86 Bulletin 86/40 Inventer: Bundgaard, Hans Tjornevej 36 DK-2970 Horsholm (DK) (fi) Designated Contracting States: Inventer: Larsen, Claus AT BE CH DE FR GB IT Ll NI SE Hulegardsvej 15 DK-4320 Lejre (DK) (S) Références cited: US-A-2944061 (74) Représentative: Patentanwâfte Leinweber & Zîmmermann Rosental7/IIAufg. D-8000 Mùnchen 2 (DE) o N 00 <0 01 O o Note: Within nine months from the publication of the mention of the grant of the European patent, any person may give notice to the European Patent Office of opposition to the European patent granted. Notice of opposition shall CL be filed in a written reasoned statement. It shall not be deemed to have been filed until the opposition fee has been IU paid. (Art. 99(1) European patent convention). Courier Press, Leamington Spa, England. In the systemic treatment of anaerobic infections a parenteral mode of administration is advantageous for patients who are seriously ill and for whom oral administration is not feasible or may be considered to be insufficiently incisive. Heretofore, a practical way of administering a parenteral dose of metronidazole has not been available since the solubility of metronidazole in an aqueous solution is only about 100 mg/ 10 ml and a practical dosage unit is in the 500-650 mg/10 ml range. Those skilled in the art recognize the practical advantages of a single injectable dose of below 5 ml as opposed to the large volume of solution which would be needed to administer a 500-650 mg dose of metronidazole in an aqueous solution. Attempts have been made to improve the solubility of metronidazole in various ways as illustrated by the following examples: British patent application No. 2,000,025 discloses a method of solubilizing metronidazole in water by mixing it with gentisic acid in a ratio of 1:4. U.S. patent No. 4,032,645 describes solutions of metronidazole in water with N,N-dimethylacetamide/ ethanol or propylene glycol/2,2-dimethyl-1,3-dioxolane-4-methanol as co-solvents. However, these methods have two drawbacks: Firstly, the solubility of metronidazole is only augmented to 500-650 mg/10 ml and secondly both require large amounts of substances that are foreign to the human organism. Another conceivable solution to the problem is to administer metronidazole in the form of a derivative which has the desired solubility and which, after parenteral administration, is cleaved by the organism to yield metronidazole. Such--a derivative could be an ester prepared from a pharmacologically acceptable acid. Several esters of metronidazole are known. U.S. patent No. 2,994,061 describes esters of metronidazole with mono- or dicarboxylic aliphatic or aromatic acids. U.S. patent No. 3,696,116 describes esters of metronidazole with carbamic acid. British patent No. 1,270,810 mentions 4-toluene-sulphonic acid ester of metronidazole as an intermediate product. German Offenlegungsschrift No. 2,030,314 describes the ester of methane sulphonic acid with metronidazole. Unfortunately all of these esters are even less soluble in water than metronidazole itself. Half-esters of metronidazole with dicarboxylic acids are known from Belgian patent No. 619672. The sodium salt of the half-ester with succinic acid which is described therein has the required solubility in water. However, the cleavage of the ester in blood serum after parenteral administration is very slow and the compound itself is microbiologically inactive. U.S. patent No. 4,160,827 describes the monoester of phosphoric acid with metronidazole. The salts of this ester with pharmacologically acceptable cations are very soluble in water. Although this ester may turn out to be a clinically useful prodrug, published data indicate a rather slow rate of conversion to metronidazole in vivo. Furthermore, the bioavailability to rats of metronidazole occurring after administration of the phosphate ester is significantly lower than that obtained with metronidazole at the same dosage level, which indicates the excretion of some unchanged phosphate ester. A third type of water-soluble ester derivatives is esters with an ionizable amino function in the acid portion. Various amino acid esters have previously been described as water-soluble bioreversible derivatives of drugs containing a hydroxy group, such as oxazepam and lorazepam (Nudelman et al.: J. Pharm. Sci. 63,1880-1885 (1974)), hydrocortisone (Kawamura et al.: Yakugaku Zasshi 91, 863-870 (1971)) and a pyridazin-3-one derivative (Fogt et al.: J. Med. Chem. 23, 1445-1448 (1980)), but only sparse information is available on their hydrolysis under physiological conditions. Amino acid esters with metronidazole have been unknown hitherto. However, it has now been found that aminocarboxylic acid esters with metronidazole are soluble in water and that acid addition salts thereof are very soluble in water. In most cases solutions containing more than 20% w/v of such acid addition salts can be obtained. Table 1 shows the half-lives for the hydrolysis to metronidazole of a series of such metronidazole esters in 80% human plasma (pH 7.4) and in 0.05 M phosphate buffer (pH 7.4) at 37°C. Table 1 shows the widely differing ability of the various amino acid esters to undergo hydrolysis in human plasma and in buffer. As will appear from Table 1 the half-life of the 3-dimethylaminopropionate is only slightly shorter in human plasma compared to buffer and whereas the half-life of the 4-dimethylaminobutyrate is relatively much shorter in plasma than in buffer 4 in plasma is still so long that the 4-dimethylaminobutyrate is unsuited as a prodrug of metronidazole. The same applies to the 4-methyl-1-piperazinoacetate and 3- aminopropionate. The esters derived from N,N-dimethylglycine and N-propylglycine have short half-lives in plasma, and consequently these compounds appear to be suitable candidates as prodrugs of metronidazole. Selection of the optimum prodrug derivative should take into account several other criteria such as the in vitro stability in 'bulk form and in aqueous solution, toxicity of both the prodrug and the aminoacid moiety released from the derivative, and the ease of synthesis and purification. Based on these criteria the N,N-dimethylglycine ester of metronidazole and acid addition salts thereof have been found to be very suitable prodrugs of metronidazole. The novel compounds of the invention are metronidazole esters having the formula I: and acid addition salts thereof. A preferred acid addition salt of the N,N-dimethylglycine ester of the invention is the hydrochloride salt. The novel compounds of the invention may be prepared (a) by reacting metronidazole having the formula II: with a halogenacetyl halide having the general formula III: wherein Hal and Hal' each is selected from the group consisting of chloro and bromo atoms to form a compound having the general formula IV: wherein Hal has the meaning defined above, optionally reacting the compound having the general formula IV with an alkali metal iodide dissolved in an organic solvent to form a compound having the formula V: reacting a compound having the formula IV or V with dimethylamine to form a compound having the formula I and optionally converting said compound into an acid addition salt thereof, or (b) esterifying metronidazole having the formula II with N,N-dimethylglycine in the presence of N,N'- dicyclohexylcarbodiimide to form a compound having the formula I and optionally converting said compound into an acid addition salt thereof. Metronidazole is preferably reacted with the halogenoacetyl halide having the formula III in a suitable solvent, e.g. methylene chloride, and in the presence of about one equivalent of a base, such as pyridine. The alkali metal iodide used in the preparation of the compound having the formula V is preferably sodium or potassium iodide and the reaction is preferably carried out in acetone. The reaction between the compound having the formula IV or V and dimethylamine is preferably carried out in a non-hydroxylic solvent in which the compound having the formula IV or V is soluble, e.g. acetone. The preferred reaction temperature is room temperature or a temperature below room temperature. The esterification of metronidazole is preferably carried out at room temperature. The conversion of the ester obtained by methods (a) and (b) into the corresponding acid addition salt is effected with a suitable pharmacologically acceptable acid, e.g. hydrochloric acid. The solubility in water of the hydrochloride of metronidazole N,N-dimethylglycinate exceeds 50% w/v or 1.7 M at 20°C, the pH of the 1-20% w/v solutions being 4.4-4.6. The solubility of metronidazole in aqueous solutions of pH >3 and at 25°C is 1% w/v or 0.058 M. The effect of temperature on the rate of hydrolysis of metronidazole N,N-dimethylglycinate was studied in 0.05 M acetate buffer of pH 4.4 over the temperature range 23-50°C. The results obtained are illustrated in Fig. 1 of the drawings. Fig. 1 shows an Arrhenius plot in which the logarithm of the observed pseudo-first-order rate constants has been plotted against the reciprocal of the absolute temperature.