2838
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2. Charles Stratton, MD. VRSA: The worst has finally
happened. 42nd Intersci. Conf. Antimicrob Agents Che-
mother (ICAAC), San Diego, CA, September 27, 2002.
3. AZD2563 is an oxazolidinone in early development at
AstraZeneca. RBX-7644 (ranbezolid) is an oxazolidinone
in early development at Ranbaxy. See: Ednie, L. M.;
Rattan, A.; Jacobs, M. R.; Appelbaum, P. C. Antimicrob.
Agents Chemother. 2003, 47, 1143–1147.
quite possible that the fluoro analog of 6 would
have been more active than linezolid against this panel
of Gram-positive bacteria. This ÔfluoroÕ effect is
evident in most of the oxazolidinone series (e.g., piper-
azines) in which sufficient MIC data have been
published.1
Turning to the eperezolid analogs, the pyrazolidine
derivative 25 and the hexahydro-pyridazine 26 had mod-
erate to poor antibacterial activity.21 It is possible that
the potency of these derivatives could be enhanced by
more closely mimicking the eperezolid SAR and deriva-
tizing the pyrazolidine and hexahydropyridazine rings
with the 2-hydroxyacetyl group in place of the acetate.1
One can speculate further on why compounds 25 and 26
did not maintain antibacterial potency on par with eper-
ezolid. Perhaps acylation of the pyrazolidine and hexa-
hydropyridazine rings diminishes the electron-donating
ability of these heteroatom ring systems relative to an
acylated piperazine. Since the chemical space occupied
by the acetyl group in 25 and 26 is quite distinct from
eperezolid, itÕs possible that steric interaction of the ace-
tate forces the aryl-nitrogen bond to rotate out of the
plane. The 2-pyrazoline analog 20 had potency similar
to linezolid and eperezolid. In fact, 20 appears to have
slightly lower MICs than linezolid against MRSA and
Enterococcus faecalis. Some of the oxazolidinone inter-
mediates were also assayed for in vitro antibacterial
activity. Interestingly, hydroxylamine 4 was significantly
more potent than the corresponding aniline.22 The two
nitro derivatives 3 and 13 represent a notable exception
to the Ôfluoro effectÕ mentioned above. An alternate
explanation is that the highly electrophilic ortho-fluo-
ronitrophenyl moiety is insoluble, or unstable under
the assay conditions.
4. Ethan Rubinstein, MD. 43rd Intersci. Conf. Antimicrob
Agents Chemother (ICAAC), September 14–17, 2003,
Session 176(F,L) abstract#1782. (The need for an
improved hematological profile is less clear cut for routine
therapy: analysis of safety assessments on 2046 Zyvox
patients and 2001 comparator drug-treated patients from
seven Phase III clinical trials indicated virtually no
differences in effects on hemoglobin, neutrophil, or platelet
counts over the first 14 days of therapy. See: Rubinstein,
E.; Isturiz, R.; Standiford, H. C.; Smith, L. G.; Oliphant,
T. H.; Cammarata, S.; Hafkin, B.; Le, V.; Remington, J.
Antimicrob. Agents Chemother. 2003, 47, 1824–1831).
5. Most of the oxazolidinones reported by Upjohn/Pharma-
cia to have superior safety profiles in a 30-day rat toxicity
model have donating nitrogens in the para-position of the
phenyl group. These agents include linezolid, eperezolid,
U-100480 (thiomorpholine), and U-97456 (indoline). See
Ref. 1. DuPont agents DuP-721 and DuP-105 lacking a
para-amine functionality had more severe toxicity in a 30-
day rat model (in house data).
6. Weidner-Wells, M. A.; Boggs, C. M.; Foleno, B. D.;
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9. For a discussion of 3D-QSAR of 3-aryloxazolidinone
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mental murine in vivo infection model.23 Based on the
in vitro potency of these compounds in the presence of
50% calf serum, protein binding does not appear to ex-
plain the lack of in vivo activity. Since these oxazolidi-
nones had modest to poor activity (PD50 >50 mg/kg/
day) in this in vivo model, no further characterization
was undertaken.
In summary, oxazolidinones related to linezolid and
eperezolid were synthesized24 and found to exhibit
potent in vitro activity against a panel of Gram-positive
bacteria. The dihydro-1,2-oxazine present in 6 and the
2-pyrazoline present in 20 showed the most promise as
morpholine and piperazine replacements, respectively.
16. Riddel, F. G.; Turner, E. S.; Katritzky, A. R.; Patel, R. C.;
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Acknowledgements
The authors would like to thank the analytical chemistry
group at Bristol-Myers Squibb for support in character-
izing the compounds reported herein.
References and notes
19. The minimum inhibitory concentrations (MICs) were
determined using
a
broth microdilution assay in
1. Barbachyn, M. R.; Ford, C. W. Angew. Chem., Int. Ed.
2003, 42, 2010–2023.
accordance with that recommended by the National
Committee for Clinical Laboratory Standards (NCCLS).