US2608510A - N-benzylsulfamyl benzoic acid - Google Patents
N-benzylsulfamyl benzoic acid Download PDFInfo
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- US2608510A US2608510A US168542A US16854250A US2608510A US 2608510 A US2608510 A US 2608510A US 168542 A US168542 A US 168542A US 16854250 A US16854250 A US 16854250A US 2608510 A US2608510 A US 2608510A
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- US
- United States
- Prior art keywords
- penicillin
- adjuvant
- benzoic acid
- grams
- benzylsulfamyl
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Links
- 239000005711 Benzoic acid Substances 0.000 title claims description 13
- WPYMKLBDIGXBTP-UHFFFAOYSA-N Benzoic acid Natural products OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 title description 9
- 235000010233 benzoic acid Nutrition 0.000 title description 5
- -1 N-benzylsulfamyl benzoic acid Chemical compound 0.000 title description 2
- 229930182555 Penicillin Natural products 0.000 claims description 48
- 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 claims description 48
- 229940049954 penicillin Drugs 0.000 claims description 48
- 239000002671 adjuvant Substances 0.000 claims description 33
- 239000000203 mixture Substances 0.000 claims description 17
- 230000001225 therapeutic effect Effects 0.000 claims description 2
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 12
- 210000004369 blood Anatomy 0.000 description 12
- 239000008280 blood Substances 0.000 description 12
- 239000000243 solution Substances 0.000 description 12
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 11
- 239000002775 capsule Substances 0.000 description 11
- 230000036765 blood level Effects 0.000 description 9
- 230000029142 excretion Effects 0.000 description 8
- 239000000463 material Substances 0.000 description 8
- 239000003795 chemical substances by application Substances 0.000 description 7
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical class [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 description 6
- 239000003826 tablet Substances 0.000 description 6
- 210000005239 tubule Anatomy 0.000 description 6
- 239000002552 dosage form Substances 0.000 description 5
- 150000003839 salts Chemical class 0.000 description 5
- 229920002261 Corn starch Polymers 0.000 description 4
- 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 description 4
- JUJWROOIHBZHMG-UHFFFAOYSA-N Pyridine Chemical compound C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 4
- 239000003708 ampul Substances 0.000 description 4
- 229940069428 antacid Drugs 0.000 description 4
- 239000003159 antacid agent Substances 0.000 description 4
- 230000001458 anti-acid effect Effects 0.000 description 4
- WGQKYBSKWIADBV-UHFFFAOYSA-N benzylamine Chemical compound NCC1=CC=CC=C1 WGQKYBSKWIADBV-UHFFFAOYSA-N 0.000 description 4
- 150000001875 compounds Chemical class 0.000 description 4
- 239000008120 corn starch Substances 0.000 description 4
- 229940099112 cornstarch Drugs 0.000 description 4
- 238000002347 injection Methods 0.000 description 4
- 239000007924 injection Substances 0.000 description 4
- 239000008101 lactose Substances 0.000 description 4
- 210000002381 plasma Anatomy 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 4
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 3
- 108010010803 Gelatin Proteins 0.000 description 3
- 229920000569 Gum karaya Polymers 0.000 description 3
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 3
- 239000002253 acid Substances 0.000 description 3
- 239000007864 aqueous solution Substances 0.000 description 3
- FCPVYOBCFFNJFS-LQDWTQKMSA-M benzylpenicillin sodium Chemical compound [Na+].N([C@H]1[C@H]2SC([C@@H](N2C1=O)C([O-])=O)(C)C)C(=O)CC1=CC=CC=C1 FCPVYOBCFFNJFS-LQDWTQKMSA-M 0.000 description 3
- CJZGTCYPCWQAJB-UHFFFAOYSA-L calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 description 3
- 239000008116 calcium stearate Substances 0.000 description 3
- 235000013539 calcium stearate Nutrition 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 239000008273 gelatin Substances 0.000 description 3
- 229920000159 gelatin Polymers 0.000 description 3
- 235000019322 gelatine Nutrition 0.000 description 3
- 235000011852 gelatine desserts Nutrition 0.000 description 3
- 235000010494 karaya gum Nutrition 0.000 description 3
- 230000036470 plasma concentration Effects 0.000 description 3
- 239000000047 product Substances 0.000 description 3
- 239000000454 talc Substances 0.000 description 3
- 229910052623 talc Inorganic materials 0.000 description 3
- UMZGHILLPNBDOF-UHFFFAOYSA-N 2-(benzylsulfamoyl)benzoic acid Chemical compound OC(=O)C1=CC=CC=C1S(=O)(=O)NCC1=CC=CC=C1 UMZGHILLPNBDOF-UHFFFAOYSA-N 0.000 description 2
- SLRMQYXOBQWXCR-UHFFFAOYSA-N 2154-56-5 Chemical compound [CH2]C1=CC=CC=C1 SLRMQYXOBQWXCR-UHFFFAOYSA-N 0.000 description 2
- KXDAEFPNCMNJSK-UHFFFAOYSA-N Benzamide Chemical compound NC(=O)C1=CC=CC=C1 KXDAEFPNCMNJSK-UHFFFAOYSA-N 0.000 description 2
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 2
- QIAFMBKCNZACKA-UHFFFAOYSA-N N-benzoylglycine Chemical compound OC(=O)CNC(=O)C1=CC=CC=C1 QIAFMBKCNZACKA-UHFFFAOYSA-N 0.000 description 2
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 2
- 241000934878 Sterculia Species 0.000 description 2
- 239000011230 binding agent Substances 0.000 description 2
- 239000011575 calcium Substances 0.000 description 2
- 229910052791 calcium Inorganic materials 0.000 description 2
- 239000003610 charcoal Substances 0.000 description 2
- 239000007891 compressed tablet Substances 0.000 description 2
- 239000002285 corn oil Substances 0.000 description 2
- 235000005687 corn oil Nutrition 0.000 description 2
- PVBALTLWZVEAIO-UHFFFAOYSA-N diodone Chemical compound OC(=O)CN1C=C(I)C(=O)C(I)=C1 PVBALTLWZVEAIO-UHFFFAOYSA-N 0.000 description 2
- 239000012153 distilled water Substances 0.000 description 2
- 238000003379 elimination reaction Methods 0.000 description 2
- 210000002919 epithelial cell Anatomy 0.000 description 2
- 230000024924 glomerular filtration Effects 0.000 description 2
- 238000005469 granulation Methods 0.000 description 2
- 230000003179 granulation Effects 0.000 description 2
- 239000004615 ingredient Substances 0.000 description 2
- 239000000231 karaya gum Substances 0.000 description 2
- 229940039371 karaya gum Drugs 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 229910000402 monopotassium phosphate Inorganic materials 0.000 description 2
- 235000019796 monopotassium phosphate Nutrition 0.000 description 2
- BXPHUDHQIDMXCJ-UHFFFAOYSA-N n-benzyl-4-cyanobenzenesulfonamide Chemical compound C=1C=C(C#N)C=CC=1S(=O)(=O)NCC1=CC=CC=C1 BXPHUDHQIDMXCJ-UHFFFAOYSA-N 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 239000003921 oil Substances 0.000 description 2
- 239000012053 oil suspension Substances 0.000 description 2
- 235000019198 oils Nutrition 0.000 description 2
- GNSKLFRGEWLPPA-UHFFFAOYSA-M potassium dihydrogen phosphate Chemical compound [K+].OP(O)([O-])=O GNSKLFRGEWLPPA-UHFFFAOYSA-M 0.000 description 2
- LWIHDJKSTIGBAC-UHFFFAOYSA-K potassium phosphate Substances [K+].[K+].[K+].[O-]P([O-])([O-])=O LWIHDJKSTIGBAC-UHFFFAOYSA-K 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 2
- 239000000725 suspension Substances 0.000 description 2
- ZOFLWJXPXAHZLI-UHFFFAOYSA-N 4-(benzylsulfonylamino)benzoic acid Chemical compound C1=CC(C(=O)O)=CC=C1NS(=O)(=O)CC1=CC=CC=C1 ZOFLWJXPXAHZLI-UHFFFAOYSA-N 0.000 description 1
- DBMFYTQPPBBKHI-UHFFFAOYSA-N 4-cyanobenzenesulfonyl chloride Chemical compound ClS(=O)(=O)C1=CC=C(C#N)C=C1 DBMFYTQPPBBKHI-UHFFFAOYSA-N 0.000 description 1
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 1
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 1
- 241001478240 Coccus Species 0.000 description 1
- 239000001856 Ethyl cellulose Substances 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- HSMNQINEKMPTIC-UHFFFAOYSA-N N-(4-aminobenzoyl)glycine Chemical compound NC1=CC=C(C(=O)NCC(O)=O)C=C1 HSMNQINEKMPTIC-UHFFFAOYSA-N 0.000 description 1
- 235000019483 Peanut oil Nutrition 0.000 description 1
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 1
- UYCAGRPOUWSBIQ-WOYAITHZSA-N [(1s)-1-carboxy-4-(diaminomethylideneamino)butyl]azanium;(2s)-5-oxopyrrolidine-2-carboxylate Chemical compound OC(=O)[C@@H]1CCC(=O)N1.OC(=O)[C@@H](N)CCCN=C(N)N UYCAGRPOUWSBIQ-WOYAITHZSA-N 0.000 description 1
- 230000001476 alcoholic effect Effects 0.000 description 1
- WNROFYMDJYEPJX-UHFFFAOYSA-K aluminium hydroxide Chemical compound [OH-].[OH-].[OH-].[Al+3] WNROFYMDJYEPJX-UHFFFAOYSA-K 0.000 description 1
- 229940024545 aluminum hydroxide Drugs 0.000 description 1
- 125000003277 amino group Chemical group 0.000 description 1
- 229960004567 aminohippuric acid Drugs 0.000 description 1
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 230000000844 anti-bacterial effect Effects 0.000 description 1
- 230000000935 anti-streptococcal effect Effects 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 230000001580 bacterial effect Effects 0.000 description 1
- 229910000019 calcium carbonate Inorganic materials 0.000 description 1
- 229960003563 calcium carbonate Drugs 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- GXGAKHNRMVGRPK-UHFFFAOYSA-N dimagnesium;dioxido-bis[[oxido(oxo)silyl]oxy]silane Chemical compound [Mg+2].[Mg+2].[O-][Si](=O)O[Si]([O-])([O-])O[Si]([O-])=O GXGAKHNRMVGRPK-UHFFFAOYSA-N 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 235000019325 ethyl cellulose Nutrition 0.000 description 1
- 229920001249 ethyl cellulose Polymers 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 235000011187 glycerol Nutrition 0.000 description 1
- 239000012442 inert solvent Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 210000000738 kidney tubule Anatomy 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 239000000395 magnesium oxide Substances 0.000 description 1
- CPLXHLVBOLITMK-UHFFFAOYSA-N magnesium oxide Inorganic materials [Mg]=O CPLXHLVBOLITMK-UHFFFAOYSA-N 0.000 description 1
- 229960000869 magnesium oxide Drugs 0.000 description 1
- 239000000391 magnesium silicate Substances 0.000 description 1
- 229940099273 magnesium trisilicate Drugs 0.000 description 1
- 229910000386 magnesium trisilicate Inorganic materials 0.000 description 1
- 235000019793 magnesium trisilicate Nutrition 0.000 description 1
- AXZKOIWUVFPNLO-UHFFFAOYSA-N magnesium;oxygen(2-) Chemical compound [O-2].[Mg+2] AXZKOIWUVFPNLO-UHFFFAOYSA-N 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 235000019988 mead Nutrition 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 239000002480 mineral oil Substances 0.000 description 1
- 235000010446 mineral oil Nutrition 0.000 description 1
- 230000003472 neutralizing effect Effects 0.000 description 1
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 239000000312 peanut oil Substances 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 239000011591 potassium Substances 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- MFDFERRIHVXMIY-UHFFFAOYSA-N procaine Chemical compound CCN(CC)CCOC(=O)C1=CC=C(N)C=C1 MFDFERRIHVXMIY-UHFFFAOYSA-N 0.000 description 1
- 229960004919 procaine Drugs 0.000 description 1
- 235000013772 propylene glycol Nutrition 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 238000001953 recrystallisation Methods 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 210000005227 renal system Anatomy 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 235000017557 sodium bicarbonate Nutrition 0.000 description 1
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 1
- 239000001509 sodium citrate Substances 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 235000012222 talc Nutrition 0.000 description 1
- HRXKRNGNAMMEHJ-UHFFFAOYSA-K trisodium citrate Chemical compound [Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O HRXKRNGNAMMEHJ-UHFFFAOYSA-K 0.000 description 1
- 229940038773 trisodium citrate Drugs 0.000 description 1
- 238000005303 weighing Methods 0.000 description 1
- 229940045860 white wax Drugs 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C311/00—Amides of sulfonic acids, i.e. compounds having singly-bound oxygen atoms of sulfo groups replaced by nitrogen atoms, not being part of nitro or nitroso groups
- C07C311/15—Sulfonamides having sulfur atoms of sulfonamide groups bound to carbon atoms of six-membered aromatic rings
Definitions
- This .inventiomv relates to a a, sulfamylbenzoic acid. whichis veffective --as an adjuvant for use in conjunctionwith the aadministrationzof penicillin, tonprovidean increase-in theblood plasmapenicillinzconcentration with, a given dose-of penicillinwthereby- :making 3 possible very high penicillin l blood levels ors permitting the useiof smaller-v. quantities, of -lpenicillin rfor providing a given, blood level; ornpermittingi the. less frequent. adv ministration, of penicillin ,while maintaining a h periicillinebloodfi level adequate for bactericidal on lbacteriostatic purposes.
- This invention also relatestothe preparation-f various dosage forms? in'xwhich.thistnewtcompoundlis, incorporated for,
- Penicillin today is ea swells established thera Guideic agentused-in A the treatment: of bacterial,-.
- Various agents including; diodrast' and hippuric acid,- or derivatives or PIG-z cursors' thereof, have been: proposedaor usedfor this purpose. Such agents do not, however seem.
- the highly effective adjuvant of this invention will reduce the excretion of penicillin by the tubules, at a blood plasma concentration of about 10 mg. per 100 cc. to almost zero, so that the actual elimination of penicillin from the blood stream becomes substantially that resulting from glomerular filtration, that is, about onefifth the normal rate (ignoring plasma binding).
- the adjuvant is eliminated by the glomeruli.
- the adjuvant can'be administered orally or, when dissolved in an aqueous solution, it can be administered intravenously or intramuscularly.
- This last method has not yet proven desirable for single injection of the material, because in general, administration of more than 2 cc.-per single injection intramuscularly is inadvisable, and the quantities of adjuvant desirable to use, i.'e., 4 to 16 grams per day, are such as to make injection by this route impractical.
- the benzylsulfamylbenzoic acid or its salts are well adapted for continuous intramuscular or subcutaneous clysis.
- oral administration of the adjuvant at the rate of 4 to 1.6 grams per day is adequate to suppress the rate of penicillin excretion to an extent such that the blood level with a givendose of penicillin administered orally or intramuscularly in aqueous solution will be increased to as much as four times the level obtain d without the use of the adjuvant, and will permit either the use of a very much smaller quantity of penicillin to provide a given blood level, for'example, permitting the penicillin doses to beabout one-fourth of those commonly used, or permitting the provision of penicillin blood levels several times as great as those obtainable with the administration of penicillin by the routes ordinarily used today.
- the adjuvant of the invention or a suitable salt of it can be administered in admixture with the levels of about 4 to 16 grams per day orally and somewhat less than this intravenously.
- the adjuvant can be prepared in any convenient dosage form, either alone or admixed with penicillin, such as in a compressed tablet, a dry filled capsule or a soft elastic capsule. It is to be. understood, of course, that other ingredients, such as binders, diluents, excipients, antacid substances, or other inert or therapeutically active compounds may be incorporated into any selected dosage form along with the adjuvant or adjuvantplus penicillin, provided the added ingredient does not destroy the activity of either the adjuvant or penicillin.
- the adjuvant' and, if desired, the penicillin can be dispersed in an oleaginous base either alone or along with other suitable substances and filled into soft elastic capsules or an aqueous solution may be prepared and filled into ampuls.
- suitable dosage forms will be readily apparent to those skilledzinthe art, and it is notthe pur-.
- Para-(benzylsulfamyl)-benzoic acid is preferably prepared by reacting para-cyanobenzenesulfonyl chloride with benzylamine in the-presence of an inert solvent, such as pyridine.
- the resulting N-benzyl-para-cyanobenzenesulfonamide is converted by the action of hot, anhydrous alcoholic hydrochloric acid to para-(benzylsulfamyD-benzamide.
- the benzamide is then converted to the corresponding para-(benzylsulfamyl) -benzoic acid in good yield upon refluxing with 10% sodium hydroxide.
- Example I -Pam (benzylsulfamyl) benzoic acid.19.1 g. of benzylamine were dissolved in cc. dry pyridine and 30 g. of 4-cyanobenzenesulfonylchloride added in portions with shaking. Considerable heat was evolved during the addition and the mixture was finally warmed gently on; a hot plate for 45 minutes.
- the invention is further illustrated by, but not restricted to, the following various dosage forms of different compositions for administraion by various routes.
- Example a Compressed tablet.10,000 grams of lactose and 100,000 grams of the adjuvant
- para-(benzylsulfamyl)-benzoic acid are uniformly mixed and wetted with sufiicient water to permit its ready granulation.
- 2,000 grams of dried cornstarch, 500'grams of karaya gum powder, 2,500 grams of talc, and 1,000 grams of I calcium stearate are intimately mixed and then mixed together uniformly with the 110,000 grams of the mixture of the granulated adjuvant and lactose.
- the final mixture is then tableted (u sing inch die standard curvature punches) yield mg 200,000 tablets of 0.58 gram each, and ease containing 0.5 gram of the adjuvant.
- Example d.-Dry filled capsule with penicillin yielding 200,000 tablets weighing 0.6 gram and each containing 0.5 gram of adjuva)nt and 25,000 units penicillin (plus 10% excess Example d.-Dry filled capsule with penicillin. Under atmosphere controlled as in Example 0, 25 kilos of the adjuvant, para-(benzylsulfamyl) benzoic acid, 850 grams of crystalline penicillin sodium (as used above), and 150 grams of dried cornstarch are intimately and uniformly mixed, and the mixture filled into capsules, yielding 50,- 000 capsules, each holding 0.52 gram of mixture containing 0.5 gram of adjuvant and 25,000 units penicillin (plus 10% excess).
- compositions containing penicillin it is advisable, in accordance with customary practice, to include an excess of the penicillin, for example, a ten per cent excess over the labelclaimed quantity in accordance with present practice.
- An excess of penicillin introduces no dinicutly save its cost.
- the penicillin used may be any of the forms available for use, such as the calcium, sodium, potassium, procaine, and. the like salts of amorphous or crystalline penicillin.
- the quantity per dose of adjuvant and penicillin will depend upon the blood level and duration of action required for the particular condition encountered in each case.
- An advantageous ratio of adjuvant to penicillin per tablet or capsule is about one-half gram of the selected adjuvant to 25,000 to 200,000 units of penicillin.
- compositions of the invention can also include an antacid material, such as aluminum hydroxide, magnesium trisilicate, trisodium citrate, calcium carbonate, magnesium oxide, or other antacid substances suitable for administration for the purpose of neutralizing gastric acidity.
- an antacid material such as aluminum hydroxide, magnesium trisilicate, trisodium citrate, calcium carbonate, magnesium oxide, or other antacid substances suitable for administration for the purpose of neutralizing gastric acidity.
- the amount of antacid material is liimted only to that which is desirable to use in connection with penicillin or which can be physically incorporated in a tablet or capsule of suitable size for administration.
- binders and lubricants used in making the tablets such materials as lactose, corn starch, gum karaya, talc, calcium stearate, gelatin, ethyl cellulose, mineral oil, propylene glycol, glycerin, and the like, may be included in proportions commonly used in preparing tablets of this nature.
- compositions are produced in the form of suspensions or solutions in an oleaginous material, there are available various substances which may be used for this purpose.
- Corn oil or other suitable oil is used with advantage.
- An adjuvant which is a member or: the group consisting of para-(benzylsulfamyl) -benzoic acid having the formula zylsulfamyl) -benzoic acid having the formula 10 I QCHPNH-SOq-OG 0 OH and its non-toxic, Water-soluble salts, the quantity of adjuvant and penicillin in the composi- 15 tion being in the ratio of 0.5 gram of adjuvant to from 25,000 to 200,000 units of penicillin.
- Soc-H00 "Activity of Penicillin Combined With Other Anti-Streptococcal Agents, Archives Biochemistry, September 1944, pages 99 to 106.
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- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Description
Patented Aug. 26, 1952 N'-'BENZYL SULFAMYL BENZOIC ACID J ames sprague -Drexel Hill, Par, .assignor .to Sharp 8; Dohme Incorporated, Philadelphia; 1 Pan at-zcorporationlof Maryland.
N'o" Drawing." Original application-August '20,
1949;"Sria1No. 111,585. Divided and this ap-- plication June .15.,2'1950, Serial No. 168,542
2 Claims. (01. 167-55) This .inventiomvrelates to a a, sulfamylbenzoic acid. whichis veffective --as an adjuvant for use in conjunctionwith the aadministrationzof penicillin, tonprovidean increase-in theblood plasmapenicillinzconcentration with, a given dose-of penicillinwthereby- :making 3 possible very high penicillin l blood levels ors permitting the useiof smaller-v. quantities, of -lpenicillin rfor providing a given, blood level; ornpermittingi the. less frequent. adv ministration, of penicillin ,while maintaining a h periicillinebloodfi level adequate for bactericidal on lbacteriostatic purposes. This invention .also relatestothe preparation-f various dosage forms? in'xwhich.thistnewtcompoundlis, incorporated for,
administration bygvarioush routes. in
Penicillin today :is ea swells established thera peutic agentused-in A the treatment: of bacterial,-.
in pacticulan coccus infections; For: internal use,
it is commonly administered intravenously, orin-, tramusoularly, or-oral1y.- Where high blood levels are-required intravenousadministration or radministration by continuous venoclysis, is used The major cause ofl-thev-diffioulties :involved in attempting tol-maintain-iadequate orhigh penicilling blood levels, lfollows from the fact that subofy ther-tuhules ati least within plasma concentrations whi'chl have been explored, with the a result. that its r-rate of excretion a from, the blood stream is approximately five times that oft-materials.
which are excreted by glomerular filtration alone,
then-tubular. exoretionaaccounting "for about 80 (c tizens thesglomeruli. about 201 (1,9) 1
Various ,proposals: have'been made to overcome the ,difliculties due :-to-: the rapid-elimination oi longing-the timeaintervalbetween injections; its disadvantage -.is -than the-K penicillin :is still excreted. almost-quantitatively when the blood" passes ithrough the renal system i and, therefore, T does not permit, the:- maintenance of high blood levelslnor. does it permit the use of smaller quantities of penicillin to-obtaina given blood level.
The second proposaltwhich-has been madeto provide for the reductionin the-rate of excretion of penicillin has been totuse ,';in [com unctionwith its a material which -ilihe rpenicillin; i s: selectively .25 stantially alllpfithevzpenicillin inlthe blood=is:re-,- moved in 'asingle circulation. through: the kidneys. Penicillin appears to, be almost quantitatively; excreted fromtthe blood byithe epithelial cells excreted-by the tubulesi; By: havingrthecratio of- 2:1 large; this concept provides for a substantlalqre-w ducti-on-in the rate of excretion ofpenicilliniby-y the tubules andthuslslows down its -removalatoi a substantial extent. Various agents including; diodrast' and hippuric acid,- or derivatives or PIG-z cursors' thereof, have been: proposedaor usedfor this purpose. Such agents do not, however seem. to ;afiord*a solutionrtozthe problem Off value except 111i extreme cases, becauseasthezreductioni in the rate of penicillin excretion. is azreflectiona. of: the degree of overloading of "the tubules with; materials which: they function toremove-Hiram; the blood; it is necessary to maintain a very rhig-hl-sconcentration 01113118 agent -in the blood stream to ,afiord' a favorable partitioni ratio between: the! agent and the penicillin and, in'sadditionybecauset the agents. are themselves rapidly removedimm. the blood stream, it is-necessary to administer: them in large quantitiesto maintain the inecesi-x sar-y ghigh plasma concentrationsiv This :presentsi an" additional problem since in .order' -to main-- tain the high concentration ofthese agents-they must be administered intravenouslyas r-theyl -arei not well absorbed from lthe gastric-intestinal tractor e Thelpresent invention; is-:based upon .thewdisecovery that removal .of. penicillin from.-the .blood;' streamby the kidney tubules can be effectively blocked by the newadjuvant of this invention, carboxyphenylsulfonamidoephenyl-methane,inane;
other name for .it being-para:(benzylsulfamyLl-} benzoic acid, having the generalformulm and its salts; Theinvention also contempl'fites the possibility of- -adding 1 a 'nitro "or" 'an r amino group to-the para-position of -the ben zyl radical of this compound. The benzylsulfamyl benzoio acid of this'inVen-" tion is relatively non-toxic, it is soluble inibloodl plasma and operates, when carried :by the :blood: stream into contact withthe tubules;:ftowpre-e vent their normalraction in removinglpenic'illin from the blood stream. Thevadjuvant itself; not excreted to any substantial extent iby' f th'e'." tubules, andthe available evidence indicatestliat. oncoming into contactswith the"epitheliala:cellse of the tubules, "it operates to:block"*theirsractioni by interference-with the normal func'tioningajof the epithelial cells and does not inhibit the I ex-i cretion of" the penicillin by" competing Jvvithz.v ti within the tubular functional-i capacitw i the iadjuvantis eflective inz'eliminating'r orclv radically?" reducing; tubulan Iexcretiont: ofipeni'ctl'z 3 lin in plasma concentrations around mg. per 100 00., which is about the threshold value for agents such as p-aminohippuric acid or diodrast which inhibit tubular penicillin excretion by competition for the available tubular excretion capacity. The highly effective adjuvant of this invention will reduce the excretion of penicillin by the tubules, at a blood plasma concentration of about 10 mg. per 100 cc. to almost zero, so that the actual elimination of penicillin from the blood stream becomes substantially that resulting from glomerular filtration, that is, about onefifth the normal rate (ignoring plasma binding). The adjuvant is eliminated by the glomeruli.
The adjuvant can'be administered orally or, when dissolved in an aqueous solution, it can be administered intravenously or intramuscularly. This last method has not yet proven desirable for single injection of the material, because in general, administration of more than 2 cc.-per single injection intramuscularly is inadvisable, and the quantities of adjuvant desirable to use, i.'e., 4 to 16 grams per day, are such as to make injection by this route impractical. However,'the benzylsulfamylbenzoic acid or its salts are well adapted for continuous intramuscular or subcutaneous clysis.
In general, oral administration of the adjuvant at the rate of 4 to 1.6 grams per day is adequate to suppress the rate of penicillin excretion to an extent such that the blood level with a givendose of penicillin administered orally or intramuscularly in aqueous solution will be increased to as much as four times the level obtain d without the use of the adjuvant, and will permit either the use of a very much smaller quantity of penicillin to provide a given blood level, for'example, permitting the penicillin doses to beabout one-fourth of those commonly used, or permitting the provision of penicillin blood levels several times as great as those obtainable with the administration of penicillin by the routes ordinarily used today.
The adjuvant of the invention or a suitable salt of it can be administered in admixture with the levels of about 4 to 16 grams per day orally and somewhat less than this intravenously.
The adjuvant can be prepared in any convenient dosage form, either alone or admixed with penicillin, such as in a compressed tablet, a dry filled capsule or a soft elastic capsule. It is to be. understood, of course, that other ingredients, such as binders, diluents, excipients, antacid substances, or other inert or therapeutically active compounds may be incorporated into any selected dosage form along with the adjuvant or adjuvantplus penicillin, provided the added ingredient does not destroy the activity of either the adjuvant or penicillin. Similarly, the adjuvant' and, if desired, the penicillin can be dispersed in an oleaginous base either alone or along with other suitable substances and filled into soft elastic capsules or an aqueous solution may be prepared and filled into ampuls. Other suitable dosage forms will be readily apparent to those skilledzinthe art, and it is notthe pur-.
pose of this discussion to limit the mode of packaging or administration to those specifically described herein.
Para-(benzylsulfamyl)-benzoic acid is preferably prepared by reacting para-cyanobenzenesulfonyl chloride with benzylamine in the-presence of an inert solvent, such as pyridine. The resulting N-benzyl-para-cyanobenzenesulfonamide is converted by the action of hot, anhydrous alcoholic hydrochloric acid to para-(benzylsulfamyD-benzamide. The benzamide is then converted to the corresponding para-(benzylsulfamyl) -benzoic acid in good yield upon refluxing with 10% sodium hydroxide.
The preparation of this compound is illustrated by, but not restricted to, the following example:
Example I .-Pam (benzylsulfamyl) benzoic acid.19.1 g. of benzylamine were dissolved in cc. dry pyridine and 30 g. of 4-cyanobenzenesulfonylchloride added in portions with shaking. Considerable heat was evolved during the addition and the mixture was finally warmed gently on; a hot plate for 45 minutes.
filtered, washed and dried. 30 g. of this were suspended in 350 cc. of anhydrous alcohol partially saturated with dry HCl. The mixture was gently refluxed for one hour while a steady stream of' dry HCl was bubbled into the mixture. Solution was complete. The alcohol was removed under reduced pressure and the residue dissolved in 200 cc. 10% sodium hydroxide solution. The solution was treated with charcoal and the product precipitated by acidifying with hydrochloric acid, giving para-(benzylsulfamyl)-benzamide.' .29 g. of this were dissolved in 250 00.40% NaOH and the solution refluxed gently for 1% hours during which time ammonia gas was evolved. The hot solution was treated with charcoal, cooled and acidified with hydrochloric acid, giving para- (benzylsulfamyl) -benzoic acid which was filtered washed and dried. Purification was efiected by precipitation from sodium bicarbonate solution with hydrochloric acid, and 'recrystallizations from 75% and anhydrous alcohol solutions; The thuspurified product melted at 238-239 vC.
The invention is further illustrated by, but not restricted to, the following various dosage forms of different compositions for administraion by various routes.
Example a.Compressed tablet.10,000 grams of lactose and 100,000 grams of the adjuvant,
para-(benzylsulfamyl)-benzoic acid, are uniformly mixed and wetted with sufiicient water to permit its ready granulation. 2,000 grams of dried cornstarch, 500'grams of karaya gum powder, 2,500 grams of talc, and 1,000 grams of I calcium stearate are intimately mixed and then mixed together uniformly with the 110,000 grams of the mixture of the granulated adjuvant and lactose. The final mixture is then tableted (u sing inch die standard curvature punches) yield mg 200,000 tablets of 0.58 gram each, and ease containing 0.5 gram of the adjuvant.
Measured amounts of the composition of ample a, or merely the adjuvant alone, can be filled into hard gelatin, telescopic Capsme e m holding 0.5 gram of adjuvant.
After standing overnight, the mixture was poured into 500 cc. dilute hydrochloric acid and the oily precipitate which formed was worked until it solidified. The N-benzyl-4-cyanobenzenesulfonamide was then aeosgum:
gram of the pendedfingvery nearly lit'er'siot 'distilledlwater. nd l3? 3 r, 2 o Sod hrd xl d a e d ed to"he1p in thedissolution of theadjuvant.' .1390
r W monopotassium phosphate are added andlil tilledflwater added to" makethegvolumeof. some ,up macliters mime assume), 5 The en. fil di ntdampulsforfi cc."liquid hich" are theni flame l efd "and ample 33l 5-"grams oi'sodiumipenicillim(1630 units per mg?) 2625grams' dried "cornstarch? 500 grams karaya gum powder, 2500 grams talc and 1,000 grams calcium stearate are mixed together in an atmosphere controlled at relative humidity at 21 C., and then under the same conditions mixed with the granulation of the adjuvant and the lactose and tableted with the same die as in Example (1. yielding 200,000 tablets weighing 0.6 gram and each containing 0.5 gram of adjuva)nt and 25,000 units penicillin (plus 10% excess Example d.-Dry filled capsule with penicillin. Under atmosphere controlled as in Example 0, 25 kilos of the adjuvant, para-(benzylsulfamyl) benzoic acid, 850 grams of crystalline penicillin sodium (as used above), and 150 grams of dried cornstarch are intimately and uniformly mixed, and the mixture filled into capsules, yielding 50,- 000 capsules, each holding 0.52 gram of mixture containing 0.5 gram of adjuvant and 25,000 units penicillin (plus 10% excess).
Example e.Soft elastic capsule with penicillin-Under atmosphere controlled as in Example 0, 1.69 kilos of the same crystalline penicillin sodium are homogeneously dispersed in 48.31 kilos of corn oil and 50 kilos of the 'adjuvant, para- (benzylsulfarnyl) -benzoic acid, similarly dispersed in the oil, and the resulting composition encapsulated in known manner in soft, elastic, sheet gelatin, hermetically sealed capsules, yielding 100,000 capsules, each holding one gram net of the composition and containing 0.5 gram of adjuvant with 25,000 units penicillin (plus 10% excess).
Example f.--FZame-sealed ampul filled with 1761L'L'CZ Zlfl7L.l2.5 kilos of the adjuvant, para- (benzylsulfamyD-benzoic acid, are stirred into very nearly liters of sterile, pyrogen-free, distilled water and 1716.6 grams of sodium hydroxide are added to aid in the dissolution of the ad- .juvant. Then 390 grams of monopotassium phosphate are added and, under atmosphere conditions as in Example 0, 169 grams of the same crystalline penicillin sodium are added and stirred into solution and suilicient water added to bring the total volume of solution to 30 liters.
12 cc. of this solution are then filled into each pounds?p essure ror.-20?minutes the adjuvant,'paraflbenzylsulfamyll benzoic ,acid, and granulated "as in.1Ex-
removedri iro'muthe apparatus andutha extension of the glass neck beyond the topsofiutherstoppersf is fiame-sealed-.- The contents of the flame-sealed ampul-vial is then restoredwith sterile, pyrogenfree, distilled water shortly before the-product is to be used. When'thusrestored'to 2 ll cc. liquid: volume, the-resulting solution is bufiered at pH 7.4 'and contains 100,000 units penicillin (plus. the:
10% excess.) and 25%of the adjuvant;
Example g.-Ampul oil suspension with :peni
sion of the white wax; While this mixtureis still;
suflicientlydiquid; and under atmosphere condi' tions'asjinExamplec, 10 kilos of the ;adjuvant," para-lbenzylsulfamyl)#benzoic acid; and" 1873' grams of-calcium penicillin (734 units/mg.) are added and the mixture stirred to homogeneity. Each cc. of the resulting oil suspension contains 25,000 units of penicillin (plus 10% excess) and 0.2 gram of adiuvant. It is put up in flame-sealed ampuls containing suitable volume of the suspension which is as stable as the ordinary penicillin in peanut oil preparation.
In those compositions containing penicillin, it is advisable, in accordance with customary practice, to include an excess of the penicillin, for example, a ten per cent excess over the labelclaimed quantity in accordance with present practice. An excess of penicillin introduces no dinicutly save its cost. The penicillin used may be any of the forms available for use, such as the calcium, sodium, potassium, procaine, and. the like salts of amorphous or crystalline penicillin.
The quantity per dose of adjuvant and penicillin will depend upon the blood level and duration of action required for the particular condition encountered in each case. An advantageous ratio of adjuvant to penicillin per tablet or capsule is about one-half gram of the selected adjuvant to 25,000 to 200,000 units of penicillin.
The compositions of the invention can also include an antacid material, such as aluminum hydroxide, magnesium trisilicate, trisodium citrate, calcium carbonate, magnesium oxide, or other antacid substances suitable for administration for the purpose of neutralizing gastric acidity. The amount of antacid material is liimted only to that which is desirable to use in connection with penicillin or which can be physically incorporated in a tablet or capsule of suitable size for administration.
As to binders and lubricants used in making the tablets, such materials as lactose, corn starch, gum karaya, talc, calcium stearate, gelatin, ethyl cellulose, mineral oil, propylene glycol, glycerin, and the like, may be included in proportions commonly used in preparing tablets of this nature.
If the compositions are produced in the form of suspensions or solutions in an oleaginous material, there are available various substances which may be used for this purpose. Corn oil or other suitable oil is used with advantage.
This application is a division of my joint application with Charles S. Miller, Serial No. 111,585, filed August 20, 1949, now abandoned; which application in turn was in part a continuation of my then copending joint application with Karl H. Beyer, Jr., Serial No. 695,040, filed September 5, 1946, now abandoned. l
Having now particularly described the invention, what is claimed is:
1. An adjuvant Which is a member or: the group consisting of para-(benzylsulfamyl) -benzoic acid having the formula zylsulfamyl) -benzoic acid having the formula 10 I QCHPNH-SOq-OG 0 OH and its non-toxic, Water-soluble salts, the quantity of adjuvant and penicillin in the composi- 15 tion being in the ratio of 0.5 gram of adjuvant to from 25,000 to 200,000 units of penicillin.
JAMES M.-SPRAGUE.
REFERENCES CITED The following references are of record in the file of this patent:
Reid, "Prolongation of Penicillin Activity With Penicillinase-Inhibiting Compounds," Proc. Soc. Exptl. B101. and Med., November 1946, pages 438 to 443.
Soc-H00, "Activity of Penicillin Combined With Other Anti-Streptococcal Agents, Archives Biochemistry, September 1944, pages 99 to 106.
Meads, Caronamide and Penicillin," J. Am. Med. Assoc., Nov. 20, 1948, pages 8'74 to 877.
Pratt et al., Antibiotics, Lippincott Co., 1949, pages 112 to 116. (Book in Division 43.)
Steinkopf et al., Chem. Abstracts, volume 21, page 3604 (1927).
Gilman et al., J. Am. Chem. 800., volume 69, column 1537-8 (1947). (Copies in Sci. Library.)
Claims (1)
- 2. A COMPOSITION SUITABLE FOR THERAPEUTIC USE, COMPRISING PENICILLIN AND AN ADJUVANT WHICH IS A MEMBER OF THE GROUP CONSISTING OF PARA-(BENXYLSULFAMYL)-BENZOIC ACID HAVING THE FORMULA
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US168542A US2608510A (en) | 1949-08-20 | 1950-06-15 | N-benzylsulfamyl benzoic acid |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11158549A | 1949-08-20 | 1949-08-20 | |
| US168542A US2608510A (en) | 1949-08-20 | 1950-06-15 | N-benzylsulfamyl benzoic acid |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US2608510A true US2608510A (en) | 1952-08-26 |
Family
ID=26809050
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US168542A Expired - Lifetime US2608510A (en) | 1949-08-20 | 1950-06-15 | N-benzylsulfamyl benzoic acid |
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| Country | Link |
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| US (1) | US2608510A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2805250A (en) * | 1954-07-15 | 1957-09-03 | Cassella Farbwerke Mainkur Ag | Nu-nu-dibenzylsulfamyl benzoic acid |
-
1950
- 1950-06-15 US US168542A patent/US2608510A/en not_active Expired - Lifetime
Non-Patent Citations (1)
| Title |
|---|
| None * |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2805250A (en) * | 1954-07-15 | 1957-09-03 | Cassella Farbwerke Mainkur Ag | Nu-nu-dibenzylsulfamyl benzoic acid |
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