J. M. Axten et al. / Bioorg. Med. Chem. Lett. 22 (2012) 4028–4032
4031
Table 3
Pharmacokinetic data (n = 3) for compound 5c
i.v.
p.o.
(ng.h/mL/mg/kg)
Dose (mg/kg)
Clp (ml/min/kg)
Dose (mg/kg)
DNAUCa
%F
(0–inf)
Rat
Dog
Monkey
2.5
4.5
3.0
119.9 14.8
36.3 4.1
29.4 3.3
27.1
6.5
5.1
43.3 0.6
629.9 46.9
111.4 42.1
ꢁ30b
100 ND
20
9
a
Clp = plasma clearance; DNAUC = dose normalized AUC; F = oral bioavailability.
Estimated from a non-crossover study.
b
10
antibacterial activity varies and is likely related to changes in lipo-
philicity, with more polar analogs exhibiting much higher MICs.
For example, primary alcohols (5q and 5r) have slightly diminished
antibacterial activity, whereas the more polar amine and imidazole
derived analogs (4i, 5s–u) are significantly less active in the whole
cell assay even though they maintain potent enzyme activity. This
might be due to decreased permeability or increased bacterial
efflux.
Compound 5c was selected for in vivo studies based on its blood
stability and robust activity in broader antibacterial profiling. Phar-
macokinetic data is shown in Table 3.12 In rats, Compound 5c has
high clearance and 30% bioavailability. The high clearance impacts
the exposure indicated by the relatively low DNAUC. In dogs and
monkeys, compound 5c has good exposure and exhibits moderate
to high clearance at low doses, with 100% and 20% bioavailability,
respectively.
(a)
9
8
7
6
5
4
3
2
1
0
Limit of
detection
Amox/Clav
350/50 mg/kg
75 mg/kg
Compound 5c
Controls
37.5 mg /kg
150 mg/kg
The efficacy of acylurea 5c was evaluated in rat respiratory tract
infection models.12 Oral b.i.d. dosing (4 days) resulted in a reduc-
tion of S. pneumoniae 1629 bacterial lung counts, with decreases
as high as 3.86log10 cfu/mL at the 75 and 150 mg/kg doses com-
pared to the non-treated control (Fig. 3a). Additionally, compound
5c was effective against H. influenzae H-128 when dosed b.i.d. for
2 days at a dose of 300 mg/kg, reducing bacterial counts by
4.21log10 cfu/mL (Fig. 3b).
In summary, we have discovered a new class of PDF inhibitors
containing an acylprolinamide functionality. Lead compounds
from this class have potent, broad spectrum antibacterial activity
against major pathogens prevalent in community acquired bacte-
rial infections. Adjusting the electrophilicity to enhance the blood
stability of the acylprolinamide functionality led to acylureas,
which have desirable physiochemical properties and pharmacoki-
netics. In vivo efficacy was demonstrated with compound 5c in
rat lung infection models of S. pneumoniae and H. influenzae, high-
lighting the utility of the acylprolinamide class of PDF inhibitors as
antibacterial agents.
9
8
7
6
5
4
3
2
1
0
(b)
Limit of
detection
Control
Levofloxacin Compound 5c
100 mg/kg 300 mg/kg
Figure 3. N = 6 for each group. (a) Efficacy of compound 5c (MIC = 0.25
amoxicillin/clavulinic acid (MIC = 0.03
ratory tract infection model. Compounds were dosed orally b.i.d. for 4 days starting
1 h post-infection; (b) efficay of compound 5c (MIC = 1 g/mL) and Levofloxacin
(MIC = 0.016 g/mL) in an H. influenzae H-128 rat respiratory tract infection model.
lg/mL) and
l
g/mL) in a S. pneumoniae 1629 rat respi-
l
l
Compounds were dosed orally b.i.d. for 2 days starting 1 h post-infection.
References and notes
stable in blood (Table 2). We suspected that the susceptibility of
imides to degradation by esterases and amidases was the primary
source of this instability. We reasoned that the blood stability
might be improved if the imide carbonyl was less electrophilic.
This led to the synthesis of the acylcarbamates 4 and acylureas 5.
Although there was little improvement in stability of the acylcar-
bamates 4, there was a dramatic improvement in blood stability
of the acylureas 5, particularly in human blood, where >89% of
compounds remained after a 2 h incubation.
The acylcarbamates and acylureas maintained good antibacte-
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increased potency in the enzyme assay, but display remarkable
improvement in antibacterial activity, particularly against S. pneu-
moniae 1629 (see Table 1). The acyclcarbamates 4a–h and acylure-
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<10 nM, coupled with potent antibacterial activity against S. aur-
eus, S. pneumoniae, Haemophilus influenzae and Moraxella catarrhal-
is. Although target potency is similar amongst the compounds, the
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