Prodrugs of Ribavirin with Improved Hepatic Delivery
The present invention relates ribavirin delivery systems and more specifically to compositions that comprise amino acids, as single amino acids or peptides, covalently attached to ribavarin and methods for administering conjugated ribavirin compositions.
1 . A compound having the formula:
wherein each of A, B, C and D is independently an amino acid, a peptide, a glycopeptide or hydrogen; with the proviso that A, B, C and D are not all simultaneously hydrogen H.
2 - 3 . (canceled)
4 . The compound of claim 1 , wherein A is a peptide selected from a dipeptide, a tripeptide, a tetrapeptide and a pentapeptide.
5 - 6 . (canceled)
7 . The compound of claim 1 , wherein at least one of A, B, C and D is a glycopeptide in which the carbohydrate is attached to the N-terminus of the peptide.
8 . The compound of claim 1 , wherein at least one of A, B, C and D is a glycopeptide in which the carbohydrate is attached to a side-chain of the peptide.
9 . The compound of claim 1 , wherein A is a peptide selected from Ala-Ile-, Ala-Pro-, Asp-Asp-, D-Lys-Lys-, D-Phe-Pro-, Gal-Gly-Gly-, Gal-Pro-Phe-, Glu-Glu-, Gly-Gly-, Gly-Leu-, Leu-Leu-, Leu-Phe-, Leu-Pro-, Lys-Lys-, Phe-Ala-, Phe-Gly-, Phe-Leu-, Phe-Phe-, Phe-Pro-, Phe-, Pro-Ile-, Pro-Phe-, Pro-Pro-, Val-Pro-, and Val-Val-.
10 . The compound of claim 1 , wherein the compound exhibits lower toxicity relative to the compound wherein A, B and C are hydrogen atoms.
11 . (canceled)
12 . The compound of claim 1 , wherein the compound is stable during the digestion process, survives absorption into circulation, and reaches the liver intact.
13 . The compound of claim 1 , wherein the total average bioavailability in a human is greater than 64 percent.
14 . (canceled)
15 . A method of treating a viral infection in a patient comprising administering to said patient a therapeutically effective amount of a compound having the formula:
wherein each of A, B, C and D is independently an amino acid, a peptide, a glycopeptide or hydrogen; with the proviso that A, B, C and D are not all simultaneously hydrogen.
16 . The method of claim 15 , wherein the compound is administered orally.
17 . The method of claim 15 , wherein said viral infection is an infection of hepatitis C virus, infant respiratory syncytial virus, influenza A virus, influenza B virus, hepatitis A virus, hepatitis B virus, Lassa fever virus, Hantaan virus, or the respiratory virus that causes SARS.
18 . The method of claim 17 , wherein the patient has been infected with hepatitis C virus.
19 . A pharmaceutical composition comprising a compound having the formula:
wherein each of A, B, C and D is independently an amino acid, a peptide, a glycopeptide or hydrogen; with the proviso that A, B, C and D are not all simultaneously hydrogen, and a pharmaceutically acceptable excipient.
20 . (canceled)
21 . The pharmaceutical composition of claim 19 which is in a form suitable for oral administration.
22 . (canceled)
23 . The method of claim 15 , further comprising co-administering the compound with interferon.
24 . The method of claim 23 , wherein the interferon is selected from interferon alpha-2a, interferon alpha-2b, peginterferon alpha-2a and peginterferon alpha-2b.
25 - 27 . (canceled)