Prodrugs of HIV reverse transcriptase inhibitors
Compounds of Formula I are described: wherein R 1 and R 2 are defined herein. The compounds of Formula I are useful in the inhibition of HIV reverse transcriptase, the prophylaxis and treatment of infection by HIV, and the prophylaxis, delay in the onset or progression, and treatment of AIDS. The compounds can be employed as ingredients in pharmaceutical compositions, optionally in combination with other antivirals, immunomodulators, antibiotics or vaccines.
1. A compound of structural Formula I or a pharmaceutically acceptable salt thereof:
wherein R 1 is
R 2 is halo or —C 1-3 alkyl substituted with 1 to 3 of —F;
R 3 is (a) halo, (b) —C 1-3 alkyl substituted with 1 to 3 of —F, or (3) phenyl substituted with halo; and
R 4 is
2. The compound of claim 1 or a pharmaceutically acceptable salt thereof, wherein R 1 is
3. The compound of claim 1 or a pharmaceutically acceptable salt thereof, wherein R 1 is
4. The compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein R 2 is methyl substituted with 1, 2 or 3 of —F; or ethyl substituted with 1, 2 or 3 of —F.
5. The compound of claim 4 , or a pharmaceutically acceptable salt thereof, wherein R 2 is —CHF 2 , —CF 3 , or —CF 2 CH 3 .
6. The compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein R 3 is —F; —Cl; methyl substituted with 1, 2 or 3 of —F; ethyl substituted with 1, 2 or 3 of —F; or phenyl substituted with —F.
7. The compound of claim 6 , or a pharmaceutically acceptable salt thereof, wherein R 3 is —Cl, —CHF 2 , —CF 3 , —CF 2 CH 3 , or phenyl substituted with —F.
8. The compound of claim 1 , or a pharmaceutically acceptable salt thereof, wherein R 4 is:
wherein X + and X 2+ are positive counter-ions.
9. The compound of claim 1 that is:
1)
(5-((5-(3-chloro-5-cyanophenoxy)-4-(difluoromethyl)-6-oxopyrimidin-1(6H)-yl)methyl)-
3-(difluoromethyl)-6-oxopyridazin-1(6H)-yl)methyl dihydrogen phosphate;
2)
(3-chloro-5-((5-(3-chloro-5-cyanophenoxy)-4-(difluoromethyl)-6-oxopyrimidin-1(6H)-
yl)methyl)-6-oxopyridazin-1(6H)-yl)methyl dihydrogen phosphate;
3)
3-chloro-5-((5-(3-chloro-5-cyanophenoxy)-6-oxo-4-(trifluoromethyl)pyrimidin-1(6H)-
yl)methyl)-6-oxopyridazin-1(6H)-yl)methyl dihydrogen phosphate;
4)
(5-((5-(3-chloro-5-cyanophenoxy)-6-oxo-4-(trifluoromethyl)pyrimidin-1(6H)-yl)methyl)-
3-(difluoromethyl)-6-oxopyridazin-1(6H)-yl)methyl dihydrogen phosphate;
5)
(5-((5-(3-chloro-5-cyanophenoxy)-6-oxo-4-(trifluoromethyl)pyrimidin-1(6H)-yl)methyl)-
3-(1,1-difluoroethyl)-6-oxopyridazin-1(6H)-yl)methyl dihydrogen phosphate;
6)
(3-((5-(3-chloro-5-cyanophenoxy)-6-oxo-4-(trifluoromethyl)pyrimidin-1(6H)-yl)methyl)-
6-oxo-5-(trifluoromethyl)pyridazin-1(6H)-yl)methyl dihydrogen phosphate;
7)
(3-((5-(3-chloro-5-cyanophenoxy)-6-oxo-4-(trifluoromethyl)pyrimidin-1(6H)-yl)methyl)-
5-(4-fluorophenyl)-6-oxopyridazin-1(6H)-yl)methyl dihydrogen phosphate; or
8)
(5-((5-(3-chloro-5-cyanophenoxy)-4-(1,1-difluoroethyl)-6-oxopyrimidin-1(6H)-
yl)methyl)-3-(1,1-difluoroethyl)-6-oxopyridazin-1(6H)-yl)methyl dihydrogen
phosphate;
or a pharmaceutically acceptable salt thereof.
10. A pharmaceutical composition comprising an effective amount of the compound of claim 9 or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier.
11. The pharmaceutical composition of claim 10 , further comprising an effective amount of an anti-HIV agent selected from an HIV antiviral agent, an immunomodulator, or anti-infective agent.
12. The pharmaceutical composition of claim 10 , further comprising an effective amount of an HIV protease inhibitor, HIV reverse transcriptase inhibitor, HIV integrase inhibitor, HIV fusion inhibitor, HIV entry inhibitor, or HIV maturation inhibitor.
13. A method for the inhibition of HIV replication in a subject in need thereof, which comprises administering to the subject an effective amount of the compound of claim 1 or a pharmaceutically acceptable salt thereof.
14. A method for the treatment of infection by HIV or for the treatment or delay in the onset of AIDS in a subject in need thereof, which comprises administering to the subject an effective amount of the compound of claim 1 or a pharmaceutically acceptable salt thereof.
15. The method of claim 14 wherein the subject is human.
16. The method of claim 15 further comprising administering an effective amount of an anti-HIV agent selected from an HIV antiviral agent, an immunomodulator, or anti-infective agent.
17. The method of claim 15 further comprising administering an effective amount of an HIV protease inhibitor, HIV reverse transcriptase inhibitor, HIV integrase inhibitor, HIV fusion inhibitor, HIV entry inhibitor, or HIV maturation inhibitor.
18. The method of claim 15 further comprising administering an effective amount of one or more additional anti-HIV agents selected from: abacavir, abacavir sulfate, abacavir+lamivudine, abacavir+lamivudine+zidovudine, amprenavir, atazanavir, atazanavir sulfate, AZT, capravirine, darunavir, ddC, ddI, delavirdine, delavirdine mesylate, dolutegravir, doravirine, efavirenz, efavirenz+emtricitabine+tenofovir DF, 4′-ethynyl-2-fluoro-2′-deoxyadenosine, elvitegravir, emtricitabine, emtricitabine+tenofovir DF, emivirine, enfuvirtide, enteric coated didanosine, etravirine, fosamprenavir calcium, indinavir, indinavir sulfate, lamivudine, lamivudine+zidovudine, lopinavir, lopinavir+ritonavir, maraviroc, nelfinavir, nelfinavir mesylate, nevirapine, PPL-100, raltegravir, rilpivirine, ritonavir, saquinavir, saquinavir mesylate, stavudine, tipranavir and vicriviroc.
19. The pharmaceutical composition of claim 10 further comprising an effective amount of one or more additional anti-HIV agents selected from: abacavir, abacavir sulfate, abacavir+lamivudine, abacavir+lamivudine+zidovudine, amprenavir, atazanavir, atazanavir sulfate, AZT, capravirine, darunavir, ddC, ddI, delavirdine, delavirdine mesylate, dolutegravir, doravirine, efavirenz, efavirenz+emtricitabine+tenofovir DF, 4′-ethynyl-2-fluoro-2′-deoxyadenosine, elvitegravir, emtricitabine, emtricitabine+tenofovir DF, emivirine, enfuvirtide, enteric coated didanosine, etravirine, fosamprenavir calcium, indinavir, indinavir sulfate, lamivudine, lamivudine+zidovudine, lopinavir, lopinavir+ritonavir, maraviroc, nelfinavir, nelfinavir mesylate, nevirapine, PPL-100, raltegravir, rilpivirine, ritonavir, saquinavir, saquinavir mesylate, stavudine, tenofovir disoproxil fumarate, tenofovir hexadecyloxypropyl, tipranavir and vicriviroc.
20. The compound of claim 1 selected from:
or a pharmaceutically acceptable salt thereof.
21. A compound that is:
or a compound that is a pharmaceutically acceptable salt thereof.
22. The compound of claim 21 that is a pharmaceutically acceptable salt of:
23. The compound of claim 21 that is:
24. A pharmaceutical composition comprising an effective amount of the compound of claim 21 and a pharmaceutically acceptable carrier.
25. The pharmaceutical composition of claim 24 further comprising an effective amount of an anti-HIV agent selected from an HIV antiviral agent, an immunomodulator, or anti-infective agent.
26. The pharmaceutical composition of claim 24 further comprising an effective amount of an HIV protease inhibitor, HIV reverse transcriptase inhibitor, HIV integrase inhibitor, HIV fusion inhibitor, HIV entry inhibitor, or HIV maturation inhibitor.
27. The pharmaceutical composition of claim 24 further comprising an effective amount of one or more additional anti-HIV agents selected from: abacavir, abacavir sulfate, abacavir+lamivudine, abacavir+lamivudine+zidovudine, amprenavir, atazanavir, atazanavir sulfate, AZT, capravirine, darunavir, ddC, ddI, delavirdine, delavirdine mesylate, dolutegravir, doravirine, efavirenz, efavirenz+emtricitabine+tenofovir DF, 4′-ethynyl-2-fluoro-2′-deoxyadenosine, elvitegravir, emtricitabine, emtricitabine+tenofovir DF, emivirine, enfuvirtide, enteric coated didanosine, etravirine, fosamprenavir calcium, indinavir, indinavir sulfate, lamivudine, lamivudine+zidovudine, lopinavir, lopinavir+ritonavir, maraviroc, nelfinavir, nelfinavir mesylate, nevirapine, PPL-100, raltegravir, rilpivirine, ritonavir, saquinavir, saquinavir mesylate, stavudine, tenofovir disoproxil fumarate, tenofovir hexadecyloxypropyl, tipranavir and vicriviroc.
28. A method for the treatment of infection by HIV or for the treatment or delay in the onset of AIDS in a subject in need thereof, which comprises administering to the subject an effective amount of the compound of claim 21 .
29. The method of claim 28 wherein the subject is human.
30. The method of claim 29 further comprising administering an effective amount of an anti-HIV agent selected from an HIV antiviral agent, an immunomodulator, or anti-infective agent.
31. The method of claim 29 further comprising administering an effective amount of an HIV protease inhibitor, HIV reverse transcriptase inhibitor, HIV integrase inhibitor, HIV fusion inhibitor, HIV entry inhibitor, or HIV maturation inhibitor.
32. The method of claim 29 further comprising administering an effective amount of one or more additional anti-HIV agents selected from: abacavir, abacavir sulfate, abacavir+lamivudine, abacavir+lamivudine+zidovudine, amprenavir, atazanavir, atazanavir sulfate, AZT, capravirine, darunavir, ddC, ddI, delavirdine, delavirdine mesylate, dolutegravir, doravirine, efavirenz, efavirenz+emtricitabine+tenofovir DF, 4′-ethynyl-2-fluoro-2′-deoxyadenosine, elvitegravir, emtricitabine, emtricitabine+tenofovir DF, emivirine, enfuvirtide, enteric coated didanosine, etravirine, fosamprenavir calcium, indinavir, indinavir sulfate, lamivudine, lamivudine+zidovudine, lopinavir, lopinavir+ritonavir, maraviroc, nelfinavir, nelfinavir mesylate, nevirapine, PPL-100, raltegravir, rilpivirine, ritonavir, saquinavir, saquinavir mesylate, stavudine, tipranavir and vicriviroc.