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US008147852B2 (12) United States Patent (10) Patent No.: US 8,147,852 B2 Borgers et al. (45) Date of Patent: Apr. 3, 2012 (54) MODIFIED AZOLE COMPOUNDSAS (56) References Cited ANTIFUNGALAND ANTIBACTERIAL AGENTS U.S. PATENT DOCUMENTS 4,911,432 A 3/1990 Walden ......................... 424,642 5,061,700 A * 10/1991 Dow et al. ...... ... 514,169 (75) Inventors: Marcel Borgers, Knokke (BE); 6,001,864 A 12/1999 Akashi et al. ................. 514,399 Maarten van Geffen, Beerse (BE); Jannie Ausma, Goirle (NL) FOREIGN PATENT DOCUMENTS WO WO 98.43673 10, 1998 (73) Assignee: Barrier Therapeutics, Inc., Princeton, OTHER PUBLICATIONS NJ (US) Zhang et al. “Structure and generation mechanism of a novel degra dation product formed by oxidatively induced coupling of (*) Notice: Subject to any disclaimer, the term of this miconazole nitrate with butylated hydroxytoluene in a topical oint patent is extended or adjusted under 35 ment studied by HPLC-ESI-MS and organic synthesis' J. Pharma U.S.C. 154(b) by 514 days. ceutical Sciences 93(2):300-309 (2004). * cited by examiner Appl. No.: 12/108,262 (21) Primary Examiner — Shengjun Wang (74) Attorney, Agent, or Firm — The Nath Law Group; (22) Filed: Apr. 23, 2008 Joshua B. Goldberg (65) Prior Publication Data (57) ABSTRACT The present invention relates to the compounds of formula (I), US 2008/O213398 A1 Sep. 4, 2008 their preparation and use as antifungal and/or antibacterial agents. Related U.S. Application Data (63) Continuation of application No. 1 1/591,609, filed on (I) Nov. 2, 2006. ORI (60) Provisional application No. 60/835,085, filed on Aug. 3, 2006. (51) Int. C. A6 IK9/00 (2006.01) A6 IK3 L/45 (2006.01) A6 IK3I/065 (2006.01) (52) U.S. Cl. ......................... 424/400: 514/396; 514/726 (58) Field of Classification Search .................. 424/400; where the values for R', R. R. R. Rand A are as defined 514/396, 728 herein. See application file for complete search history. 18 Claims, 3 Drawing Sheets o No. ly c scs css C -- s T miconazole nitrate | sty c ly e NO roSN B-tricanszole aduct U.S. Patent Apr. 3, 2012 Sheet 1 of 3 US 8,147,852 B2 y OH C (H3C)3C C(CH3) C -- O C CH C BHT miconazole nitrate O (H3CsC CCH) -- ww. fyN \ O NO C N C O C C BHT-miconazole adduct Figure 1 U.S. Patent Apr. 3, 2012 Sheet 2 of 3 US 8,147,852 B2 O (C) CCs Cis o O (CC CC) thC) CCs (CC CCs awww.& O > Disproportionalion C Chis C s e O d (c)3C C(CH) (HCC C(CHs HC 2 - - 3. NO N C l| \ C N O C C HNO C 2 O C C 1. Figure 2 U.S. Patent Apr. 3, 2012 Sheet 3 of 3 US 8,147,852 B2 Antifungal effect with and without Mico-BHT Expressed as number of colonies grown 140 12O 1 OO 80 60 40 2O i O PEG 0.6 mg/ml 1.25 2.5 mg/ml 5 mg/ml 10 mg/ml control mg/ml Figure 3 US 8,147,852 B2 1. MODIFIED AZOLE COMPOUNDS AS ANTIFUNGALAND ANTIBACTERIAL (I) AGENTS RELATED APPLICATIONS This is a continuation application of U.S. application Ser. No. 1 1/591,609 (filed Nov. 2, 2006), which claims the benefit of U.S. Provisional Application No. 60/835,085 (filed Aug. 3, 10 2006), both of which are herein incorporated by reference in their entireties. wherein R'= H, alkyl, -C(O)R. —C(O)OR or FIELD OF THE INVENTION 15 —S(O).R. R. R. RandR independently= H or alkyl: Aanazole; R-alkyl, aryl or heteroaryl; and n=1 or 2, or a The present invention relates to various modified azole pharmaceutically acceptable salt thereof. compounds and their preparation and use as antifungal and/or Another aspect of the invention is a method of treating antibacterial agents. fungal and/or bacterial disorders comprising systemically or topically administering to a recipient in need of Such treat ment an effective amount of a compound or a pharmaceuti BACKGROUND OF THE INVENTION cally acceptable salt of the compound formed by the combi nation of di-tert-butyl-4-methylphenol (BHT) with an azole. The increasing global incidence of systemic fungal infec Another aspect of the invention is a pharmaceutical com tions may largely be attributed to advances in medical tech 25 position comprising a compound of the formula (I) nology and organ transplantation, an increase in the preva lence of cytotoxic chemotherapeutic interventions, the (I) widespread use of broad spectrum antimicrobials and an ORI increasing number of immunocompromised patients. 30 The most common causes of these infections are due to Candida spp., of which C. albicans accounts for approxi mately 50% and filamentous fungi such as Aspergillus spp. (Kremery and Barnes, 2002). Mortality associated with inva sive Candida ranges from around 40% (Edmond et al., 1999), 35 while mortality associated with invasive Aspergillus approaches 100% in Solid organ transplant recipients (Minari et al., 2002). Given the lack of readily available fungal vaccines, the 40 wherein R'= H, alkyl, -C(O)R. —C(O)OR or only clinical resource available to combat fungal infections is —S(O).R. R. R. RandR independently= H or alkyl: antifungal therapeutics (antimycotics). The antimycotics cur Aanazole; R-alkyl aryl or heteroaryl; and n=1 or 2, or a pharmaceutically acceptable salt thereof. rently in clinical use are limited either by their general inef Yet another aspect of the invention is a pharmaceutical fectiveness and inadequate pharmacological profile, includ 45 composition comprising an adduct of BHT or a compound of ing undesired drug-drug interactions and narrow activity formula (I) otheran BHT with anazole-containing compound spectrum, their fungistatic nature, or by their high overall selected from the group consisting of miconazole, clotrima cytotoxicity (White et al., 1998). Accordingly, there is a criti Zole, econazole, fluconazole, itraconazole, ketoconazole, cal need for new antifungal compounds that could overcome 50 pramiconazole, Sertaconazole, butoconazole, raVuconazole, these disadvantages. Voriconazole, posaconazole, luliconazole and pharmaceuti Zhang et al. recently reported the formation of a 1:1 adduct cally acceptable salts thereof. of the antifungal azole compound miconazole nitrate with Another aspect of the invention is compound of formula (I) 2,6-di-tert-butyl-4-methylphenol (BHT) (Zhanget al., 2004). The present invention relates in part to the unexpectedly 55 enhanced antifungal activity exhibited by this adduct as well (I) as by adducts of BHT with other azole compounds and adducts of compounds of formula (I) other than BHT with miconazole nitrate and other azole compounds. 60 SUMMARY OF THE INVENTION An aspect of the invention is a method of treating fungal and/or bacterial disorders comprising systemically or topi 65 cally administering to a recipient in need of Such treatment an effective amount of a compound of the formula (I) US 8,147,852 B2 3 4 wherein R = H, alkyl, -C(O)R. —C(O)OR or butyl)-phenyl-amine, including pharmaceutically accept —S(O).R. R. R. R* and R independently= H or alkyl: able salts thereof. The chemical structure of rambazole is Aanazole; R-alkyl, aryl or heteroaryl; and n=1 or 2, or a indicated below: pharmaceutically acceptable salt thereof, with the proviso that R' is not–Hwhen RandR are tert-butyl, RandR are —H, and A is miconazole. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 depicts an exemplary embodiment of a compound 10 y-si-)--O of formula (I), which is the adduct miconazole nitrate and BHT. FIG. 2 depicts a proposed reaction mechanism between As defined herein, the term “alkyl.” by itself or as part of miconazole nitrate (i.e., an exemplary azole) and BHT (i.e., 15 another Substituent refers to, unless otherwise Stated, a an exemplary compound of formula II) to form the micona straight or branched chain, or cyclic hydrocarbon radical, or Zole nitrate—BHT adduct as a salt (i.e., an exemplary com combination thereof, which may be fully saturated, mono- or pound of formula I). polyunsaturated and can include di- and multivalent radicals, FIG. 3 depicts a comparison of the antifungal effect of having the number of carbon atoms designated (i.e. C-Co miconazole nitrate () with the compound representing the means one to ten carbons). Examples of Saturated hydrocar adduct of miconazole nitrate with BHT (0). bon radicals include, but are not limited to, groups such as methyl, ethyl, n-propyl, isopropyl. n-butyl, t-butyl, isobutyl, DETAILED DESCRIPTION OF THE INVENTION sec-butyl, cyclohexyl, (cyclohexyl)methyl, cyclopropylm ethyl, methylene, ethylene and homologs and isomers of for Definitions 25 example, n-pentyl, n-hexyl, n-heptyl, n-octyl, and the like. An unsaturated alkyl group is one having one or more double Unless defined otherwise, all technical and scientific terms bonds or triple bonds. Examples of unsaturated alkyl groups used herein generally have the same meaning as commonly include, but are not limited to, vinyl, 2-propenyl, crotyl, 2-iso understood by one of ordinary skill in the art to which this pentenyl, 2-(butadienyl), 2.4-pentadienyl, 3-(1,4-pentadi invention belongs. 30 As defined herein, “effective amount’ or “an amount effec enyl), ethynyl, 1- and 3-propynyl, 3-butynyl, and the higher tive to” or a “therapeutically effective amount” or any gram homologs and isomers. The term “alkyl, unless otherwise matically equivalent term refers to the amount that, when noted, is also meant to include those derivatives of alkyl administered to an animal for treating a disease or condition, defined in more detail below, such as "heteroalkyl.