Cysteine protease inhibitors for the treatment of parasitic diseases
View Patent ↗Several parasites responsible for mammalian diseases are dependent on cysteine protease for various life-cycle functions. Inhibition or decreasing function of these proteases can be useful in the treatment and/or prevention of these parasitic diseases including; toxoplasmosis, malaria, African trypanosomiasis, Chagas disease, leishmaniasis, schistosomiasis, amebiasis, giardiasis, clonorchiasis, opisthorchiasis, paragonimiasis, fasciolopsiasis, lymphatic filariasis, onchocerciasis, dracunculiasis, ascariasis , trichuriasis, stronglyoidiasis, trichostrongyliasis, trichomoniasis or cestodiasis.
1. A compound of the following formula:
or a pharmaceutically acceptable salt or stereoisomer thereof.
2. A pharmaceutical composition comprising a compound according to claim 1 and a pharmaceutically acceptable carrier.
3. A pharmaceutical composition of claim 2 further comprising another agent selected from the group consisting of: nifurtimox, benznidazole, allopurinol, terbinafine, lovastatin, ketoconazole, itraconazole, posaconazole, miltefosine, ilmofosine, pamidronate, alendronate, risedronate, chloroquine, proguanil, mefloquine, quinine, pyrimethamine-sulphadoxine, doxocycline, berberine, halofantrine, primaquine, atovaquone, pyrimethamine-dapsone, artemisinin, quinhaosu meglumine antimonite, sodium stibogluconate, amphotericin B, praziquantel, oxamniquine, pentamidine, melarsoprol, suramin and eflornithine and the pharmaceutically acceptable salts and mixtures thereof.
4. A method of treating a patient having a parasitic disease comprising administering to the patent in need thereof a composition comprising a compound of claim 1 , wherein the parasitic disease is selected from the group consisting of toxoplasmosis, malaria, African trypanosomiasis, Chagas disease, leishmaniasis, schistosomiasis, amebiasis, giardiasis, clonorchiasis, opisthorchiasis, paragonimiasis, fasciolopsiasis, lymphatic filariasis, onchocerciasis, dracunculiasis, ascariasis , trichuriasis, stronglyoidiasis, trichostrongyliasis, trichomoniasis and cestodiasis.
5. The method of claim 4 wherein the parasitic disease is Chagas disease.
6. The method of claim 4 , wherein the composition further comprises a second agent selected from the group consisting of: nifurtimox, benznidazole, allopurinol, terbinafine, lovastatin, ketoconazole, itraconazole, posaconazole, miltefosine, ilmofosine, pamidronate, alendronate, risedronate, chloroquine, proguanil, mefloquine, quinine, pyrimethamine-sulphadoxine, doxocycline, berberine, halofantrine, primaquine, atovaquone, pyrimethamine-dapsone, artemisinin, quinhaosu, meglumine antimonite, sodium stibogluconate, amphotericin B, praziquantel, oxamniquine, pentamidine, melarsoprol, suramin and eflornithine and the pharmaceutically acceptable salts and mixtures thereof.
7. A compound of the formula selected from the following:
or a pharmaceutically acceptable salt or stereoisomer thereof.
8. A pharmaceutical composition comprising a compound according to claim 7 and a pharmaceutically acceptable carrier.
9. A pharmaceutical composition of claim 8 further comprising another agent selected from the group consisting of: nifurtimox, benznidazole, allopurinol, terbinafine, lovastatin, ketoconazole, itraconazole, posaconazole, miltefosine, ilmofosine, pamidronate, alendronate, risedronate, chloroquine, proguanil, mefloquine, quinine, pyrimethamine-sulphadoxine, doxocycline, berberine, halofantrine, primaquine, atovaquone, pyrimethamine-dapsone, artemisinin, quinhaosu meglumine antimonite, sodium stibogluconate, amphotericin B, praziquantel, oxamniquine, pentamidine, melarsoprol, suramin and eflornithine and the pharmaceutically acceptable salts and mixtures thereof.
10. A method of treating a patient having a parasitic disease comprising administering to the patent in need thereof a composition comprising a compound of claim 7 , wherein the parasitic disease is selected from the group consisting of toxoplasmosis, malaria, African trypanosomiasis, Chagas disease, leishmaniasis, schistosomiasis, amebiasis, giardiasis, clonorchiasis, opisthorchiasis, paragonimiasis, fasciolopsiasis, lymphatic filariasis, onchocerciasis, dracunculiasis, ascariasis , trichuriasis, stronglyoidiasis, trichostrongyliasis, trichomoniasis and cestodiasis.
11. The method of claim 10 wherein the parasitic disease is Chagas disease.
12. The method of claim 11 , wherein the composition further comprises a second agent selected from the group consisting of: nifurtimox, benznidazole, allopurinol, terbinafine, lovastatin, ketoconazole, itraconazole, posaconazole, miltefosine, ilmofosine, pamidronate, alendronate, risedronate, chloroquine, proguanil, mefloquine, quinine, pyrimethamine-sulphadoxine, doxocycline, berberine, halofantrine, primaquine, atovaquone, pyrimethamine-dapsone, artemisinin, quinhaosu, meglumine antimonite, sodium stibogluconate, amphotericin B, praziquantel, oxamniquine, pentamidine, melarsoprol, suramin and eflornithine and the pharmaceutically acceptable salts and mixtures thereof.