Design, Synthesis and Antifungal Activity of the Novel Water-Soluble Prodrug of Antifungal Triazole CS-758
作者:Yoshiko Kagoshima、Makoto Mori、Eiko Suzuki、Nobue Kobayashi、Takahiro Shibayama、Mikie Kubota、Yasuki Kamai、Toshiyuki Konosu
DOI:10.1248/cpb.58.794
日期:——
CS-758 was selected as a candidate for clinical trials, but since its water-solubility was insufficient for an injectable formulation, phosphoryl ester prodrugs were designed. In this study, the synthesis and evaluation of these injectable prodrugs are described. Phosphoryl ester 17h was soluble in water, and was stable in both water and in a solid state. 17h was converted to CS-758 in human liver microsome and was also converted to CS-758 in rats after intravenous (i.v.) administration with good conversion speed and efficiency. 17h (i.v.) reduced the viable cell counts in kidneys in a murine hematogenous Candida albicans infection model and in lungs in a murine pulmonary Aspergillus fumigatus infection model, wherein the effects were comparable to or slightly superior to that of CS-758 (per os).
CS-758 被选为临床试验的候选药物,但由于其水溶性不足以支持注射剂型,因此设计了磷酸酯前药。在这项研究中,描述了这些可注射前药的合成和评估。磷酸酯 17h 在水中可溶,并在水中及固态下稳定。17h 在人类肝微粒体中转化为 CS-758,并且在小鼠静脉(i.v.)给药后也能快速高效地转化为 CS-758。17h(i.v.)在小鼠血源性白色念珠菌感染模型的肾脏和小鼠肺部曲霉菌感染模型中减少了活细胞计数,效果与 CS-758(口服)相当或略优。