TWI391135B - 抗菌劑的腸胃外製劑 - Google Patents
抗菌劑的腸胃外製劑 Download PDFInfo
- Publication number
- TWI391135B TWI391135B TW097130090A TW97130090A TWI391135B TW I391135 B TWI391135 B TW I391135B TW 097130090 A TW097130090 A TW 097130090A TW 97130090 A TW97130090 A TW 97130090A TW I391135 B TWI391135 B TW I391135B
- Authority
- TW
- Taiwan
- Prior art keywords
- formulation
- concentration
- compound
- infection
- isotonic agent
- Prior art date
Links
- 239000000203 mixture Substances 0.000 title claims description 80
- 238000009472 formulation Methods 0.000 title claims description 61
- 230000000845 anti-microbial effect Effects 0.000 title 1
- 150000001875 compounds Chemical class 0.000 claims description 35
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical group [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims description 25
- 208000015181 infectious disease Diseases 0.000 claims description 24
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 20
- 239000007951 isotonicity adjuster Substances 0.000 claims description 17
- 208000035473 Communicable disease Diseases 0.000 claims description 12
- 239000011780 sodium chloride Substances 0.000 claims description 12
- 239000003381 stabilizer Substances 0.000 claims description 10
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 claims description 9
- 239000000872 buffer Substances 0.000 claims description 9
- 239000008103 glucose Substances 0.000 claims description 7
- 241000894006 Bacteria Species 0.000 claims description 6
- 239000003963 antioxidant agent Substances 0.000 claims description 6
- 235000006708 antioxidants Nutrition 0.000 claims description 6
- 238000001802 infusion Methods 0.000 claims description 6
- 238000002347 injection Methods 0.000 claims description 5
- 239000007924 injection Substances 0.000 claims description 5
- WXTMDXOMEHJXQO-UHFFFAOYSA-N 2,5-dihydroxybenzoic acid Chemical compound OC(=O)C1=CC(O)=CC=C1O WXTMDXOMEHJXQO-UHFFFAOYSA-N 0.000 claims description 4
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 claims description 4
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 claims description 4
- 241000192125 Firmicutes Species 0.000 claims description 4
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 4
- DHMQDGOQFOQNFH-UHFFFAOYSA-N Glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 claims description 4
- RJQXTJLFIWVMTO-TYNCELHUSA-N Methicillin Chemical compound COC1=CC=CC(OC)=C1C(=O)N[C@@H]1C(=O)N2[C@@H](C(O)=O)C(C)(C)S[C@@H]21 RJQXTJLFIWVMTO-TYNCELHUSA-N 0.000 claims description 4
- 206010057190 Respiratory tract infections Diseases 0.000 claims description 4
- 241000191967 Staphylococcus aureus Species 0.000 claims description 4
- 241000193998 Streptococcus pneumoniae Species 0.000 claims description 4
- BJEPYKJPYRNKOW-UHFFFAOYSA-N malic acid Chemical compound OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 claims description 4
- 229960003085 meticillin Drugs 0.000 claims description 4
- 229940031000 streptococcus pneumoniae Drugs 0.000 claims description 4
- BJEPYKJPYRNKOW-REOHCLBHSA-N (S)-malic acid Chemical group OC(=O)[C@@H](O)CC(O)=O BJEPYKJPYRNKOW-REOHCLBHSA-N 0.000 claims description 3
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 claims description 3
- 229910019142 PO4 Inorganic materials 0.000 claims description 3
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 claims description 3
- 238000010253 intravenous injection Methods 0.000 claims description 3
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 claims description 3
- 239000010452 phosphate Substances 0.000 claims description 3
- HDTRYLNUVZCQOY-UHFFFAOYSA-N α-D-glucopyranosyl-α-D-glucopyranoside Natural products OC1C(O)C(O)C(CO)OC1OC1C(O)C(O)C(O)C(CO)O1 HDTRYLNUVZCQOY-UHFFFAOYSA-N 0.000 claims description 2
- 206010056519 Abdominal infection Diseases 0.000 claims description 2
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 claims description 2
- 239000004255 Butylated hydroxyanisole Substances 0.000 claims description 2
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 claims description 2
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 claims description 2
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 claims description 2
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 claims description 2
- 229930091371 Fructose Natural products 0.000 claims description 2
- 239000005715 Fructose Substances 0.000 claims description 2
- RFSUNEUAIZKAJO-ARQDHWQXSA-N Fructose Chemical compound OC[C@H]1O[C@](O)(CO)[C@@H](O)[C@@H]1O RFSUNEUAIZKAJO-ARQDHWQXSA-N 0.000 claims description 2
- 206010061977 Genital infection female Diseases 0.000 claims description 2
- 239000004471 Glycine Substances 0.000 claims description 2
- 206010018612 Gonorrhoea Diseases 0.000 claims description 2
- 206010019375 Helicobacter infections Diseases 0.000 claims description 2
- XUJNEKJLAYXESH-REOHCLBHSA-N L-Cysteine Chemical compound SC[C@H](N)C(O)=O XUJNEKJLAYXESH-REOHCLBHSA-N 0.000 claims description 2
- HNDVDQJCIGZPNO-YFKPBYRVSA-N L-histidine Chemical compound OC(=O)[C@@H](N)CC1=CN=CN1 HNDVDQJCIGZPNO-YFKPBYRVSA-N 0.000 claims description 2
- KDXKERNSBIXSRK-YFKPBYRVSA-N L-lysine Chemical compound NCCCC[C@H](N)C(O)=O KDXKERNSBIXSRK-YFKPBYRVSA-N 0.000 claims description 2
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M Lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 claims description 2
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 claims description 2
- KDXKERNSBIXSRK-UHFFFAOYSA-N Lysine Natural products NCCCCC(N)C(O)=O KDXKERNSBIXSRK-UHFFFAOYSA-N 0.000 claims description 2
- 239000004472 Lysine Substances 0.000 claims description 2
- 229930195725 Mannitol Natural products 0.000 claims description 2
- 241000187479 Mycobacterium tuberculosis Species 0.000 claims description 2
- 206010031252 Osteomyelitis Diseases 0.000 claims description 2
- 206010035664 Pneumonia Diseases 0.000 claims description 2
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 claims description 2
- DWAQJAXMDSEUJJ-UHFFFAOYSA-M Sodium bisulfite Chemical compound [Na+].OS([O-])=O DWAQJAXMDSEUJJ-UHFFFAOYSA-M 0.000 claims description 2
- 229930006000 Sucrose Natural products 0.000 claims description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 claims description 2
- HDTRYLNUVZCQOY-WSWWMNSNSA-N Trehalose Natural products O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-WSWWMNSNSA-N 0.000 claims description 2
- HDTRYLNUVZCQOY-LIZSDCNHSA-N alpha,alpha-trehalose Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-LIZSDCNHSA-N 0.000 claims description 2
- 230000003078 antioxidant effect Effects 0.000 claims description 2
- 235000010323 ascorbic acid Nutrition 0.000 claims description 2
- 229960005070 ascorbic acid Drugs 0.000 claims description 2
- 239000011668 ascorbic acid Substances 0.000 claims description 2
- 206010006451 bronchitis Diseases 0.000 claims description 2
- 235000019282 butylated hydroxyanisole Nutrition 0.000 claims description 2
- 229940043253 butylated hydroxyanisole Drugs 0.000 claims description 2
- CZBZUDVBLSSABA-UHFFFAOYSA-N butylated hydroxyanisole Chemical compound COC1=CC=C(O)C(C(C)(C)C)=C1.COC1=CC=C(O)C=C1C(C)(C)C CZBZUDVBLSSABA-UHFFFAOYSA-N 0.000 claims description 2
- 235000018417 cysteine Nutrition 0.000 claims description 2
- XUJNEKJLAYXESH-UHFFFAOYSA-N cysteine Natural products SCC(N)C(O)=O XUJNEKJLAYXESH-UHFFFAOYSA-N 0.000 claims description 2
- 229960002433 cysteine Drugs 0.000 claims description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 claims description 2
- 229960005219 gentisic acid Drugs 0.000 claims description 2
- 235000011187 glycerol Nutrition 0.000 claims description 2
- 208000001786 gonorrhea Diseases 0.000 claims description 2
- HNDVDQJCIGZPNO-UHFFFAOYSA-N histidine Natural products OC(=O)C(N)CC1=CN=CN1 HNDVDQJCIGZPNO-UHFFFAOYSA-N 0.000 claims description 2
- 239000008101 lactose Substances 0.000 claims description 2
- 229940049920 malate Drugs 0.000 claims description 2
- 239000000594 mannitol Substances 0.000 claims description 2
- 235000010355 mannitol Nutrition 0.000 claims description 2
- LPUQAYUQRXPFSQ-DFWYDOINSA-M monosodium L-glutamate Chemical compound [Na+].[O-]C(=O)[C@@H](N)CCC(O)=O LPUQAYUQRXPFSQ-DFWYDOINSA-M 0.000 claims description 2
- 235000013923 monosodium glutamate Nutrition 0.000 claims description 2
- 239000004223 monosodium glutamate Substances 0.000 claims description 2
- 201000007094 prostatitis Diseases 0.000 claims description 2
- 201000009890 sinusitis Diseases 0.000 claims description 2
- 206010040872 skin infection Diseases 0.000 claims description 2
- 235000010267 sodium hydrogen sulphite Nutrition 0.000 claims description 2
- 229910052938 sodium sulfate Inorganic materials 0.000 claims description 2
- 235000011152 sodium sulphate Nutrition 0.000 claims description 2
- GNBVPFITFYNRCN-UHFFFAOYSA-M sodium thioglycolate Chemical compound [Na+].[O-]C(=O)CS GNBVPFITFYNRCN-UHFFFAOYSA-M 0.000 claims description 2
- 229940046307 sodium thioglycolate Drugs 0.000 claims description 2
- 239000000600 sorbitol Substances 0.000 claims description 2
- 235000010356 sorbitol Nutrition 0.000 claims description 2
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 claims description 2
- 239000005720 sucrose Substances 0.000 claims description 2
- 208000011580 syndromic disease Diseases 0.000 claims description 2
- 229940095064 tartrate Drugs 0.000 claims description 2
- 201000008827 tuberculosis Diseases 0.000 claims description 2
- 208000019206 urinary tract infection Diseases 0.000 claims description 2
- 206010012742 Diarrhoea infectious Diseases 0.000 claims 1
- 239000008121 dextrose Substances 0.000 claims 1
- 208000001848 dysentery Diseases 0.000 claims 1
- 125000002791 glucosyl group Chemical group C1([C@H](O)[C@@H](O)[C@H](O)[C@H](O1)CO)* 0.000 claims 1
- 229940001607 sodium bisulfite Drugs 0.000 claims 1
- 239000000243 solution Substances 0.000 description 30
- 229940125904 compound 1 Drugs 0.000 description 25
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 23
- 238000006243 chemical reaction Methods 0.000 description 22
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 16
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 15
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 12
- 235000002639 sodium chloride Nutrition 0.000 description 12
- 239000002504 physiological saline solution Substances 0.000 description 10
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 9
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 9
- -1 ammonium cations Chemical class 0.000 description 9
- 230000000694 effects Effects 0.000 description 9
- 235000019439 ethyl acetate Nutrition 0.000 description 9
- 239000007787 solid Substances 0.000 description 9
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 8
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 8
- 239000011541 reaction mixture Substances 0.000 description 8
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 7
- 239000004743 Polypropylene Substances 0.000 description 7
- 239000007864 aqueous solution Substances 0.000 description 7
- 239000000706 filtrate Substances 0.000 description 7
- 238000000034 method Methods 0.000 description 7
- 239000012071 phase Substances 0.000 description 7
- 229920001155 polypropylene Polymers 0.000 description 7
- 238000003756 stirring Methods 0.000 description 7
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 6
- 238000004458 analytical method Methods 0.000 description 6
- 238000004128 high performance liquid chromatography Methods 0.000 description 6
- VLKZOEOYAKHREP-UHFFFAOYSA-N n-Hexane Chemical compound CCCCCC VLKZOEOYAKHREP-UHFFFAOYSA-N 0.000 description 6
- 239000012074 organic phase Substances 0.000 description 6
- 230000002829 reductive effect Effects 0.000 description 6
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 5
- 241000699670 Mus sp. Species 0.000 description 5
- 230000015572 biosynthetic process Effects 0.000 description 5
- 239000002244 precipitate Substances 0.000 description 5
- 150000003839 salts Chemical class 0.000 description 5
- 238000003786 synthesis reaction Methods 0.000 description 5
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 4
- 239000000654 additive Substances 0.000 description 4
- 230000002496 gastric effect Effects 0.000 description 4
- 239000012535 impurity Substances 0.000 description 4
- JVTAAEKCZFNVCJ-UHFFFAOYSA-N lactic acid Chemical compound CC(O)C(O)=O JVTAAEKCZFNVCJ-UHFFFAOYSA-N 0.000 description 4
- 210000004072 lung Anatomy 0.000 description 4
- BDAGIHXWWSANSR-UHFFFAOYSA-N methanoic acid Natural products OC=O BDAGIHXWWSANSR-UHFFFAOYSA-N 0.000 description 4
- 229910052757 nitrogen Inorganic materials 0.000 description 4
- 238000002360 preparation method Methods 0.000 description 4
- 230000002441 reversible effect Effects 0.000 description 4
- 229920006395 saturated elastomer Polymers 0.000 description 4
- QFLWZFQWSBQYPS-AWRAUJHKSA-N (3S)-3-[[(2S)-2-[[(2S)-2-[5-[(3aS,6aR)-2-oxo-1,3,3a,4,6,6a-hexahydrothieno[3,4-d]imidazol-4-yl]pentanoylamino]-3-methylbutanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-4-[1-bis(4-chlorophenoxy)phosphorylbutylamino]-4-oxobutanoic acid Chemical compound CCCC(NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@@H](NC(=O)CCCCC1SC[C@@H]2NC(=O)N[C@H]12)C(C)C)P(=O)(Oc1ccc(Cl)cc1)Oc1ccc(Cl)cc1 QFLWZFQWSBQYPS-AWRAUJHKSA-N 0.000 description 3
- WFDIJRYMOXRFFG-UHFFFAOYSA-N Acetic anhydride Chemical compound CC(=O)OC(C)=O WFDIJRYMOXRFFG-UHFFFAOYSA-N 0.000 description 3
- XTHFKEDIFFGKHM-UHFFFAOYSA-N Dimethoxyethane Chemical compound COCCOC XTHFKEDIFFGKHM-UHFFFAOYSA-N 0.000 description 3
- BZLVMXJERCGZMT-UHFFFAOYSA-N Methyl tert-butyl ether Chemical compound COC(C)(C)C BZLVMXJERCGZMT-UHFFFAOYSA-N 0.000 description 3
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 3
- YXFVVABEGXRONW-UHFFFAOYSA-N Toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 3
- 150000001450 anions Chemical class 0.000 description 3
- 230000000844 anti-bacterial effect Effects 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 238000001514 detection method Methods 0.000 description 3
- 238000004821 distillation Methods 0.000 description 3
- 239000012153 distilled water Substances 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 238000002474 experimental method Methods 0.000 description 3
- 238000001727 in vivo Methods 0.000 description 3
- 229910052742 iron Inorganic materials 0.000 description 3
- 244000005700 microbiome Species 0.000 description 3
- 238000002156 mixing Methods 0.000 description 3
- 229960003702 moxifloxacin Drugs 0.000 description 3
- FABPRXSRWADJSP-MEDUHNTESA-N moxifloxacin Chemical compound COC1=C(N2C[C@H]3NCCC[C@H]3C2)C(F)=CC(C(C(C(O)=O)=C2)=O)=C1N2C1CC1 FABPRXSRWADJSP-MEDUHNTESA-N 0.000 description 3
- 244000052769 pathogen Species 0.000 description 3
- 230000003389 potentiating effect Effects 0.000 description 3
- 239000000047 product Substances 0.000 description 3
- 239000008223 sterile water Substances 0.000 description 3
- 230000001954 sterilising effect Effects 0.000 description 3
- 238000004659 sterilization and disinfection Methods 0.000 description 3
- GHYOCDFICYLMRF-UTIIJYGPSA-N (2S,3R)-N-[(2S)-3-(cyclopenten-1-yl)-1-[(2R)-2-methyloxiran-2-yl]-1-oxopropan-2-yl]-3-hydroxy-3-(4-methoxyphenyl)-2-[[(2S)-2-[(2-morpholin-4-ylacetyl)amino]propanoyl]amino]propanamide Chemical compound C1(=CCCC1)C[C@@H](C(=O)[C@@]1(OC1)C)NC([C@H]([C@@H](C1=CC=C(C=C1)OC)O)NC([C@H](C)NC(CN1CCOCC1)=O)=O)=O GHYOCDFICYLMRF-UTIIJYGPSA-N 0.000 description 2
- BZHFSDYKFLNPST-UHFFFAOYSA-N 1-cyclopropyl-7-fluoro-8-methoxy-4-oxoquinoline-3-carboxylic acid Chemical compound COC1=C(F)C=CC(C(C(C(O)=O)=C2)=O)=C1N2C1CC1 BZHFSDYKFLNPST-UHFFFAOYSA-N 0.000 description 2
- OSWFIVFLDKOXQC-UHFFFAOYSA-N 4-(3-methoxyphenyl)aniline Chemical compound COC1=CC=CC(C=2C=CC(N)=CC=2)=C1 OSWFIVFLDKOXQC-UHFFFAOYSA-N 0.000 description 2
- VHYFNPMBLIVWCW-UHFFFAOYSA-N 4-Dimethylaminopyridine Chemical compound CN(C)C1=CC=NC=C1 VHYFNPMBLIVWCW-UHFFFAOYSA-N 0.000 description 2
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 2
- 241000588724 Escherichia coli Species 0.000 description 2
- OAKJQQAXSVQMHS-UHFFFAOYSA-N Hydrazine Chemical compound NN OAKJQQAXSVQMHS-UHFFFAOYSA-N 0.000 description 2
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 2
- 241000588747 Klebsiella pneumoniae Species 0.000 description 2
- FEWJPZIEWOKRBE-JCYAYHJZSA-L L-tartrate(2-) Chemical compound [O-]C(=O)[C@H](O)[C@@H](O)C([O-])=O FEWJPZIEWOKRBE-JCYAYHJZSA-L 0.000 description 2
- CSNNHWWHGAXBCP-UHFFFAOYSA-L Magnesium sulfate Chemical compound [Mg+2].[O-][S+2]([O-])([O-])[O-] CSNNHWWHGAXBCP-UHFFFAOYSA-L 0.000 description 2
- 239000012359 Methanesulfonyl chloride Substances 0.000 description 2
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 2
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 2
- 241000191940 Staphylococcus Species 0.000 description 2
- 241000194017 Streptococcus Species 0.000 description 2
- 229960000583 acetic acid Drugs 0.000 description 2
- 239000002253 acid Substances 0.000 description 2
- 239000003242 anti bacterial agent Substances 0.000 description 2
- 239000008346 aqueous phase Substances 0.000 description 2
- 230000001580 bacterial effect Effects 0.000 description 2
- WGQKYBSKWIADBV-UHFFFAOYSA-N benzylamine Chemical compound NCC1=CC=CC=C1 WGQKYBSKWIADBV-UHFFFAOYSA-N 0.000 description 2
- 229960003405 ciprofloxacin Drugs 0.000 description 2
- MYSWGUAQZAJSOK-UHFFFAOYSA-N ciprofloxacin Chemical compound C12=CC(N3CCNCC3)=C(F)C=C2C(=O)C(C(=O)O)=CN1C1CC1 MYSWGUAQZAJSOK-UHFFFAOYSA-N 0.000 description 2
- 229940125773 compound 10 Drugs 0.000 description 2
- 229940125797 compound 12 Drugs 0.000 description 2
- 229940125898 compound 5 Drugs 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 238000002425 crystallisation Methods 0.000 description 2
- 230000008025 crystallization Effects 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003792 electrolyte Substances 0.000 description 2
- 235000019253 formic acid Nutrition 0.000 description 2
- 239000012362 glacial acetic acid Substances 0.000 description 2
- 229910052739 hydrogen Inorganic materials 0.000 description 2
- 239000001257 hydrogen Substances 0.000 description 2
- 238000000338 in vitro Methods 0.000 description 2
- 230000008595 infiltration Effects 0.000 description 2
- 238000001764 infiltration Methods 0.000 description 2
- 238000001990 intravenous administration Methods 0.000 description 2
- ZLVXBBHTMQJRSX-VMGNSXQWSA-N jdtic Chemical compound C1([C@]2(C)CCN(C[C@@H]2C)C[C@H](C(C)C)NC(=O)[C@@H]2NCC3=CC(O)=CC=C3C2)=CC=CC(O)=C1 ZLVXBBHTMQJRSX-VMGNSXQWSA-N 0.000 description 2
- 239000004310 lactic acid Substances 0.000 description 2
- 235000014655 lactic acid Nutrition 0.000 description 2
- 150000004701 malic acid derivatives Chemical class 0.000 description 2
- QARBMVPHQWIHKH-UHFFFAOYSA-N methanesulfonyl chloride Chemical compound CS(Cl)(=O)=O QARBMVPHQWIHKH-UHFFFAOYSA-N 0.000 description 2
- 239000012044 organic layer Substances 0.000 description 2
- BWHMMNNQKKPAPP-UHFFFAOYSA-L potassium carbonate Chemical compound [K+].[K+].[O-]C([O-])=O BWHMMNNQKKPAPP-UHFFFAOYSA-L 0.000 description 2
- 229940002612 prodrug Drugs 0.000 description 2
- 239000000651 prodrug Substances 0.000 description 2
- DJXNJVFEFSWHLY-UHFFFAOYSA-N quinoline-3-carboxylic acid Chemical compound C1=CC=CC2=CC(C(=O)O)=CN=C21 DJXNJVFEFSWHLY-UHFFFAOYSA-N 0.000 description 2
- 208000037921 secondary disease Diseases 0.000 description 2
- 239000002002 slurry Substances 0.000 description 2
- 241000894007 species Species 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 238000000967 suction filtration Methods 0.000 description 2
- DYHSDKLCOJIUFX-UHFFFAOYSA-N tert-butoxycarbonyl anhydride Chemical compound CC(C)(C)OC(=O)OC(=O)OC(C)(C)C DYHSDKLCOJIUFX-UHFFFAOYSA-N 0.000 description 2
- FYSNRJHAOHDILO-UHFFFAOYSA-N thionyl chloride Chemical compound ClS(Cl)=O FYSNRJHAOHDILO-UHFFFAOYSA-N 0.000 description 2
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 2
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 2
- BJEPYKJPYRNKOW-UWTATZPHSA-N (R)-malic acid Chemical compound OC(=O)[C@H](O)CC(O)=O BJEPYKJPYRNKOW-UWTATZPHSA-N 0.000 description 1
- XUBOMFCQGDBHNK-JTQLQIEISA-N (S)-gatifloxacin Chemical compound FC1=CC(C(C(C(O)=O)=CN2C3CC3)=O)=C2C(OC)=C1N1CCN[C@@H](C)C1 XUBOMFCQGDBHNK-JTQLQIEISA-N 0.000 description 1
- GVNVAWHJIKLAGL-UHFFFAOYSA-N 2-(cyclohexen-1-yl)cyclohexan-1-one Chemical compound O=C1CCCCC1C1=CCCCC1 GVNVAWHJIKLAGL-UHFFFAOYSA-N 0.000 description 1
- 229960000549 4-dimethylaminophenol Drugs 0.000 description 1
- IPFWGOPYTUCFDC-UHFFFAOYSA-N 7-fluoro-1h-quinolin-2-one Chemical compound C1=CC(=O)NC2=CC(F)=CC=C21 IPFWGOPYTUCFDC-UHFFFAOYSA-N 0.000 description 1
- 241000271566 Aves Species 0.000 description 1
- WOOPKNHVVMARBE-UHFFFAOYSA-N B1C=CC=C1C(=O)O Chemical compound B1C=CC=C1C(=O)O WOOPKNHVVMARBE-UHFFFAOYSA-N 0.000 description 1
- 241000606125 Bacteroides Species 0.000 description 1
- CPELXLSAUQHCOX-UHFFFAOYSA-M Bromide Chemical compound [Br-] CPELXLSAUQHCOX-UHFFFAOYSA-M 0.000 description 1
- BHPQYMZQTOCNFJ-UHFFFAOYSA-N Calcium cation Chemical compound [Ca+2] BHPQYMZQTOCNFJ-UHFFFAOYSA-N 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 description 1
- 101150065749 Churc1 gene Proteins 0.000 description 1
- 241000193163 Clostridioides difficile Species 0.000 description 1
- 241000193403 Clostridium Species 0.000 description 1
- 150000008156 D-glucuronides Chemical class 0.000 description 1
- FEWJPZIEWOKRBE-LWMBPPNESA-L D-tartrate(2-) Chemical compound [O-]C(=O)[C@@H](O)[C@H](O)C([O-])=O FEWJPZIEWOKRBE-LWMBPPNESA-L 0.000 description 1
- 206010012735 Diarrhoea Diseases 0.000 description 1
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 1
- 241000606790 Haemophilus Species 0.000 description 1
- 241000606768 Haemophilus influenzae Species 0.000 description 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 description 1
- 229930195714 L-glutamate Natural products 0.000 description 1
- WHUUTDBJXJRKMK-VKHMYHEASA-N L-glutamic acid Chemical compound OC(=O)[C@@H](N)CCC(O)=O WHUUTDBJXJRKMK-VKHMYHEASA-N 0.000 description 1
- GSDSWSVVBLHKDQ-JTQLQIEISA-N Levofloxacin Chemical compound C([C@@H](N1C2=C(C(C(C(O)=O)=C1)=O)C=C1F)C)OC2=C1N1CCN(C)CC1 GSDSWSVVBLHKDQ-JTQLQIEISA-N 0.000 description 1
- 208000032376 Lung infection Diseases 0.000 description 1
- JLVVSXFLKOJNIY-UHFFFAOYSA-N Magnesium ion Chemical compound [Mg+2] JLVVSXFLKOJNIY-UHFFFAOYSA-N 0.000 description 1
- 241000588621 Moraxella Species 0.000 description 1
- 241000588655 Moraxella catarrhalis Species 0.000 description 1
- 241000699666 Mus <mouse, genus> Species 0.000 description 1
- 229910002651 NO3 Inorganic materials 0.000 description 1
- 241000588652 Neisseria gonorrhoeae Species 0.000 description 1
- NHNBFGGVMKEFGY-UHFFFAOYSA-N Nitrate Chemical compound [O-][N+]([O-])=O NHNBFGGVMKEFGY-UHFFFAOYSA-N 0.000 description 1
- SPLNGOFULBNITO-UHFFFAOYSA-N O=C1C(C(O)=O)C=NC2=C1C=CC=C2OC Chemical compound O=C1C(C(O)=O)C=NC2=C1C=CC=C2OC SPLNGOFULBNITO-UHFFFAOYSA-N 0.000 description 1
- 229930182555 Penicillin Natural products 0.000 description 1
- JGSARLDLIJGVTE-MBNYWOFBSA-N Penicillin G Chemical compound N([C@H]1[C@H]2SC([C@@H](N2C1=O)C(O)=O)(C)C)C(=O)CC1=CC=CC=C1 JGSARLDLIJGVTE-MBNYWOFBSA-N 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 102100038239 Protein Churchill Human genes 0.000 description 1
- 241000588769 Proteus <enterobacteria> Species 0.000 description 1
- 241000588770 Proteus mirabilis Species 0.000 description 1
- 241000589516 Pseudomonas Species 0.000 description 1
- 241000589517 Pseudomonas aeruginosa Species 0.000 description 1
- 238000001069 Raman spectroscopy Methods 0.000 description 1
- 241000700159 Rattus Species 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- DTQVDTLACAAQTR-UHFFFAOYSA-M Trifluoroacetate Chemical compound [O-]C(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-M 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 230000000996 additive effect Effects 0.000 description 1
- 238000002814 agar dilution Methods 0.000 description 1
- 238000013019 agitation Methods 0.000 description 1
- 125000003277 amino group Chemical group 0.000 description 1
- 239000013011 aqueous formulation Substances 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 230000036983 biotransformation Effects 0.000 description 1
- 238000009835 boiling Methods 0.000 description 1
- 229910052810 boron oxide Inorganic materials 0.000 description 1
- 239000012267 brine Substances 0.000 description 1
- 230000005587 bubbling Effects 0.000 description 1
- 239000006172 buffering agent Substances 0.000 description 1
- LLSDKQJKOVVTOJ-UHFFFAOYSA-L calcium chloride dihydrate Chemical compound O.O.[Cl-].[Cl-].[Ca+2] LLSDKQJKOVVTOJ-UHFFFAOYSA-L 0.000 description 1
- 229940052299 calcium chloride dihydrate Drugs 0.000 description 1
- 229910001424 calcium ion Inorganic materials 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 150000001768 cations Chemical class 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000013522 chelant Substances 0.000 description 1
- 238000004587 chromatography analysis Methods 0.000 description 1
- 229940125782 compound 2 Drugs 0.000 description 1
- 229940126214 compound 3 Drugs 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- JKWMSGQKBLHBQQ-UHFFFAOYSA-N diboron trioxide Chemical compound O=BOB=O JKWMSGQKBLHBQQ-UHFFFAOYSA-N 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 150000002148 esters Chemical class 0.000 description 1
- OAYLNYINCPYISS-UHFFFAOYSA-N ethyl acetate;hexane Chemical compound CCCCCC.CCOC(C)=O OAYLNYINCPYISS-UHFFFAOYSA-N 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 238000003818 flash chromatography Methods 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 229960003923 gatifloxacin Drugs 0.000 description 1
- 235000001727 glucose Nutrition 0.000 description 1
- 229940047650 haemophilus influenzae Drugs 0.000 description 1
- 150000002431 hydrogen Chemical class 0.000 description 1
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical compound I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 description 1
- 238000006460 hydrolysis reaction Methods 0.000 description 1
- 230000002458 infectious effect Effects 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 238000001361 intraarterial administration Methods 0.000 description 1
- 238000007917 intracranial administration Methods 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 238000007919 intrasynovial administration Methods 0.000 description 1
- 238000007913 intrathecal administration Methods 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- JMMWKPVZQRWMSS-UHFFFAOYSA-N isopropanol acetate Natural products CC(C)OC(C)=O JMMWKPVZQRWMSS-UHFFFAOYSA-N 0.000 description 1
- 229940011051 isopropyl acetate Drugs 0.000 description 1
- GWYFCOCPABKNJV-UHFFFAOYSA-N isovaleric acid Chemical compound CC(C)CC(O)=O GWYFCOCPABKNJV-UHFFFAOYSA-N 0.000 description 1
- 239000010410 layer Substances 0.000 description 1
- 231100000518 lethal Toxicity 0.000 description 1
- 231100000636 lethal dose Toxicity 0.000 description 1
- 230000001665 lethal effect Effects 0.000 description 1
- 229960003376 levofloxacin Drugs 0.000 description 1
- 239000003120 macrolide antibiotic agent Substances 0.000 description 1
- 229910001425 magnesium ion Inorganic materials 0.000 description 1
- 229910052943 magnesium sulfate Inorganic materials 0.000 description 1
- 235000019341 magnesium sulphate Nutrition 0.000 description 1
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- UKVIEHSSVKSQBA-UHFFFAOYSA-N methane;palladium Chemical compound C.[Pd] UKVIEHSSVKSQBA-UHFFFAOYSA-N 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 238000010172 mouse model Methods 0.000 description 1
- 230000003204 osmotic effect Effects 0.000 description 1
- 229940049954 penicillin Drugs 0.000 description 1
- 239000008194 pharmaceutical composition Substances 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 239000013641 positive control Substances 0.000 description 1
- 229910000027 potassium carbonate Inorganic materials 0.000 description 1
- 229910001414 potassium ion Inorganic materials 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 238000002953 preparative HPLC Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 238000004007 reversed phase HPLC Methods 0.000 description 1
- 239000002151 riboflavin Substances 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 238000012216 screening Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 235000017557 sodium bicarbonate Nutrition 0.000 description 1
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 1
- 239000012279 sodium borohydride Substances 0.000 description 1
- 229910000033 sodium borohydride Inorganic materials 0.000 description 1
- 229940079827 sodium hydrogen sulfite Drugs 0.000 description 1
- 229910001415 sodium ion Inorganic materials 0.000 description 1
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 description 1
- 239000008247 solid mixture Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 231100000041 toxicology testing Toxicity 0.000 description 1
- ILWRPSCZWQJDMK-UHFFFAOYSA-N triethylazanium;chloride Chemical compound Cl.CCN(CC)CC ILWRPSCZWQJDMK-UHFFFAOYSA-N 0.000 description 1
- 238000000825 ultraviolet detection Methods 0.000 description 1
- 241001148471 unidentified anaerobic bacterium Species 0.000 description 1
- 238000003260 vortexing Methods 0.000 description 1
- 239000003643 water by type Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/47—Quinolines; Isoquinolines
- A61K31/4709—Non-condensed quinolines and containing further heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/02—Inorganic compounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/12—Carboxylic acids; Salts or anhydrides thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/12—Antidiarrhoeals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
- A61P11/02—Nasal agents, e.g. decongestants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/02—Drugs for disorders of the urinary system of urine or of the urinary tract, e.g. urine acidifiers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/08—Drugs for disorders of the urinary system of the prostate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
- A61P31/06—Antibacterial agents for tuberculosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/47—Quinolines; Isoquinolines
- A61K31/472—Non-condensed isoquinolines, e.g. papaverine
- A61K31/4725—Non-condensed isoquinolines, e.g. papaverine containing further heterocyclic rings
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Epidemiology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Oil, Petroleum & Natural Gas (AREA)
- Dermatology (AREA)
- Oncology (AREA)
- Communicable Diseases (AREA)
- Urology & Nephrology (AREA)
- Pulmonology (AREA)
- Biochemistry (AREA)
- Molecular Biology (AREA)
- Inorganic Chemistry (AREA)
- Otolaryngology (AREA)
- Physical Education & Sports Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
- Plural Heterocyclic Compounds (AREA)
Description
本發明涉及安全、藥學上可接受的和易於靜脈給予的(3S,5S)-7-[3-氨基-5-甲基-呱啶基]-1-環丙基-1,4-二氫-8-甲氧基-4-氧代-3-喹啉羧酸的配方、其藥物組合物及其用途。
抗菌藥物的的腸胃外注射是治療各種感染、尤其是甲氧苯青黴素抗性金黃色葡萄球菌(Staphylococcus aureus
)和多抗性肺炎鏈球菌(Streptococcus pneumoniae
)引起的感染的最有效方法之一。它需要使用穩定的水性配方。
一方面,本發明提供一種抗菌劑腸胃配方(如靜脈配方),該配方含有下式I所示化合物、
水、和等張劑。該化合物和水溶解在水中,形成腸胃配方。
該化合物包括其鹽和前藥。該鹽可以是例如該化合物上帶正電的氨基和與陰離子之間形成的鹽。合適的陰離子包括但不限於氯離子、溴離子、碘離子、硫酸根、硝酸根、磷酸根、D,L-蘋果酸根、D-蘋果酸根、L-蘋果酸根、檸檬酸根、
甲苯磺酸根、D,L-酒石酸根、D-酒石酸根、L-酒石酸根、延胡索酸根、三氟醋酸根、L-谷氨酸根、D-葡萄糖醛酸根、馬來酸根、甲苯磺酸根、乳酸根、檸檬酸根和醋酸根。合適的陽離子包括但不限於鈉離子、鉀離子、鎂離子、鈣離子、和銨陽離子如四甲基銨離子。前藥的例子包括給予個體之後能夠提供上述化合物的酯或藥學上可接受的衍生物(Goodman和Gilman’s,The Pharmacological basis of Therapeutics,第8版,McGraw-Hill,Int.Ed.1992,“Biotransformation of Drugs”)。此外,具有不對稱中心的該化合物可以外消旋物、外消旋混合物、單一的對映異構體、單獨的非對映異構體以及非對映異構體混合物的形式出現。
等張劑,如非電解質和電解質,調節著滲透壓比。見US 6015810。例子包括但不限於甘油、乳糖、甘露醇、葡萄糖、氯化鈉、硫酸鈉和山梨糖醇。
在本發明的配方中,化合物的濃度可以是0.2到45mM,等張劑的濃度可以是0.2%到13% w/v,尤其可以是0.2%-1.3w/v。
等張劑的濃度(w/v)計算為等張劑的重量(g)與配方體積(升)之間的比值。
本發明的配方還可含有緩衝劑、穩定劑或抗氧化劑。
本發明配方的一個例子是含有濃度為0.2-45mM的該化合物的蘋果酸鹽、濃度為0.9% w/v的氯化鈉、濃度為0.1-1.0% w/v的穩定劑和濃度為0.01-5% w/v的緩衝劑的配方。在另一例子中,該配方含有0.2-45mM的該化合物的蘋
果酸鹽、濃度為1-7% w/v的葡萄糖、濃度為0.1-1.0% w/v的穩定劑和濃度為0.01-5% w/v的緩衝劑。
與等張劑濃度的計算方式相同,穩定劑、緩衝劑和抗氧化劑的濃度也是配方的重量與配方的體積之比。
另一方面,本發明提供一種經由腸胃道以外方式注射有效量的上述配方至一個體的方式來治療感染疾病的方法。該感染疾病可由感染革蘭氏陽性菌、革蘭氏陰性菌、厭氧菌、甲氧苯青黴素抗性金黃色葡萄球菌和多抗性肺炎鏈球菌引起。該感染疾病的例子包括但不限於尿道感染、前列腺炎、呼吸道感染、骨髓炎、淋病、結核桿菌感染、鳥型結核分枝桿菌綜合症、慢性支氣管炎的急性惡化、肺炎、竇炎、傳染性腹瀉、幽門螺桿菌感染、皮膚感染、婦科感染、和腹部感染。
本發明還包括使用上述配方經腸胃道以外途徑注射治療感染疾病。
下文將詳細描述本發明的一個或多個實施例。在說明書以及請求項書的基礎上,本發明的其他特徵、目標和優點將更明顯。
用於實施本發明的化合物可採用常規的方法合成。具體可見下文實施例1。
由此合成的化合物可採用快速管柱色層分析、高效液相色層分析、結晶或任何其他合適的方法進一步純化。
為了製備本發明的腸胃外配方,技術人員可以任何順序和所需的比例混合式I化合物、等張劑和水。例如,可將預定量的該化合物與預定濃度的生理鹽水(含有氯化鈉和等張劑的溶液)混合。可通過搖動、攪拌或渦流等方式進行混合,並且控制混合以使固體成分溶解到水中而不形成嚴重的泡沫。在製備的任何階段,可進行消毒處理(如高壓滅菌)。
本發明的配方還可含有一種或多種添加劑,如緩衝劑、穩定劑和抗氧化劑。緩衝劑的例子包括但不限於乙酸鹽、檸檬酸鹽、酒石酸鹽、乳酸鹽、琥珀酸鹽、蘋果酸鹽、和磷酸鹽。穩定劑的例子包括但不限於組氨酸、賴氨酸、甘氨酸、蔗糖、果糖、海藻糖以及它們的混合物。抗氧化劑的例子包括但不限於亞硫酸氫鈉、丁基化羥基苯甲醚、半胱氨酸、龍膽酸、谷氨酸單鈉、硫基乙醇酸鈉或抗壞血酸。
可在製備的任何階段加入添加劑。可採用常規的方法測定配方中添加劑的合適濃度,以產生本領域技術人員所認可的所需效果。
本發明的配方在製備後可立即使用,也可保存備用。立即使用的話,可提供一藥盒,該藥盒包括含有式I化合物的小瓶和含有等張劑或含有等張劑的水性溶液的另一小瓶。或者,可提供包括含有式I化合物的小瓶和含有等張劑的水溶液(如生理鹽水)的另一小瓶的藥盒。藥盒還可包括一種或多種添加劑,如穩定劑、緩衝劑或抗氧化劑。在給予前,可即時將藥物中提供的物質混合來製備該配方。
可通過腸胃道以外注射或輸液(infusion)給予需要治療
的個體有效量的本發明的配方來治感染性疾病。
術語“治療(treating or treatment)”在本文中定義為將有效量的配方給予患有感染性疾病、有感染症狀、由該感染引發的繼發性疾病或病症、或者對該感染易感的個體,以治癒、減緩、緩解、矯正或改善該感染性疾病、感染症狀、由該感染引發的繼發性疾病或病症、或者對該或染的易感性。
術語“有效量”指配方的量能夠對治療個體產生治療效果。
術語“腸胃外(parenteral)”在本文中包括皮下、皮內、靜脈內、肌肉內、關節內、動脈內、滑膜內、胸骨內、鞘內、損害內(intralesional)和顱內注射或輸液技術。其中,優選靜脈內注射或輸液。
勿需贅述,可以認為根據上述描述已足以實施本發明。因此,以下實施例僅僅是闡述性的,而不是以任何方式對本發明剩餘的公開內容做出限制。本文引用的所有出版物都被全文納入作為參考。
以如下方式合成(3S,5S)-7-[3-氨基-5-甲基-呱啶基]-1-環丙基-1,4-二氫-8-甲氧基-4-氧代-3-喹啉羧酸的蘋果酸鹽(化合物1):(A)合成(3S,5S)-(5-甲基-呱啶-3-基)-氨基甲酸叔丁酯(化合物9):
方案1
將化合物2(5.50kg,42.60 mol)、甲醇(27L)裝入一50升的反應器中,並且冷至10℃至15℃。在65分鐘的時間段內通過滴加漏斗加入亞硫酰氯(10.11kg,2.0當量),同時外部冷卻以維持溫度低於30℃。在25℃攪拌所得溶液1.0小時,在這之後減壓下蒸去甲醇。將所得油狀殘留物與乙酸乙酯(3 x 2.5L)共沸以除去殘留的甲醇。將殘留物溶解於乙酸乙酯(27.4L),裝進50L的反應器中,並且在低30℃的溫度下緩慢加入三乙基胺(3.6kg)中和。過濾所得的懸浮液,除去三乙基胺鹽酸鹽。
將濾液連同DMAP(0.53kg)一起裝入50L的反應器。在20℃至30℃的溫度在30分鐘的時間內通過熱水加熱的加料漏斗加入二碳酸二-叔丁酯(8.43kg)。1小時後用
TLC分析檢測,反應完全。用冰冷的1N HCl(2 x 7.5L)、飽和碳酸氫鈉溶液(1 x 7.5L)洗滌有機相,並且用硫酸鎂乾燥,過濾。減壓下除去乙酸乙酯後獲得結晶漿,將其與MTBE(10.0L)一起搗碎並且過濾以得到化合物3白色固體(5.45kg,52.4%)。
分析:C11
H17
NO5
的計算值:C,54.3;H,7.04;N,5.76。檢測值:C,54.5;H,6.96;N,5.80。HRMS(ESI+
)對於期望的C11
H18
NO5
,[M+H]244.1185。檢測值244.1174;1
HNMR(CDCl3
,500 MHz):δ=4.54(dd,J=3.1,9.5 Hz,1H),3.7(s,3H),2.58-2.50(m,1H),2.41(ddd,1H,J=17.6,9.5,3.7),2.30-2.23(m,1H),1.98-1.93(m,1H),1.40(s,9H);13
CNMR(CDCl3
,125.70 MHz)δ 173.3,171.9,149.2,83.5,58.8,52.5,31.1,27.9,21.5;Mp 70.2℃。
將化合物3(7.25kg,28.8mol)、DME(6.31kg)和Bredereck配方(7.7kg,44.2mole)裝入一50升反應器中。攪拌溶液並且加熱至75℃±5℃至少三小時。在一小時的時間內將反應物冷至0℃,在此期間形成沈澱。將該混合物維持在0℃一小時,過濾,並且將產品在真空乾燥箱中在30℃±5℃乾燥至少30小時以得到化合物4白色結晶固體(6.93kg,77.9%)。
分析:C14
H22
N2
O5
的計算值:C,56.4;H,7.43;N,9.39。檢測值C,56.4;H,7.32;N,9.48;HRMS(ESI+
)對於期望的C14
H22
N2
O5
,[M+H]299.1607。檢測值299.1613;1
HNMR(CDCl3
,499.8 MHz)δ=7.11(s,1H),
4.54(dd,1H,J=10.8,3.6),3.74(s,3H),3.28-3.19(m,1H),3.00(s,6H),2.97-2.85(m,1H),1.48(s,9H);13
CNMR(CDCl3
,125.7 MHz)δ=172.6,169.5,150.5,146.5,90.8,82.2,56.0,52.3,42.0,28.1,26.3。Mp 127.9℃。
將ESCAT 142(獲自Engelhard公司,N.J,美國)5%鈀碳粉末(50%浸潤,0.58kg浸潤重量)、化合物4(1.89kg,6.33mol)以及異丙醇(22.4kg)加到一10加侖Pfaudler反應器中。在45℃ 45psi氫氣下攪拌反應混合物18小時後,將反應混合物冷至室溫,並通過矽藻土(Celite)(0.51kg)層過濾。減壓下蒸發濾液,得到粘稠油狀物,靜置固化得到化合物5(1.69kg,100%),其為93:7非對映異構體混合物。
通過製備型HPLC純化產品混合物樣品以給出用於分析資料的材料。分析:C12
H19
NO5
的計算值:C,56.0;H,7.44;N,5.44。檢測值C,55.8;H,7.31;N,5.44;MS(ESI+
)對於期望的C12
H19
NO5
,[M+H]258.1342。檢測值258.1321;1
HNMR(CDCl3
,499.8 MHz)δ=4.44(m,1H),3.72(s,3H),2.60-2.48(m,2H),1.59-1.54(m,1H),1.43(s,9H),1.20(d,J=6.8 Hz,3H);13
CNMR(CDCl3
,125.7 MHz)δ=175.7,172.1,149.5,83.6,57.4,52.5,37.5,29.8,27.9,16.2。Mp 89.9℃。
將化合物5(3.02kg,11.7mol)、無水乙醇(8.22kg)和MTBE(14.81kg)裝入一50升反應器中。在0℃±5℃以小份加入硼氫化鈉(1.36kg,35.9 mol)。觀察到少量冒泡。將反
應混合物升溫至10℃±5℃,並且在該溫度下在一小時的時間內以小份加入氯化鈣二水合物(2.65kg)。在一小時的時間內使反應升溫至20℃±5℃,並且在20℃±5℃再攪拌12小時。將反應冷卻至-5℃±5℃,在0℃±5℃緩慢加入冰冷的2N HCl(26.9kg)。停止攪拌。移去下層水相。在五分鐘時間內將飽和碳酸氫鈉水溶液(15.6kg)裝入反應器,同時攪拌。再次停止攪拌,移去下層水相。將硫酸鎂(2.5kg)裝入反應器並且攪拌至少10分鐘。通過nutsche篩檢程式過濾混合物,並且在減壓下濃縮以得到化合物6(1.80kg,66%)。
分析:C11
H23
NO4
的計算值:C,56.6H,9.94;N,6.00。檢測值C,56.0;H,9.68;N,5.96;HRMS(ESI+
)對於期望的C11
H24
NO4
,[M+H]234.1705。檢測值234.1703;1
HNMR(CDCl3
,500 MHz)δ=6.34(d,J=8.9 Hz,1H,NH
),4.51(t,J=5.8,5.3 Hz,1H,NHCHCH2
OH
),4.34(t,J=5.3,5.3 Hz,1H,CH3CHCH2
OH
),3.46-3.45,(m,1H,NHCH
),3.28(dd,J=10.6,5.3 Hz,NHCHCH
HOH),3.21(dd,J=10.2,5.8 Hz,1H,CH3
CHCH
HOH),3.16(dd,J=10.2,6.2 Hz,1H,NHCHCHH
OH),3.12(dd,J=10.6,7.1 Hz,1H,CH3
CHCHH
OH),1.53-1.50(m,1H,CH3
CH
CHHOH),1.35(s,9H,O(CH 3
)3
,1.30(ddd,J=13.9,10.2,3.7 Hz,1H,NHCHCHH
CH),1.14(ddd,J=13.6,10.2,3.4 Hz,1H,NHCHCH
HCH),0.80(d,J=6.6 Hz,3H,CH3
);13
CNMR(CDCl3
,125.7 MHz)δ 156.1,77.9,50.8,65.1,67.6,65.1,35.6,32.8,29.0,17.1。Mp 92.1℃。
將化合物6(5.1kg)的乙酸異丙酯(11.8kg)溶液加入一50升反應器。將反應冷卻至15℃±5℃,並在該溫度下加入三乙基胺(7.8kg)。將反應進一步冷卻至0℃±5℃,向反應液加入甲磺酰氯(MsCl)(6.6kg)。將反應攪拌數小時並且用HPLC或TLC監控反應完成。通過加入飽和的碳酸氫鹽水溶液結束該反應。分離有機相,並且用冷的10%三乙基胺水溶液,冷的HCl水溶液,冷的飽和碳酸氫鹽水溶液,和最後飽和食鹽水溶液接連洗滌分離所得的有機相。將有機相乾燥,過濾,並且在低於55℃±5℃真空濃縮,以提供化合物7的固體/液體漿。該漿體直接用於隨後的反應不用進一步純化。
將9.1kg的純苄胺裝入一50升反應器後,將反應器升至55℃,在此溫度下向反應器加入化合物7(8.2kg)的1,2-二甲氧基乙烷(14.1kg)溶液。在將該溶液加入完成之後,在60℃±5℃攪拌該反應物數小時並且用TLC或HPLC監控完成。將反應冷至環境溫度並且真空除去溶劑。將殘留物用11.7kg的15%(體積/體積)乙酸乙酯/己烷溶液稀釋,並且在攪拌的同時用18.7kg的20%(重量)碳酸鉀水溶液處理。靜置後得到三相混合物。收集上層有機相。用11.7kg量的15%(體積/體積)乙酸乙酯/己烷溶液萃取分離出的中間相兩次。在真空下濃縮合併的有機層,得到油狀殘留物。然後通過色譜純化殘留物,得到化合物8,為油。
在氮氣流下將0.6kg 50%浸潤的固體鈀碳(E101,10重量%)裝入一40升壓力容器。然後在氮氣下將3.2kg化
合物8的無水乙醇(13.7kg)溶液裝入反應器。用氮氣淨化反應器,然後以45psi壓入氫氣。然後將反應物加熱至45℃。用TLC或LC監控反應。反應完成後,將反應物冷至環境溫度,放空,並且通以氮氣。通過矽藻土層過濾混合物,並且用2.8kg無水乙醇洗滌該固體。通過真空下濃縮濾液,得到蠟狀固體混合物9:TLC Rf
(矽膠F254
,70:30體積/體積乙酸乙酯-己烷,KMnO4
顯色)=0.12;1
HNMR(300 MHz,CDCl3
)5.31(br s,1H),3.80-3.68(m,1H),2.92(d,J=11.4 Hz,1H),2.77(AB quart,JAB
=12.0 Hz,v=50.2 Hz,2H),2.19(t,J=10.7 Hz,1H),1.82-1.68(m,2H),1.54(br s,1H),1.43(s,9H),1.25-1.15(m,1H),0.83(d,J=6.6 Hz,3H);13
CNMR(75 MHz,CDCl3
)155.3,78.9,54.3,50.8,45.3,37.9,28.4,27.1,19.2;MS(ESI+)m/z 215(M+H),429(2M+H)。
(B)合成1-環丙基-7-氟-8-甲氧基-4-氧代-1,4-二氫-喹啉-3-羧酸(化合物10):根據美國專利US6329391所述的方法製備化合物10。
(C)合成1-環丙基-7-氟-8-甲氧基-4-氧代-1,4-二氫喹啉-3-羧酸硼酯螯合物(化合物11):
方案2
將氧化硼(2.0kg,29 mol)、冰醋酸(8.1L,142mol)和乙酸酐(16.2L,171mol)裝入反應器,隨後用稀釋。將所得混合物回流至少2小時,然後冷卻至40℃,在該溫度加入7-氟喹諾酮酸化合物10(14.2kg,51mol)。將混合物回流至少6小時,然後冷卻至約90℃。將甲苯(45L)加至反應中。在50℃加入叔-丁基甲基醚(19L)以促使產品沈澱。然後將混合物冷卻至20℃,過濾分離出沈澱物。然後在40℃真空爐(50托)中乾燥之前用叔-丁基甲基醚(26L)洗滌分離出的固體,得到化合物11,收率為86.4%。
Raman(cm-1
):3084.7,3022.3,2930.8,1709.2,1620.8,1548.5,1468.0,1397.7,1368.3,1338.5,1201.5,955.3,653.9,580.7,552.8,384.0,305.8。NMR(CDCl3
,300 MHz)(ppm):9.22(s,1H),8.38-8.33(m,1H),7.54(t,J=9.8 Hz,1H),4.38-4.35(m,1H),4.13(s,3H),2.04(s,6H),1.42-1.38(m,2H),1.34-1.29(m,2H)。TLC(Whatman
MKC18F矽膠,60,200 μm),流動相:1:1(體積/體積)CH3
CN:0.5N NaCl(aq),UV(254/366nm)顯示;Rf
=0.4-0.5。
(D)合成(3S,5S)-7-[3-氨基-5-甲基-呱啶基]-1-環丙基-1,4-二氫-8-甲氧基-4-氧代-3-喹啉羧酸的蘋果酸鹽(化合物1):
方案3
將化合物11(4.4kg,10.9mol)、化合物9(2.1kg,9.8mol)、三乙基胺(TEA)(2.1L,14.8mol)和乙腈(33.5L,15.7L/kg)裝入反應器。將所得混合物在約50℃攪拌直至用HPLC或反相TLC監控到反應已結束。將反應冷卻至約35℃,並且通過在0至400托(torr)之間的真空下蒸發乙腈以使反應體積
減少至約一半。然後將28.2kg的3.0N NaOH(aq)溶液裝入反應器,並且溫度升至約40℃。真空下蒸餾直至再沒觀察到餾出液,室溫下水解。用HPLC或反相TLC監控該水解反應完成後,加入4至5kg的冰醋酸中和反應混合物。
使用12.7kg(9.6L)的二氯甲烷萃取所得溶液兩次。合併有機層,將其轉移到另一反應器中。在40℃蒸餾將反應體積減至約一半。然後加入20.2kg 6.0N HCl(aq)溶液,在35℃攪拌反應混合物至少12小時。用HPLC或反相TLC監控該反應。當完成時,停止攪拌,使相分離。移去下層有機相用12.7kg(9.6L)提取水層用18.3kg蒸餾水水層,並且將溫度升至約50℃。真空下(100-400托)進行蒸餾以進一步除去二氯甲烷。
在65℃的溫度以下用約9.42kg的3.0N NaOH(aq)溶液將該水溶液的pH值調節到7.8和8.1之間。在50℃攪拌反應混合物至少1小時,然後冷卻至室溫。通過抽濾分離出固體,用5.2kg的蒸餾水洗滌兩次。通過抽吸(suction)將該固體乾燥至少12小時,然後在55℃的對流烘箱中另外乾燥12小時。獲得固體化合物12(3.2kg,79%)。
將3.2kg的化合物12和25.6kg的95%乙醇裝入反應器中。然後向反應器加入1.1kg的固體D,L-蘋果酸(24)。並且將混合物加熱至回流溫度(~80℃)。加入蒸餾水(~5.7L)來溶解沈澱物,並且加入0.2kg的活性炭。將反應混合物通過一篩檢程式。將澄清的濾液冷至45℃,並且保存至少2
小時的時間以使得出現結晶。將反應混合物進一步冷至5℃後,用抽濾分離出沈澱物,然後用6.6kg的95%乙醇洗滌,抽吸乾燥至少4小時。然後在45℃的對流烘箱內進一步乾燥該固體至少12小時,得到3.1kg的化合物1(得率:70%)。
NMR(D2
O,300 MHz)(ppm):8.54(s,1H),7.37(d,J=9.0 Hz,1H),7.05(d,J=9.0 Hz,1H),4.23-4.18(m,1H),4.10-3.89(m,1H),3.66(br s,1H),3.58(s,3H),3.45(d,J=9.0 Hz,1H),3.34(d,J=9.3 Hz,1H),3.16(d,J=12.9 Hz,1H),2.65(dd,J=16.1,4.1 Hz,1H),2.64-2.53(m,1H),2.46(dd,J=16.1,8.0 Hz,1H),2.06(br s,1H),1.87(d,J=14.4 Hz,1H),1.58-1.45(m,1H),1.15-0.95(m,2H),0.91(d,J=6.3 Hz,3H),0.85-0.78(m,2H)。將化合物1溶解在乙腈/水/蟻酸(12:88:0.2)中。。用梯度反相HPLC分析所得溶液,在292nm進行UV檢測。用梯度洗脫液(見下表)實現分離,其中移動相含有乙腈、水和蟻酸,在C8柱上(Waters Symmetry Shield RP 8,5 μm,4.6 x 150 mm),流速為1.5mL/分鐘,30℃。移動相不同時間的組成顯示在下表中:
製備和研究葡萄糖配方和氯化鈉配方。
1.5%葡萄糖溶液配方
將化合物溶解在5%葡萄糖無菌水溶液中(5mg/mL)。過濾該溶液,裝到100mL聚丙烯瓶中。蓋上該瓶,密封,110℃滅菌35分鐘。60℃烘箱中保存該瓶,在第0、5和10天分析該溶液。下表中中的結果顯示,對於化合物1的5%葡萄糖溶液,活性成分的含量下降、pH增加、顏色變化和形成褐色沈澱物。
2.0.9%生理鹽水溶液配方
將化合物I溶解在0.9%生理鹽水中(5mg/mL)。過濾該溶液,裝到100mL聚丙烯瓶中。蓋上該瓶,密封,110℃滅菌35分鐘。60℃烘箱中保存該瓶,在第0、5和10天分析該溶液。下表結果顯示該配方意想不到地非常穩定。由於水通過塑膠瓶壁蒸發的緣故,式I化合物的含量隨著時間推移稍有增加。10天後總的雜質也稍有增加。
以0.1、1、3、4、5、6、10和15mg/mL的濃度製備化合物1的0.9%生理鹽水溶液。過濾這些溶液,裝到100mL聚丙烯瓶中。蓋上該瓶,密封,110℃滅菌35分鐘。用1、3、5、10mg/mL劑量對大鼠和狗進行GLP毒性研究。
研究活性炭、pH值和鐵含量對配方的影響。
1.活性炭的影響
將13.85g的化合物1和18g的氯化鈉溶解在無菌水中。加入額外的無菌水,攪拌,使溶液的最終體積達到2000mL,得到濃度為5mg/mL化合物1的溶液。將所得溶液分成4份,每份500毫升。將0%、0.02%、0.05%和0.5%(g/mL)的活性炭加到每一份溶液中。將所得溶液加熱至沸騰,同時攪拌25分鐘,用0.45微米的濾紙過濾。將濾液加到一系列的100mL聚丙烯瓶中,蓋上蓋子,密封,110℃滅菌35分鐘。
分析四個瓶子中每瓶的化合物1的含量和pH,結果顯示在下表中。選擇0.05%(g/mL)的活性炭用於配製過程。
2.PH的影響
採用與前述實驗相同的步驟製備2000毫升的化合物1的0.9%生理鹽水溶液。將溶液等分成6份。通過加入稀釋的鹽酸或氫氧化鈉,將每份的pH調節為2.43、3.00、3.76、4.51、6.01和7.13。分析溶液的外觀和含量,結果顯示在下表。結果顯示,5mg/mL的化合物1的生理鹽水溶液在pH6.6沈澱。
3.鐵含量的影響
採用與前述實驗相同的方法配製1000毫升化合物1的0.9%生理鹽水溶液。將該溶液等分為2份。一份加入0.25g活性炭,另一份加入0.25g活性炭和0.1g鐵粉。攪拌所得到的各個混合物,過濾到100mL聚丙烯瓶中。蓋上瓶蓋,密封,110℃滅菌35分鐘。所述溶液各自的pH和外觀顯示在下表中。基於這些結果,在配製IV配方過程中應避免與鐵接觸。
4.滅菌期間溫度和時間的影響
採用與前述實驗相同的方法配製3000毫升I化合物1的0.9%生理鹽水溶液。加入1.5g(0.05% g/mL)活性炭到該溶液中,攪拌15分鐘,過濾。將濾液加到一系列的100mL的聚丙烯瓶中。給這些裝入濾液的瓶子蓋上蓋子,密封,分成4組,每組7瓶。根據以下條件給這些樣品滅菌:115℃/35分鐘、110℃/35分鐘和105℃/35分鐘。測量每組化合物1的含量和雜質水平以及pH(包括對照組)並顯示在下表中。基於此研究,腸胃配方的滅菌選用110℃/35分鐘。
5.較低溫度(-15℃)的影響
將含有化合物1(5mg/mL)的0.9%生理鹽水溶液的瓶子保存在-15℃的冰箱中。在第0、5和10天分析樣品。結果顯示在下表中。結果顯示,在-15℃保存10天後,外觀、化合物含量、pH和總雜質維持不變。
6.光對配方的影響
將含有化合物1(5mg/mL,基於遊離的堿)的0.9%生理
鹽水溶液的瓶子放置在4500Lx+/-500Lx的光盒(light box)中。在第0、5和10天分析樣品。結果顯示在下表中。研究顯示在強光下溶液沒有變化。
製備化合物1(5mg/mL,基於遊離的堿)在0.9%氯化鈉無菌水中的溶液,過濾,裝到100mL聚丙烯瓶中。蓋上該瓶,密封,110℃滅菌35分鐘。在40℃/20%相對濕度(RH)下保存這些瓶子6個月和在25℃/60%相對濕度下保存這些瓶子12個月,並根據下表所示進行測試。
在各採樣點(如表中“X”所示)評估樣品的外觀、顏色、澄清度、pH、UV吸收、定量分析(assay)以及雜質。未觀察到顯著變化。
依如下方式研究化合物1的體外和體內活性。
1.體外抗菌活性
從臨床樣品中分離出各種細菌種類,如革蘭氏陽性菌(如梭菌屬、葡糖球菌屬、和鏈球菌屬)、革蘭氏陰性菌(如莫拉氏菌屬、嗜血桿菌屬、假單胞菌屬、變形桿菌屬、和變形細菌(Bacteriodes))、厭氧的和非典型的致病原。採用U.S.National Committee for Clinical Laboratory(M7-A6、2003,和M11-A5,2001)描述的瓊脂稀釋測試法測定化合物1對這些細菌物種的抗菌活性。
結果顯示,化合物1具有強力的廣譜抗菌活性,包括抗革蘭氏陽性菌、革蘭氏陰性菌、厭氧的和非典型的致病原的活性。該鹽尤其能有效抗葡糖球菌和鏈球菌,包括甲氧苯青黴素抗性金黃色葡萄球菌(MRSA)和多抗性肺炎鏈球菌。對於抗捲鬚黴素敏感的甲氧苯青黴素易感性金黃色葡萄球菌(MSSA)和MRSA,90%的測試的分離物的最小抑制濃度(MIC90
)是0.06μg/ml。抗捲鬚黴素抗性MSSA的MIC90
是0.5μg/mL,抗捲鬚黴素抗性MRSA的MIC90
是1μg/mL。抗易感的、青黴素抗性和大環內酯抗性肺炎鏈球菌的MIC90
是0.12μg/mL。在此研究中,抗所有葡糖球菌和鏈球菌的MIC分別為δ2μg/mL和1μg/mL。考慮到所有的革蘭氏陽性微生物,化合物1的效力要比左氧氟沙星強4-8倍,比加替沙星強2-4倍。
在革蘭氏陰性微生物中,化合物1能有效抗黏膜炎莫拉菌(Moraxella catarrhalis
)(MIC90
=0.03 μg/mL)、流感嗜血桿菌(Haemophilus influenzae
)(MIC90
=0.12 μg/mL)和淋病奈瑟氏菌(Neisseria gonorrhoeae
)(MIC90
=0.06 μg/mL)。該化合物能有效抗大多數的腸微生物,對大腸桿菌(E.coli
)的MIC90
是0.12 μg/mL,對肺炎克雷白氏桿菌(Klebsiella pneumoniae
)的MIC90
是1 μg/mL,對奇異變形桿菌(Proteus mirabilis
)的MIC90
是0.5 μg/mL。它也能有效地抗綠膿假單胞菌(Pseudomonas aeruginosa
)的許多分離物以及厭氧致病菌,艱難梭菌(Clostridium difficile
)和擬桿菌屬(Bacteroides
)。
2.體內效力
在小鼠模型中評估式I化合物的體內效力。麻醉小鼠,用致死量的肺炎鏈球菌Stp6301鼻內感染小鼠。感染後12、18和24小時,以50、25、12。5或6。25的總劑量將含有化合物1或莫西沙星(作為陽性對照)、0.7%乳酸和3%葡萄糖的組合物皮下給予小鼠。在最後一次用化合物1或莫西沙星處理後4小時,使一半小鼠安樂死,採集它們的血液和肺組織。測定血液和肺中存活的細菌數量。也對肺組織進行組織病理學評估。另一半小鼠則繼續監控6天,記錄存活小鼠的數量。
與用載體處理的對照相比,所測試的所有劑量水平的化合物1明顯減少了肺和血液中存活的細菌。此外,所測試的所有劑量水平的該抗生素針對該致死感染提供了完全的保護(100%存活)。在此肺部感染模型中,化合物1要比相同劑量水平的莫西沙星更有效。
可以各種結合方式結合本說明書所公開的所有這些特徵。可用起到相同、等價或類似目的的其他特徵來替換本說明書公開的各個特徵。因此,除非另有說明,所公開的各特徵僅僅是總的一系列等價或類似特徵的具體實例。
從上述說明可以看出,本領域熟練的技術人員可容易地確定本發明的必要特徵,且在不偏離其精神和範圍的情況下,他
們可對本發明做出各種變化和改動,以適應各種用途和條件。因此,其他實施方式也在本文請求項所述的範圍之內。
Claims (18)
- 一種透過腸胃道以外注射或輸液而用於治療感染性疾病的配方,該配方包含:式I化合物,
水,和一等張劑,其濃度為0.2%至13%w/v,其中,該化合物處於其D,L-蘋果酸鹽形式,且該化合物和該等張劑二者皆溶解在水中。 - 如請求項1所述的配方,其中該感染性疾病是尿道感染、前列腺炎、呼吸道感染、骨髓炎、淋病、結核桿菌感染、鳥型結核分枝桿菌綜合症、慢性支氣管炎的急性惡化、肺炎、竇炎、傳染性腹瀉、幽門螺桿菌感染、皮膚感染、婦科感染、或腹部感染。
- 如請求項1所述的配方,其中該感染性疾病是受到革蘭氏陰性菌或革蘭氏陽性菌的感染。
- 如請求項1所述的配方,其中該感染性疾病是受到厭氧菌的感染。
- 如請求項1所述的配方,其中該感染性疾病是受到甲氧苯青黴素抗性金黃色葡萄球菌(Staphylococcus aureus )或多抗性肺炎鏈球菌(Streptococcus pneumoniae )的感染。
- 如請求項1所述的配方,其中該等張劑是氯化鈉。
- 如請求項6所述的配方,其中該配方中之該化合物的濃度為0.2至45 mM,且該配方中之氯化鈉的濃度為0.2至1.3%w/v。
- 如請求項7所述的配方,其中該配方是經靜脈內注射或輸液給予。
- 如請求項8所述的配方,其中該配方中之該氯化鈉的濃度是0.9%w/v。
- 如請求項8所述的配方,其中該配方還包含一穩定劑,該穩定劑選自由組氨酸、賴氨酸、甘氨酸、蔗糖、果糖、海藻糖及其混合物所組成之群組。
- 如請求項8所述的配方,其中該配方還包含一緩衝劑,該緩衝劑選自由乙酸鹽、檸檬酸鹽、酒石酸鹽、乳酸鹽、琥珀酸鹽、蘋果酸鹽及磷酸鹽所組成之群組。
- 如請求項8所述的配方,其中該配方還包含一抗氧化劑,該抗氧化劑選自由亞硫酸氫鈉、丁基化羥基苯甲醚、半胱氨酸、龍膽酸、谷氨酸單鈉、硫基乙醇酸鈉及抗壞血酸所組成之群組。
- 如請求項8所述的配方,其中該配方還包含濃度為0.1至1.0%w/v的一穩定劑,和濃度為0.01至5%w/v的一緩衝劑。
- 如請求項1所述的配方,其中該等張劑選自由甘油、乳糖、甘露醇、氯化鈉、葡萄糖、硫酸鈉及山梨糖醇所組成之群組。
- 如請求項14所述的配方,其中該等張劑是葡萄糖,且其在該配方中的濃度為1至7%w/v。
- 如請求項15所述的配方,其中該配方還包含濃度為0.1至1.0%w/v的一穩定劑,和濃度為0.01至5%w/v的一緩衝劑。
- 如請求項15所述的配方,其中該配方是經靜脈內注射或輸液給予。
- 如請求項1所述的配方,其中該等張劑是氯化鈉,且其在該配方中的濃度為0.2至1.3%w/v。
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/836,241 US8658183B2 (en) | 2007-08-09 | 2007-08-09 | Antimicrobial parenteral formulation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| TW200922579A TW200922579A (en) | 2009-06-01 |
| TWI391135B true TWI391135B (zh) | 2013-04-01 |
Family
ID=40347132
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW097130090A TWI391135B (zh) | 2007-08-09 | 2008-08-07 | 抗菌劑的腸胃外製劑 |
Country Status (12)
| Country | Link |
|---|---|
| US (1) | US8658183B2 (zh) |
| EP (1) | EP2185143B1 (zh) |
| JP (1) | JP5805389B2 (zh) |
| KR (1) | KR101313858B1 (zh) |
| AU (1) | AU2008287144C1 (zh) |
| CA (1) | CA2693041C (zh) |
| DK (1) | DK2185143T3 (zh) |
| EA (1) | EA017702B1 (zh) |
| ES (1) | ES2402055T3 (zh) |
| TW (1) | TWI391135B (zh) |
| WO (1) | WO2009023473A2 (zh) |
| ZA (1) | ZA201000250B (zh) |
Families Citing this family (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2010002415A1 (en) * | 2008-07-01 | 2010-01-07 | Taigen Biotechnology Co., Ltd. | Treatment of antibiotic-resistant bacteria infection |
| EP2362775B1 (en) | 2008-11-20 | 2015-08-05 | GlaxoSmithKline LLC | Chemical compounds |
| US9359275B2 (en) * | 2012-02-23 | 2016-06-07 | Children's Medical Center Corporation | Natural product antibiotics and analogs thereof |
| TWI623327B (zh) * | 2012-06-27 | 2018-05-11 | 武田藥品工業股份有限公司 | 液狀製劑 |
| CN103145615B (zh) * | 2013-03-20 | 2015-07-29 | 浙江医药股份有限公司 | 一种奈诺沙星螯合物的后处理方法 |
| CN103159793B (zh) * | 2013-03-20 | 2016-08-03 | 太景生物科技股份有限公司 | 一种奈诺沙星螯合物的制备方法 |
| KR20140119363A (ko) * | 2013-03-29 | 2014-10-10 | 에스케이케미칼주식회사 | 보리코나졸이 함유된 안정화된 조성물 |
| JP7184260B2 (ja) | 2017-09-01 | 2022-12-06 | 学校法人北里研究所 | マイコバクテリウム・アビウム複合感染症に対する治療活性を有する新規化合物及びその製造方法 |
| JP2024519586A (ja) * | 2021-05-26 | 2024-05-17 | デウン ファーマシューティカル カンパニー リミテッド | 1-(5-(2,4-ジフルオロフェニル)-1-((3-フルオロフェニル)スルホニル)-4-メトキシ-1h-ピロール-3-イル)-n-メチルメタンアミンを含む新規な注射用製剤 |
| CN114437026A (zh) * | 2021-10-26 | 2022-05-06 | 浙江医药股份有限公司新昌制药厂 | 一种低组合物杂质的苹果酸奈诺沙星原料药及其制备方法 |
| CN118852222B (zh) * | 2024-06-27 | 2025-09-05 | 南京桦冠生物技术有限公司 | 一种奈诺沙星中间体及其制备方法和应用 |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6329391B1 (en) * | 1997-09-15 | 2001-12-11 | The Procter & Gamble Co. | Antimicrobial quinolones, their compositions and uses |
Family Cites Families (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS62215572A (ja) * | 1986-03-17 | 1987-09-22 | Kyorin Pharmaceut Co Ltd | キノロンカルボン酸誘導体 |
| US6348624B1 (en) | 1998-01-09 | 2002-02-19 | The Procter & Gamble Co. | Process for making certain benzoic acid compounds |
| RU2256654C2 (ru) * | 1999-01-22 | 2005-07-20 | Кирин Бир Кабусики Кайся | Хинолиновые и хиназолиновые производные |
| DK1343766T3 (da) | 2000-12-14 | 2005-10-31 | Procter & Gamble | Procestrin med cyklisering ved fremstilling af quinoloner og naphthyridiner |
| US6878713B2 (en) * | 2001-04-25 | 2005-04-12 | Wockhardt Limited | Generation triple-targeting, chiral, broad-spectrum antimicrobial 7-substituted piperidino-quinolone carboxylic acid derivatives, their preparation, compositions and use as medicaments |
| US6900224B2 (en) | 2002-07-31 | 2005-05-31 | The Procter & Gamble Company | Antimicrobial quinolones, their compositions and uses |
| US6803469B2 (en) | 2002-08-05 | 2004-10-12 | The Procter & Gamble Company | Process for preparing quinolone antibiotic intermediates |
| DK2001862T3 (da) | 2006-03-28 | 2011-08-08 | Warner Chilcott Co Llc | Malatsalte og polymorfe af (3S,5S)-7-[3-amino-5-methyl-piperidinyl]-1-cyklopropyl-1,4-dihydro-8-methoxy-4-oxo-3-quinolincarboxylsyre |
| JP4876165B2 (ja) | 2006-03-28 | 2012-02-15 | ザ プロクター アンド ギャンブル カンパニー | キノロン中間体を調製するための水素化物還元法 |
| BRPI0709220A2 (pt) | 2006-03-28 | 2011-07-12 | Procter & Gamble | processo de acoplamento para preparo de intermediários de quinolona |
-
2007
- 2007-08-09 US US11/836,241 patent/US8658183B2/en active Active
-
2008
- 2008-08-05 KR KR1020107004984A patent/KR101313858B1/ko active Active
- 2008-08-05 EA EA201070250A patent/EA017702B1/ru unknown
- 2008-08-05 WO PCT/US2008/072210 patent/WO2009023473A2/en not_active Ceased
- 2008-08-05 JP JP2010520259A patent/JP5805389B2/ja active Active
- 2008-08-05 ES ES08797186T patent/ES2402055T3/es active Active
- 2008-08-05 CA CA2693041A patent/CA2693041C/en active Active
- 2008-08-05 AU AU2008287144A patent/AU2008287144C1/en active Active
- 2008-08-05 DK DK08797186.7T patent/DK2185143T3/da active
- 2008-08-05 EP EP08797186A patent/EP2185143B1/en active Active
- 2008-08-07 TW TW097130090A patent/TWI391135B/zh active
-
2010
- 2010-01-13 ZA ZA201000250A patent/ZA201000250B/xx unknown
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6329391B1 (en) * | 1997-09-15 | 2001-12-11 | The Procter & Gamble Co. | Antimicrobial quinolones, their compositions and uses |
Also Published As
| Publication number | Publication date |
|---|---|
| ZA201000250B (en) | 2010-09-29 |
| KR101313858B1 (ko) | 2013-09-30 |
| ES2402055T3 (es) | 2013-04-26 |
| JP5805389B2 (ja) | 2015-11-04 |
| WO2009023473A9 (en) | 2009-04-23 |
| EP2185143B1 (en) | 2013-01-02 |
| JP2010535797A (ja) | 2010-11-25 |
| KR20100067650A (ko) | 2010-06-21 |
| CA2693041A1 (en) | 2009-02-19 |
| EA017702B1 (ru) | 2013-02-28 |
| US20090042932A1 (en) | 2009-02-12 |
| EA201070250A1 (ru) | 2010-10-29 |
| TW200922579A (en) | 2009-06-01 |
| EP2185143A2 (en) | 2010-05-19 |
| EP2185143A4 (en) | 2011-09-07 |
| HK1142521A1 (zh) | 2010-12-10 |
| WO2009023473A2 (en) | 2009-02-19 |
| DK2185143T3 (da) | 2013-03-04 |
| CA2693041C (en) | 2016-11-08 |
| AU2008287144C1 (en) | 2015-01-22 |
| AU2008287144A1 (en) | 2009-02-19 |
| US8658183B2 (en) | 2014-02-25 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| TWI391135B (zh) | 抗菌劑的腸胃外製劑 | |
| AU2008287144B2 (en) | Antimicrobial parenteral formulation | |
| ES2629466T3 (es) | Proceso para la fabricación de compuestos de quinolona | |
| US20210363165A1 (en) | Nitroxoline prodrug and use thereof | |
| JP5097967B2 (ja) | リンゴ酸塩類、及び(3s,5s)−7−[3−アミノ−5−メチルーピペリジニル]−1−シクロプロピル−1,4−ジヒドロ−8−メトキシ−4−オキソ−3−キノリンカルボン酸の多形体類 | |
| TW201028161A (en) | Novel antibacterial agents for the treatment of gram positive infections | |
| KR100652470B1 (ko) | 사이클로알킬 치환 아미노메틸피롤리딘 유도체 | |
| CN1432008A (zh) | 喹诺酮羧酸衍生物 | |
| EP3166960B1 (en) | Low substituted polymyxins and compositions thereof | |
| CN101361739B (zh) | 抗菌剂的肠胃外制剂 | |
| JP2023544643A (ja) | バクチオ-ル誘導体、その薬学的に許容される塩及びその調製方法並びに用途 | |
| CN107400126A (zh) | 新型噁唑烷酮类化合物及其制备方法和在医学上的应用 | |
| US9751840B2 (en) | R-7-(3-aminomethyl-4-methoxyimino-3-methyl-pyrrolidin-1-yl)-1-cyclopropyl-6-fluoro-4-oxo-acid and L-aspartic acid salt, process for the preparation thereof and pharmaceutical composition comprising the same for antimicrobial | |
| CN119522209A (zh) | N-取代芳胺衍生物及其制备方法和用途 | |
| WO2014161412A1 (zh) | 一类三环喹诺酮衍生物及其制备方法和用途 | |
| CN114945577B (zh) | 大环内酯化合物及其治疗慢性呼吸道疾病的用途 | |
| ES2199278T3 (es) | Derivados de espiro heterociclicos. | |
| TW200934507A (en) | Polypeptide compounds | |
| JPWO2001072738A1 (ja) | キノロンカルボン酸誘導体 | |
| HK1055738A (zh) | 喹诺酮羧酸衍生物 |