US2003207859A1PendingUtilityA1

Novel substituted succinic acid metallo-beta-lactamase inhibitors and their use in treating bacterial infections

Priority: Oct 28, 1999Filed: Jan 9, 2003Published: Nov 6, 2003
Est. expiryOct 28, 2019(expired)· nominal 20-yr term from priority
C07D 405/06A61P 31/04C07C 59/64C07C 57/38C07D 249/08C07C 57/58C07D 409/06C07D 333/20C07D 307/91A61P 43/00C07C 69/734C07D 231/12C07C 69/612C07D 233/56
46
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Claims

Abstract

This invention relates to novel substituted succinic acid metallo-β-lactamase inhibitors which are useful potentiators of β-lactam antibiotics. Accordingly, the present invention provides a method of treating bacterial infections in animals or humans which comprises administering, together with a b-lactam antibiotic, a therapeutically effective amount of a compound of formula I: including pharmaceutically acceptable salts, prodrugs, anhydrides, and solvates thereof.

Claims

exact text as granted — not AI-modified
What is claimed is:  
     
         1 . A compound represented by formula I:  
       
         
           
           
               
               
           
         
       
       including pharmaceutically acceptable salts, prodrugs, anhydrides, and solvates thereof, wherein: 
 M 1  and M 2  are independently selected from: 
 (a) Hydrogen,  
 (e) Pharmaceutically acceptable cation,  
 (e) Pharmaceutically acceptable esterifying group; and  
 (g) A negative charge;  
 
 R 1  and R 2  are independently selected from the following: 
 (d) Hydrogen, provided that R 1  and R 2  are not hydrogen at the same time;  
 (e) a C 1  to C 16  straight, branched or unsaturated alkyl group substituted with 0 to 2 R q  groups and substituted with 0 to 3 R x  groups and optionally interrupted by one of the following O, S, SO 2 , —C(O)—,  
 (f) —C(O)—NR a —, —CO 2 —;  
 (c) a group of the formula:  
                     
 
  wherein 
 —A— represents a single bond, C 1  to C 8  straight, branched or unsaturated alkyl group optionally substituted with 1 to 2 R x  groups and optionally interrupted by one of the following O, S, SO 2 , —C(O)—, —C(O)—NR a —, —CO 2 —;  
                     
 represents: 
 (1) a C 6  to C 14  aryl group;  
 (2) a C 3  to C 10  alicyclic group;  
 (3) a C 3  to C 14  heteroaryl group, which contains 1 to 3 heteroatoms, 0 to 3 of which heteroatoms are nitrogen and 0 to 1 of which are oxygen or sulfur;  
 (4) a C 3  to C 10  heterocyclic group, which contains 1 to 2 heteroatoms, 0 to 1 of which heteroatoms are nitrogen, and 0 to 2 of which are oxygen or sulfur; or  
 
 (d) a group of the formula:  
                     
  wherein: 
 —A— is as defined above;  
 A′ is a single bond, O, S, or a C 1  to C 6  straight, branched or unsaturated alkyl group optionally substituted with 1-2 R x  groups and optionally interrupted by one of the following groups O, S, SO 2 , —C(O)—, —C(O)—NR a —, —CO 2 —;  
                     
 are independently selected from: 
 (1) a C 6  to C 10  aryl group;  
 (2) a C 3  to C 8  alicyclic group;  
 (3) a C 2  to C 9  heteroaryl group, which contains 1 to 3 heteroatoms, 0 to 3 of which heteroatoms are nitrogen and 0 to 1 of which are oxygen or sulfur;  
 (4) a C 3  to C 8  heterocyclic group, which contains 1 to 2 heteroatoms, 0 to 1 of which heteroatoms are nitrogen, and 0 to 2 of which are oxygen or sulfur;  
 
 
 
 provided that at least one R q  group is present in R 1  or R 2  and that when more than one R q  is present the total number of cationic nitrogen atoms does not exceed 8; the total number of cationic nitrogen atoms can be charged balanced by M 1  and/or M 2  or by M 1  and/or M 2  in combination with an appropriate number of Y − ;  
 wherein: 
 R q  is —E—Q + Y − ;  
 Y −  is a pharmaceutically acceptable anionic group;  
 E is —(CH 2 ) m —X—(CH 2 ) n —;  
 m is 0 to 6;  
 n is 0 to 6 (but when E is attached to an aromatic ring n is 1-6);  
 X is a bond, O, S, SO 2 , —C(O)—, —C(O)—N(R a )—, —C(O)O—, —CH═CH— or —C≡C—, provided that when X is O, S, —C(O)—N(R a )— or —C(O)O—, then n is 2 to 6  
 and Q + , attached to the (CH 2 ) n  terminus of E is: 
 (1) a cationic group selected from the following:  
                     
  wherein: 
 R u  and R v  are independently hydrogen or C 1-6  alkyl optionally substituted with 1 to 2 R y ;  
 R w  is hydrogen or C 1-6  alkyl optionally substituted with 1 to 2 R x ;  
 R u  and R v  when bonded to the same nitrogen atom may together be a C 3-6  alkyl radical, which when taken together with the intervening atoms form a ring;  
 Two R u  groups on separate nitrogen atoms may together comprise a C 2-5  alkyl radical, which when taken together with the intervening atoms form a ring;  
 R u , R v  and R w  when bonded to the same nitrogen atom may together form a C 6-10  tertiary alkyl radical, which with N +  forms a bicyclic ring;  
 
 (2) A dicationic group:  
                     
  wherein: 
 E 1  is —(CH 2 ) p —Z—(CH 2 ) r —;  
 p and r are independently 1 to 4;  
 Z is a bond, O, S, SO 2 , —C(O)—, —C(O)O—**, —CH═CH—, —C≡C—, or  
                     
 Provided that when Z is O or S, p is 2 to 4 and r is 2 to 4 and when Z is  
                     
 or —C(O)O—**, r is 2 to 4;  
 wherein ** denotes the atom which is bonded to the —(CH 2 ) r — moiety of E 1  above;  
 Q 1  is selected from the following:  
                     
 Q 2  is selected from the following:  
                     
  R u , R v  and R w  are independently selected and defined as above,  
 And in addition, in the case where two R u  groups on separate nitrogen atoms are joined to form a ring as defined above, two R v  groups on the same two separate nitrogen atoms may also comprise a C 1-5  alkyl radical to form together with the intervening atoms a bicyclic ring; an example of such is:  
                     
 
 (5) A tricationic group selected from the following:  
                     
  wherein: 
 Each E 1  is as defined above, but selected independently;  
 Each Q 1  is as defined above, but selected independently;  
 Each Q 2  is as defined above, but selected independently;  
 R u , R v  and R w  are defined as in the definition of Q +  item (2) above and selected independently; or  
 
 (6) A tetracationic group selected from the following:  
                     
  wherein: 
 Each E 1  is as defined above, but selected independently;  
 Each Q 1  is as defined above, but selected independently;  
 Each Q 2  is as defined above, but selected independently;  
 R u , R v  and R w  are defined as in the definition of Q +  item (2) above and selected independently;  
 
 
 
 where each R x  is independently selected from the group consisting of: 
 (f) F, Cl, Br, I,  
 (g) CF 3 ,  
 (h) OR b ,  
 (i) CN,  
 (j) —C(O)—R c ,  
 (f) —S(O 2 )—R f ,  
 (g) —C(O)—OR a    
 (h) —O—C(O)—R c ,  
 (i) —S—R b ,  
 (j) —N(R a )—C(O)—R c ,  
                     
 (q) —N(R a )—C(O)—OR f ,  
 (r) —S(O)—R f ,  
 (s) —N(R a )—S(O 2 )—R f ,  
 (t) NO 2 , and  
 (u) C 1  to C 8  straight, branched or unsaturated alkyl optionally substituted with one of the substituents (a) through (t) above;  
 (v) —CH 2 -aryl wherein the aryl is optionally substituted with one of the substituents (a) through (t) above;  
 or two adjacent R x  groups on an aromatic ring may consist of the following divalent moiety, —O—CH 2 —O—; 
 wherein: 
 R a  is H, C 1  to C 6  alkyl optionally substituted with R y ;  
 R b  is H, C 1  to C 6  alkyl optionally substituted with R y , CH 2 -aryl, or aryl, said aryls optionally substituted with 1-2 R y  groups;  
 R c  is H, C 1  to C 6  alkyl optionally substituted with R y , CF 3 , or aryl, said aryl optionally substituted with 1-2 R y  groups;  
 R d  and R e  are independently hydrogen, C 1  to C 4  alkyl optionally substituted with R y , or R d  and R e  taken together may represent a 3 to 5-membered alkyl radical to form a ring, or R d  and R e  taken together may represent a 2 to 4-membered alkyl radical interrupted by O, S, SO or SO 2  to form a ring;  
 R f  is C 1  to C 6  alkyl optionally substituted with R y , or aryl, said aryl optionally substituted with 1-2 R y  groups; and  
 R y  is —OH, —OCH 3 , OCONH 2 , OCOCH 3 , CHO, COCH 3 , CO 2 CH 3 , CONH 2 , CN, SOCH 3 , SO 2 CH 3 , SO 2 NH 2 , F, Cl, Br, I or CF 3 .  
 
 
 
 
     
     
         2 . A compound in accordance with  claim 1  wherein M 1  and M 2  are independently hydrogen or a negative charge and all other variables are as defined above.  
     
     
         3 . A compound in accordance with  claim 1  wherein R 1  and/or R 2  represents a C 1  to C 16  straight, branched or unsaturated alkyl group substituted with 0 to 2 R q , and substituted with 0 to 3 R x  groups, provided that at least one of R 1  or R 2  contains an R q  and all other variables are defined as above.  
     
     
         4 . A compound in accordance to  claim 1  where R 1  and/or R 2  represents  
       
         
           
           
               
               
           
         
       
       wherein at least one R q  group is present on R 1  or R 2  and all other variables are defined as above.  
     
     
         5 . A compound in accordance to  claim 1  where R 1  and/or R 2  represents (d)  
       
         
           
           
               
               
           
         
       
       wherein at least one R q  group is present on R 1  or R 2  and all other variables are defined as above.  
     
     
         6 . A compound in accordance with  claim 1  wherein the relative and absolute stereochemistry is:  
       
         
           
           
               
               
           
         
       
     
     
         7 . A compound in accordance with  claim 6  wherein R 1  and/or R 2  represents C 4-12  straight, branched or unsaturated alkyl group optionally substituted with 1 to 2 R x  and optionally substituted with 1 to 2 R q  groups provided that at least one of R 1  or R 2  contains an R q  and all other variables are as described above.  
     
     
         8 . A compound in accordance with  claim 6  wherein R 1  and/or R 2  represents a group of the formula:  
       
         
           
           
               
               
           
         
       
       wherein A is (CH 2 ) 1-5  and  
       
         
           
           
               
               
           
         
         is phenyl, naphthyl, cyclohexyl or dibenzofuranyl, provided that at least one of R 1  or R 2  contains an R q  and all other variables are as originally defined.  
       
     
     
         9 . A compound in accordance with  claim 6  wherein where R 1  or R 2  represents a group of the formula:  
       
         
           
           
               
               
           
         
       
       wherein 
 A is (CH 2 ) 1-3 , A′ is a single bond, —O— or (CH 2 ) 1-2  and  
                     
  independently represent phenyl, thienyl, pyridyl, furanyl or cyclohexyl.  
 
     
     
         10 . A compound in accordance with  claim 6  where one of R 1  or R 2  is C 4-8  straight, branched or unsaturated alkyl optionally substituted with 1 to 2 R x  or a group of the formula:  
       
         
           
           
               
               
           
         
       
       where A is (CH 2 ) 1-2  and  
       
         
           
           
               
               
           
         
         is phenyl, cyclopentyl or cyclohexyl and the other of R 1  or R 2  is: 
 i) a C 7-12  alkyl group substituted with R q ,  
 ii) a group of the formula:  
                     
  where A is (CH 2 ) 1-2 , A′ is a single bond,  
                     is phenyl, thienyl or cyclohexyl and                          is phenyl, thienyl or pyridyl, or    
 iii) a group of the formula:  
                     
  where A is (CH 2 ) 1-3 ,  
                     
 is phenyl or thienyl and R q  is —(CH 2 ) 2-6 —Q +  Y Q ; and all other variables are as originally defined.  
 
       
     
     
         11 . A compound according to  claim 6  wherein R 1  is C 5-7  alkyl substituted with 0 to 2 R x  goups,  
       
         
           
           
               
               
           
         
       
       R 2  is C 7-10  alkyl substituted with 1 R q  groups and 0 to 2 R x  groups,  
       
         
           
           
               
               
           
         
       
       and all other variables are as originally defined.  
     
     
         12 . A compound according to  claim 11  wherein 
 R 1  is:  
                     
 R 2  is:  
                     
 and all other variables are as originally defined.  
 
     
     
         13 . A compound according to  claim 1  wherein 1 or 2 R q  groups are present containing a total number of 2 to 6 cationic nitrogen atoms.  
     
     
         14 . A compound according to  claim 1  wherein a single R q  substituent is present containing a tricationic or tetracationic Q +  group.  
     
     
         15 . A compound according to  claim 14  wherein R q  is —E—Q + Y −  wherein E is (CH 2 ) 0-6  or —C(O)—N(R a )—(CH 2 ) 2-4 — and Q +  is a tricationic or tetracationic group and Y −  and R a  are as originally defined.  
     
     
         16 . A compound according to  claim 14  wherein the tricationic Q +  group is selected from the group consisting of:  
       
         
           
           
               
               
           
         
       
       wherein E 1  is (CH 2 ) 2-4  or —(CH 2 )—C(O)—N(R a )—(CH 2 ) 2-4 — and R a , Q 1  and Q 2  are as previously defined.  
     
     
         17 . A compound according to  claim 16  wherein the tricationic Q +  group is selected from:  
       
         
           
           
               
               
           
         
       
       wherein R u , R v , and R w  are as defined above.  
     
     
         18 . A compound according to  claim 14  wherein the tetracationic Q +  group is selected from the group consisting of:  
       
         
           
           
               
               
           
         
       
       wherein E 1  is (CH 2 ) 2-4  or —(CH 2 )—C(O)—N(R a )—(CH 2 ) 2-4 — and R a , Q 1 , Q 2 , and R w  are as defined above.  
     
     
         19 . A compound according to  claim 18  wherein the tetracationic Q +  group is selected from:  
       
         
           
           
               
               
           
         
       
       wherein R a , R u , R v , and R w  are as described above.  
     
     
         20 . A compound of the structural formula:  
       
         
           
           
               
               
           
         
       
     
     
         21 . A compound represented by Tables 3-7:  
       
         
           
                 
               
                   TABLE 3 
                 
                     
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                 
                 
                 
               
                     
                     
                     
                 
                   5 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   6 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   7 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   8 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                   9 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                   10 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   11 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   12 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   13 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   14 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
                
               
            
             
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 4 
                 
                     
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                 
                 
                 
               
                     
                     
                     
                 
                   15 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   CF 3 CO 2   ⊖   
                 
                     
                 
                   16 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   CF 3 CO 2   ⊖   
                 
                     
                 
                   17 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   18 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 CF 3 CO 2   ⊖   
                 
                     
                 
                   19 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 CF 3 CO 2   ⊖   
                 
                     
                 
                   20 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 CF 3 CO 2   ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
                
               
            
             
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 5 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   21 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   22 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   23 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   24 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 6 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   25 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   26 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   27 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   28 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 7 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                 
                 
                 
               
                     
                     
                     
                 
                   29 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
               
            
             
                
                
                
                
               
            
           
         
       
     
     
         22 . A compound represented by Tables 8-18:  
       
         
           
                 
               
                   TABLE 8 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   30 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   31 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 CH 3 CO 2   
                 
                     
                 
                   32 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   33 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   34 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   35 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   36 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                   37 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 CH 3 CO 2   ⊖   
                 
                     
                 
                   38 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                   39 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                   40 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                   41 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                   42 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   43 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   44 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   45 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   46 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                   47 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 9 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   48 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   49 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   50 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   51 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   52 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   53 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 10 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   54 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   55 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   56 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   57 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   58 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   59 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   60 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   61 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   62 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   63 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   64 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   65 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                     
                 
             
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 2 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   66 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   67 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   68 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   69 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   70 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   71 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 13 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   72 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   73 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   74 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   75 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   76 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   77 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 14 
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                     
                     
                     
                 
                   78 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   79 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   80 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   81 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   82 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   83 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 15 
                 
                     
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                 
                 
                 
               
                     
                     
                     
                 
                   84 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   85 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   86 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   87 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   88 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   89 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
                
               
            
             
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 16 
                 
                     
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                 
                 
                 
               
                     
                     
                     
                 
                   90 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   91 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   92 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   93 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   94 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   95 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
                
               
            
             
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
               
                   TABLE 17 
                 
                     
                 
                     
                 
                     
                 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                 
                 
                 
               
                   Example No. 
                   Q ⊕   
                   Y ⊖   
                 
                     
                 
                 
                 
                 
               
                     
                     
                     
                 
                   96 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   Cl ⊖   
                 
                     
                 
                   97 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   2 Cl ⊖   
                 
                     
                 
                   98 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   99 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   100 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3 Cl ⊖   
                 
                     
                 
                   101 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   4 Cl ⊖   
                 
                     
                 
                     
                 
             
                
               
               
                
                
                
                
                
               
            
             
                
                
               
            
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       
         
           
                 
                 
               
                   TABLE 18 
                 
                     
                 
                     
                 
                   Example No. 
                 
                     
                 
                     
                 
                 
                 
               
                     
                     
                 
                   102 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   103 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                   104 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                 
                     
                 
                     
                 
             
                
                
                
                
                
               
               
                
               
            
             
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         23 . A pharmaceutical composition comprised of a compound in accordance with  claim 1  in combination with a pharmaceutically acceptable carrier.  
     
     
         24 . A pharmaceutical composition in accordance with  claim 23  used in the manufacture of a medicament for the treatment of bacterial infections.  
     
     
         25 . A pharmaceutical composition in accordance with  claim 23  further comprising a β-lactam antibiotic.  
     
     
         26 . A pharmaceutical composition in accordance with  claim 25  wherein the β-lactam is a carbapenem antibiotic.  
     
     
         27 . A composition according to  claim 25  which further contains a serine β-lactamase inhibitor.  
     
     
         28 . A composition according to  claim 26  which further contains a DHP inhibitor.  
     
     
         29 . A method of treating a bacterial infection comprising administering to a mammalian patient in need of such treatment a metallo-β-lactamase inhibitor compound as defined in  claim 1  in combination with a pharmaceutically acceptable β-lactam antibiotic in an amount which is effective for treating a bacterial infection.  
     
     
         30 . A method according to  claim 29  wherein the β-lactam is a carbapenem antibiotic.  
     
     
         31 . A method according to  claim 30 , which further contains a DHP inhibitor.  
     
     
         32 . A method according to  claim 31  wherein the DHP inhibitor is cilastatin.  
     
     
         33 . A method according to  claim 29  which further contains a serine β-lactamase inhibitor.

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