Antifungal agents
The invention provides a pyrrole compound, which compound is (a) 2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)phenyl)-2-oxoacetamide or a deuterated derivative thereof, or (b) 2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)-3-hydroxyphenyl)-2-oxoacetamide or a deuterated derivative thereof, or (c) a prodrug of compound (a) or a prodrug of compound (b), or a pharmaceutically acceptable salt or agriculturally acceptable salt of (a), (b) or (c). Also provided are combinations and compositions comprising the compound and known antifungal agents. The invention also relates to the therapeutic use of a compound of the invention in prevention or treatment of fungal diseases. It also relates to the use of: 2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)phenyl)-2-oxoacetamide or an agriculturally acceptable salt thereof, or 2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)-3-hydroxyphenyl)-2-oxoacetamide or an agriculturally acceptable salt thereof, as an agricultural fungicide.
1.
2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)phenyl)-2-oxoacetamide, or
a pharmaceutically acceptable salt thereof.
2. A pharmaceutical composition comprising 2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)phenyl)-2-oxoacetamide, or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable carriers and/or excipients.
3. A pharmaceutical combination comprising:
(i) 2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)phenyl)-2-oxoacetamide, or a pharmaceutically acceptable salt thereof; and
(ii) a second antifungal agent.
4. The pharmaceutical combination according to claim 3 , wherein components (i) and (ii) are formulated for simultaneous administration.
5. The pharmaceutical combination according to claim 3 , wherein the second antifungal agent is selected from the group consisting of azoles, polyenes, purine nucleotide inhibitors, pyrimidine nucleotide inhibitors, mannan inhibitors, protein elongation factor inhibitors, echinocandins, allylamines, anti-HSP90 antibodies, bactericidal/permeability inducing protein products, polyoxins, 5-fluoro-1,3-dihydro-1-hydroxy-2,1-benzoxaborale, 5-chloro-1,3-dihydro-1-hydroxy-2,1-benzoxaborale, icofungipen, VT116 and SCY078.
6. The pharmaceutical combination according to claim 5 , wherein the second antifungal agent is (a.i) an azole selected from the group consisting of clotrimazole, econazole, bifonazole, butoconazole, fenticonazole, fluconazole, isoconazole, itraconazole, ketoconazole, miconazole, oxiconazole, sertaconazole, sulconazole, tioconazole, isavuconazole, ravuconazole, posaconazole, terconazole and voriconazole; (a.ii) an echinocandin selected from the group consisting of anidulafungin, caspofungin and micafungin; (a.iii) an allylamine selected from the group consisting of terbinafine, butenafine, amorolfine and naftifine; (a.iv) a polyene selected from the group consisting of amphotericin B and nystatin; (a.v) a purine or pyrimidine nucleotide inhibitor which is flucytosine; (a.vi) a mannan inhibitor which is pradamicin; (a.vii) a protein elongation factor inhibitor selected from the group consisting of sordarin and analogues thereof; or (a.viii) a polyoxin which is nikkomycin Z.
7. The pharmaceutical composition according to claim 2 , further comprising a second antifungal agent.
8. A kit comprising, in admixture or in separate containers, 2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)phenyl)-2-oxoacetamide, or a pharmaceutically acceptable salt thereof, and a second antifungal agent.
9. A method of controlling a fungal disease in a plant, which method comprises applying to the locus of the plant:
2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)phenyl)-2-oxoacetamide, or an agriculturally acceptable salt thereof,
and optionally a second antifungal agent.
10. A method of treating fungal disease in a subject, which method comprises administering to said subject an effective amount of 2-(1,5-dimethyl-3-phenyl-1H-pyrrol-2-yl)-N-(4-(4-(5-fluoropyrimidin-2-yl)piperazin-1-yl)phenyl)-2-oxoacetamide, or a pharmaceutically acceptable salt thereof, or the pharmaceutical composition according to claim 2 .
11. The method according to claim 10 , wherein the fungal disease is caused by a fungal dermatophyte.
12. The method according to claim 10 , wherein the fungal disease is Allergic Bronchopulmonary Aspergillosis (ABPA).
13. The pharmaceutical combination according to claim 3 , wherein components (i) and (ii) are formulated for separate or successive administration.
14. The method according to claim 10 , further comprising administering a second antifungal agent.
15. The method according to claim 14 , wherein the fungal disease is caused by a fungal dermatophyte.
16. The method according to claim 14 , wherein the fungal disease is Allergic Bronchopulmonary Aspergillosis (ABPA).