Compounds and pharmaceutical compositions for the treatment of viral infections
View Patent ↗Provided herein are compounds, compositions and methods for the treatment of liver disorder, including HCV and/or HBV infections. Specifically, compound and compositions of nucleoside derivatives are disclosed, which can be administered either alone or in combination with other anti-viral agents.
1. A compound of the formula:
or a pharmaceutically acceptable salt, a stereoisomeric, or tautomeric form thereof, wherein:
R y is alkyl, alkenyl, alkynyl, aryl, arylalkyl, cycloalkyl, cycloalkenyl, amino, heterocyclyl or heteroaryl;
R a and R b are selected as follows:
i) R a and R b are each independently hydrogen, alkyl, carboxyalkyl, hydroxyalkyl, hydroxyarylalkyl, acyloxyalkyl, aminocarbonylalkyl, alkoxycarbonylalkyl, aryl, arylalkyl, cycloalkyl, heteroaryl or heterocyclyl; or
ii) R a and R b together with the nitrogen atom on which they are substituted form a 3-7 membered heterocyclic or heteroaryl ring;
A is H, alkyl, alkenyl, alkynyl, azido, carboxylic acid, CO 2 -alkyl, cyano, or carboxamide; and
R L is independently H, carbamyl, alkyl; acyl; CO-alkyl, CO-aryl, CO-alkoxyalkyl, CO-aryloxyalkyl, CO-substituted aryl, alkylsulfonyl, arylsulfonyl, arylalkylsulfonyl, a lipid, an amino acid or a carbohydrate.
2. The compound of claim 1 , wherein R L is hydrogen, R y is optionally substituted alkyl and R a and R b are each independently hydrogen, optionally substituted alkyl or optionally substituted benzyl.
3. The compound of claim 1 , wherein R L is hydrogen; R y is hydroxyalkyl, aminoalkyl, hydroxyaryl or aminoaryl; and R a and R b are each independently hydrogen, alkyl, hydroxyalkyl or aminoalkyl.
4. The compound of claim 1 , wherein R L is hydrogen; R y is hydroxyalkyl, aminoalkyl, hydroxyaryl, aminoaryl; and R a and R b are each independently hydrogen, benzyl, hydroxybenzyl or aminobenzyl.
5. The compound of claim 1 , wherein R L is hydrogen, and R a and R b are independently substituted alkyl.
6. The compound of claim 1 , wherein R y is selected from the group consisting of alkyl and hydroxyalkyl.
7. The compound of claim 1 having the formula:
8. The compound of claim 1 having the formula:
wherein R b1 is halo, alkoxy or haloalkyl.
9. The compound of claim 8 having the formula:
10. A compound of the formula:
or a pharmaceutically acceptable salt, a stereoisomeric, or tautomeric form thereof.
11. The compound of claim 1 having the formula:
12. A method for the treatment of a host infected with a Flaviviridae virus or hepatitis B virus, comprising administering an effective treatment amount of a compound of claim 1 or 10 .
13. A method for the treatment of a host infected with a Flaviviridae virus or hepatitis B virus, comprising contacting a cell infected with the virus with a compound of claim 1 or 10 .
14. The method of claim 12 , wherein the virus is hepatitis C.
15. The method of claim 12 , wherein the host is a human.
16. The method of claim 12 , wherein the compound is
or a pharmaceutically acceptable salt or stereoisomer thereof.
17. The method of claim 12 , wherein the compound is
or a pharmaceutically acceptable salt or stereoisomer thereof.
18. The method of claim 12 , wherein said administration directs a substantial amount of said compound or pharmaceutically acceptable salt or stereoisomer thereof to the liver of said host.
19. The method of claim 12 , wherein said compound or pharmaceutically acceptable salt or stereoisomer thereof is administered in combination or alternation with a second anti-viral agent optionally selected from the group consisting of an interferon, ribavirin, an interleukin, a NS3 protease inhibitor, a cysteine protease inhibitor, a phenanthrenequinone, a thiazolidine derivative, a thiazolidine, a benzanilide, a helicase inhibitor, a polymerase inhibitor, a nucleotide analogue, a gliotoxin, a cerulenin, an antisense phosphorothioate oligodeoxynucleotide, an inhibitor of IRES-dependent translation, and a ribozyme.
20. The method of claim 19 , wherein the second agent is selected from the group consisting of pegylated interferon alpha 2a, interferon alphacon-1, natural interferon, albuferon, interferon beta-1a, omega interferon, interferon alpha, interferon gamma, interferon tau, interferon delta and interferon γ-1b.
21. The method of claim 19 , wherein said compound or pharmaceutically acceptable salt or stereoisomer thereof is administered in combination or alternation with ribavirin.
22. A pharmaceutical composition comprising a compound of claim 1 or 10 and a pharmaceutically acceptable excipient, carrier or diluent.
23. The composition of claim 22 , wherein the compound is
or a pharmaceutically acceptable salt or stereoisomer thereof.
24. The composition of claim 22 , wherein the compound is
or a pharmaceutically acceptable salt or stereoisomer thereof.
25. The composition of claim 23 , wherein the composition is an oral formulation.
26. The composition of claim 24 , wherein the composition is an oral formulation.
27. A compound of the formula:
or a pharmaceutically acceptable salt, a stereoisomeric or tautomeric form thereof, wherein:
R y is alkyl, alkenyl, alkynyl, aryl, aryl alkyl, cycloalkyl, cycloalkenyl, amino, aminoalkyl, hydroxyalkyl, heterocyclyl or heteroaryl, all optionally substituted;
R a and R b are selected as follows:
i) R a and R b are each independently hydrogen, alkyl, carboxyalkyl, hydroxyalkyl, hydroxyarylalkyl, acyloxyalkyl, aminocarbonylalkyl, alkoxycarbonylalkyl, aryl, aryl alkyl, cycloalkyl, aryl, heteroaryl or heterocyclyl, all optionally substituted; or
ii) R a and R b together with the nitrogen atom on which they are substituted form a 3-7 membered heterocyclic or heteroaryl ring; and
R L is independently H, carbamyl, alkyl; acyl; CO-alkyl, CO-aryl, CO-alkoxyalkyl, CO-aryloxyalkyl, CO-substituted aryl, alkylsulfonyl, arylsulfonyl, arylalkylsulfonyl, a lipid, an amino acid or a carbohydrate.
28. The compound of claim 27 , wherein:
R L is hydrogen;
R y is —OR c , —C(R c ) 3 or —NHR c ;
each R c is independently alkyl, substituted alkyl, aryl or substituted aryl, for instance hydroxy- or amino-substituted alkyl or aryl; and
R a and R b are independently hydrogen, alkyl, substituted alkyl, benzyl or substituted benzyl.
29. The compound of claim 28 , wherein R y is —C(CH 3 ) 2 CH 2 OH.