Alpha ketoamide compounds as cysteine protease inhibitors

1. A pharmaceutical composition comprising a compound having the following structure:

wherein R 5 is —(alkylene)-SO 2 -R 9 and R 9 is alkyl;

wherein R 6 is trifluoromethyl or difluoromethyl;

R 7 is hydrogen; and

R 8 is 4-fluorophenyl, 2,3-, 2,4-, 2,5-, 2,6-, 3,4, or 3,5-difluorophenyl;

or a pharmaceutically acceptable salt thereof in admixture with one or more suitable excipients.

2. The pharmaceutical composition of claim 1 ,

wherein R 5 is methylsulfonylmethyl, ethylsulfonylmethyl, propyl-1-sulfonylmethyl, 2-methylpropylsulfonyl-methyl, 2-methylsulfonylethyl, or 2-ethylsulfonylethyl.

3. The pharmaceutical composition of claim 2 wherein the compound has the following structure:

4. A pharmaceutical composition of claims 1 - 2 , comprising 0.01% w to 90% w of active ingredient with the remainder being the excipient.

5. A pharmaceutical composition of claims 1 - 2 , comprising 5% w to 50% w of active ingredient with the remainder being the excipient.

6. An oral formulation of a pharmaceutical composition of claims 1 - 2 , comprising a compound having the following structure:

10-100

mg;

Citric Acid Monohydrate

105

mg;

Sodium Hydroxide

18

mg;

Flavoring; and Water

q.s. to 100

mL.

7. An intravenous formulation of a pharmaceutical composition of claims 1 - 2 , comprising a compound having the following structure:

0.1-10

mg;

Dextrose Monohydrate

q.s. to make isotonic;

Citric Acid Monohydrate

1.05

mg;

Sodium Hydroxide

0.18

mg; and

Water for Injection

q.s. to 1.0

mL.

8. A tablet foimulation of a pharmaceutical composition of claims 1 - 2 , comprising a compound having the following structure:

1

%;

Microcrysalline Cellulose

73

%;

Stearic Acid

25

%; and

Colloidal Silica

1

%.

9. The composition of claims 1 - 2 , wherein the pharmaceutically acceptable salt comprises hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, acetic acid, propionic acid, hexanoic acid, heptanoic acid, cyclopentanepropionic acid, glycolic acid, pyruvic acid, lactic acid, malonic acid, succinic acid, malic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, o-(4-hydroxybenzoyl) benzoic acid, cinnamic acid, mandelic acid, methylsulfonic acid, ethanesulfonic acid, 1,2-ethanedisulfonic acid, 2-hydroxy-ethanesulfonic acid, benzenesulfonic acid, p-chlorobenzenesulfonic acid, 2-naphthalenesulfonic acid, p-toluenesulfonic acid, camphorsulfonic acid, 4-methylbicyclo[2.2.2]oct-2-ene-l-carboxylic acid, glucoheptonic acid, 4,4′-methylenebis (3-hydroxy-2-ene-l-carboxylic acid), 3-phenylpropionic acid, trimethylacetic acid, tertiary butylacetic acid, lauryl sulfuric acid, gluconic acid, glutamic acid, hydroxynaphthoic acid, salicylic acid, stearic acid, muconic acid, sodium hydroxide, sodium carbonate, potassium hydroxide, aluminum hydroxide and calcium hydroxide, ethanolamine, diethanolamine, triethanolamine, tromethamine, or N-methylglucamine.

10. The composition of claims 1 - 2 , wherein the excipient is selected from the group consisting of starch, cellulose, talc, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, magnesium stearate, sodium stearate, glycerol monostearate, sodium chloride, dried skim milk, water, ethanol, glycerol, propylene glycol, petroleum oil, animal oil, vegetable oil, peanut oil, soybean oil, mineral oil, sesame oil, saline, aqueous dextrose, and glycols.

11. A method of treating a disease in an animal mediated by Cathepsin S comprising administering to the animal a composition of claim 1 ; wherein the disease is selected from the group consisting of rheumatoid arthritis, multiple sclerosis, myasthenia gravis, psoriasis, pemphigus vulgaris, Graves' disease, systemic lupus erythemotasus, asthma, pain, and atherosclerosis.

12. A method of treating a patient undergoing a therapy wherein the therapy causes a deleterious immune response in the patient comprising administering to the patient a composition of claim 1 ;

wherein the deleterious immune response is selected from the group consisting of the production of human antimouse antibodies, the production of Factor VIII antibodies, an immunogenic response to adenoviral vectors, an immune response to therapy with recombinant human erythropoietin, and the production of neutralizing antibodies against a human antibody therapeutic.

13. A method of treating psoriasis comprising administering to the patient a composition of claim 1 .

14. The method of claim 13 , comprising administering a therapeutically effective amount of the composition.

15. The method of claim 14 , wherein the therapeutically effective amount is in the range from about 10 micrograms per kilogram body weight (μg/kg) per day to about 100 milligrams per kilogram body weight (μg/kg).