[EN] THERAPEUTIC USE OF PLEUROMUTILINS<br/>[FR] UTILISATION THÉRAPEUTIQUE DE PLEUROMUTILINES
申请人:NABRIVA THERAPEUTICS GMBH
公开号:WO2021209596A1
公开(公告)日:2021-10-21
A compound selected from 14-O-[((Alkyl-, cycloalkyl-, heterocycloalkyl-, heteroraryl-, or aryl)-sulfanyl)-acetyl]-12-epi-mutilins, or 14-O-[((Alkyl-, cycloalkyl-, heterocycloalkyl-, heteroaryl-, or aryl)-oxy)-acetyl]-12-epi-mutilins, wherein 12-epi-mutilin is characterized in that the mutilin ring at position 12 is substituted by two substituents, the first substituent at position 12 of the mutilin ring is a methyl group which methyl group has the inverse stereochemistry compared with the stereochemistry of the methyl group at position 12 of the naturally occurring pleuromutilin ring, the second substituent at position 12 of the mutilin ring is a hydrocarbon group comprising at least one nitrogen atom and all other substituents of the mutilin ring having the same stereochemistry compared with the stereochemistry of the substituents at the corresponding positions in the naturally occurring pleuromutilin ring; optionally in the form of a pharmaceutically acceptable salt and/or solvate, prodrug or metabolite, wherein the naturally occurring pleuromutilin is of formula (I) for the specific use in the treatment or prevention of a disease mediated by a virus. The invention further relates to 12-epi-12-desvinyl-14-O-[(Piperidin-4-ylsulfanyl]-acetyl]-12- [2-(3-methyl-pyrazin-2-yl)-ethenyl]-mutilin and its therapeutic uses.
从14-O-[((烷基、环烷基、杂环烷基、杂环芳基或芳基)-硫代基)-乙酰基]-12-epi-木酮霉素,或14-O-[((烷基、环烷基、杂环烷基、杂环芳基或芳基)-氧基)-乙酰基]-12-epi-木酮霉素中选择的化合物,其中12-epi-木酮霉素的特征在于木酮霉素环在位置12处被两个取代基取代,木酮霉素环在位置12处的第一个取代基是一个甲基基团,该甲基基团与自然产生的普鲁木酮霉素环在位置12处的甲基基团的立体化学相反,木酮霉素环在位置12处的第二个取代基是一个含有至少一个氮原子的碳氢基团,木酮霉素环的所有其他取代基与自然产生的普鲁木酮霉素环在相应位置的取代基的立体化学相同;可选地以药学上可接受的盐和/或溶剂、前药或代谢物的形式存在,其中自然产生的普鲁木酮霉素的化学式为(I),用于治疗或预防由病毒介导的疾病。该发明还涉及12-epi-12-去乙烯基-14-O-[(哌啶-4-基硫基]-乙酰基]-12-[2-(3-甲基吡嗪-2-基)-乙烯基]-木酮霉素及其治疗用途。