US2003225114A1PendingUtilityA1

Methods for inhibiting the transmission of HIV using topically applied substituted 6-benzyl-4- oxopyrimidines

Assignee: IDENIX PHARMACEUTICALS INCPriority: Nov 17, 2000Filed: Jan 24, 2003Published: Dec 4, 2003
Est. expiryNov 17, 2020(expired)· nominal 20-yr term from priority
A61K 31/381A61K 9/1271A61K 31/505A61P 31/18A61K 31/44A61K 45/06C07D 333/56C07D 493/04A61K 31/513A61K 9/0034A61K 9/0031C07D 409/10C07D 333/16
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Claims

Abstract

A method for inhibiting sexual transmission of HIV comprising topically applying to the skin or epithelial tissue of a human a composition comprising a non-nucleoside reverse transcriptase inhibitor (“NNRTI”) that is able to inhibit viral replication for periods exceeding 12, 24, or even 36 days, at concentrations below even 10 μM. In one embodiment the NNRTI is a dihydro-alkyloxy-benzyl-oxopyrimidine (DABO).

Claims

exact text as granted — not AI-modified
What is claimed is:  
     
         1 ) A method for inhibiting sexual transmission of HIV comprising topically applying to the skin or epithelial tissue of a human an effective amount of a dihydro-alkyloxy-benzyl-oxopyrimidine of formula (A):  
       
         
           
           
               
               
           
         
       
       wherein: 
 X is —O, —CH 2 , —CHK 1  (wherein K 1  is —H, —C 1-4 alkyl, —C 3-6 Cycloalkyl), —S, —NK 2  (wherein K 2  is —H, —C 1-4 alkyl, —C 3-6 cycloalkyl, or a bond when X—R is nitro), -aryl, or -arylalkyl;  
 R is —H, —C 1-4 alkyl (optionally containing one or more of heteroatoms selected from O, S, and N), —C 3-6  cycloalkyl (optionally containing one or more of heteroatoms selected from O, S, N), -aryl, -arylakl, heterocycle, oxo, thio, or a primary amine;  
 Y is —H, —C 1-4 alkyl, or —C 3-6 cycloalkyl;  
 Z is —H, —C 1-4 alkyl, or —C 3-1 cycloalkyl;  
 R 1  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , aryl), or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 2  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 3  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 4  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 ,-aryl); and  
 R 5  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl), or —SW (wherein W is —H, —CH 3 , -aryl).  
 
     
     
         2 ) The method of  claim 1  wherein the composition is applied to the vaginal endothelium, the rectal endothelium, or the male genetalia.  
     
     
         3 ) The method of  claim 1  wherein the composition is in the form of a cream, lotion, gel, or foam.  
     
     
         4 ) The method of  claim 1  wherein the composition is in the form of an intra-vaginal pill, an intra-rectal pill, or a suppository.  
     
     
         5 ) The method of  claim 1  wherein the composition is topically applied by release from an intravaginal device selected from a vaginal ring, a vaginal sponge, a diaphram, or a cervical cap.  
     
     
         6 ) The method of  claim 1  wherein the composition is topically applied from the exterior surface of a condom or vaginal applicator.  
     
     
         7 ) The method of  claim 1  wherein the composition further comprises a second anti-HIV agent, a viruside effective against viral infections other than HIV, and/or a spermicide.  
     
     
         8 ) The method of  claim 1  wherein the composition further comprises a lubricant.  
     
     
         9 ) The method of  claim 1  wherein, in formula (A), Y is —C 1-4 alkyl, and Z is —C 1-4 alkyl.  
     
     
         10 ) The method of  claim 1  wherein, in formula (A), R 1  and R 5  are halogen.  
     
     
         11 ) The method of  claim 1  wherein, in formula (A), Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen.  
     
     
         12 ) The method of  claim 1  wherein, in formula (A), —X—R is —N-Me 2 , Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen.  
     
     
         13 ) The method of  claim 1  wherein, in formula (A), —X—R is —NH-cPe, Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen.  
     
     
         14 ) The method of  claim 1  wherein, in formula (A), —X—R is —N═O, Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen.  
     
     
         15 ) The method of  claim 1  wherein, in formula (A), —X—R is —S-Me, Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen.  
     
     
         16 ) The method of  claim 1  wherein, in formula (A), —X—R is —S-MeSMe, Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen.  
     
     
         17 ) A topical composition in the form of a cream, lotion, gel, or foam, comprising a dihydro-alkyloxy-benzyl-oxopyrimidine of formula (A):  
       
         
           
           
               
               
           
         
       
       wherein: 
 X is —O, —CH 2 , —CHK 1  (wherein K 1  is —H, —C 1-4  alkyl, —C 3-6 Cycloalkyl), —S,—NK 2  (wherein K 2  is —H, —C 1-4 alkyl, —C 3-6 cycloalkyl, or a bond when X—R is nitro), -aryl, or -arylalkyl;  
 R is —H, —C 1-4 alkyl (optionally containing one or more of heteroatoms selected from O, S, and N), —C 3-6  cycloalkyl (optionally containing one or more of heteroatoms selected from O, S, N), -aryl, -arylakl, heterocycle, oxo, thio, or a primary amine;  
 Y is —H, —C 1-4 alkyl, or —C 3-6 cycloalkyl;  
 Z is —H, —C 1-4 alkyl, or —C 3-6 cycloalkyl;  
 R 1  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , aryl), or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 2  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 3  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 4  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 ,-aryl); and  
 R 5  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl), or —SW (wherein W is —H, —CH 3 , -aryl).  
 
     
     
         18 ) The composition of  claim 17  further comprising a second anti-HIV agent.  
     
     
         19 ) The composition of  claim 17  further comprising a viruside effective against viral infections other than HIV.  
     
     
         20 ) The composition of  claim 17  further comprising a spermicide.  
     
     
         21 ) The composition of  claim 17  further comprising a lubricant.  
     
     
         22 ) A composition in the form of an intra-vaginal or intra-rectal pill or suppository comprising a dihydro-alkyloxy-benzyl-oxopyrimidine of formula (A):  
       
         
           
           
               
               
           
         
       
       wherein: 
 X is —O, —CH 2 , —CHK 1  (wherein K 1  is —H, —C 1-4 alkyl, —C 3-6 Cycloalkyl), —S,—NK 2  (wherein K 2  is —H, —C 1-1 alkyl, —C 3-6 Cycloalkyl, or a bond when X—R is nitro), -aryl, or -arylalkyl;  
 R is —H, —C 1-4 alkyl (optionally containing one or more of heteroatoms selected from O, S, and N), —C 3-6  cycloalkyl (optionally containing one or more of heteroatoms selected from O, S, N), -aryl, -arylakl, heterocycle, oxo, thio, or a primary amine;  
 Y is —H, —C 1-4 alkyl, or —C 3-6 cycloalkyl;  
 Z is —H, —C 1-4 alkyl, or —C 3-6 cycloalkyl;  
 R 1  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , aryl), or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 2  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 3  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 , -aryl);  
 R 4  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW  
  (wherein W is —H, —CH 3 ,-aryl); and  
 R 5  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl), or —SW (wherein W is —H, —CH 3 , -aryl).  
 
     
     
         23 ) The composition of  claim 22  further comprising a second anti-HIV agent.  
     
     
         24 ) The composition of  claim 22  further comprising a viruside effective against viral infections other than HIV.  
     
     
         25 ) The composition of  claim 22  further comprising a spermicide.  
     
     
         26 ) A device for inhibiting the sexual transmission of HIV comprising: 
 a) a barrier structure for insertion into the vaginal cavity, and    b) a composition comprising a dihydro-alkyloxy-benzyl-oxopyrimidine of formula (A):                          wherein:    X is —O, —CH 2 , —CHK 1  (wherein K 1  is —H, —C 1-4  alkyl, —C 3-6 Cycloalkyl), —S, —NK 2  (wherein K 2  is —H, —C 1-4 alkyl, —C 3-6 cycloalkyl, or a bond when X—R is nitro), -aryl, or -arylalkyl;    R is —H, —C 1-4 alkyl (optionally containing one or more of heteroatoms selected from O, S, and N), —C 3-6  cycloalkyl (optionally containing one or more of heteroatoms selected from O, S, N), -aryl, -arylakl, heterocycle, oxo, thio, or a primary amine;    Y is —H, —C 1-4 alkyl, or —C 3-6 cycloalkyl;    Z is —H, —C 1-4 alkyl, or —C 3-6 cycloalkyl;    R 1  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , aryl), or —SW     (wherein W is —H, —CH 3 , -aryl);    R 2  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW     (wherein W is —H, —CH 3 , -aryl);    R 3  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW     (wherein W is —H, —CH 3 , -aryl);    R 4  is —H, —C 1-4 alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl); or —SW     (wherein W is —H, —CH 3 ,-aryl); and    R 5  is —H, —C 1-4 -alkyl, -halogen, —NO 2 , —OW (wherein W is —H, —CH 3 , -aryl), or —SW (wherein W is —H, —CH 3 , -aryl).    
     
     
         27 ) The device of  claim 26  wherein the barrier structure is a vaginal sponge, diaphram, cervical cap, or condom.  
     
     
         28 ) The device of  claim 26  wherein the composition further comprises a second anti-HIV agent, a viruside effective against viral infections other than HIV, and/or a spermicide.  
     
     
         29 ) A compound of formula (A):  
       
         
           
           
               
               
           
         
       
       wherein: 
 a) —X—R is —N-Me 2 ,Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen;  
 b) —X—R is —N═O, Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen; or  
 c) —X—R is —S-MeSMe, Y is methyl, Z is methyl, R 1  and R 5  are fluorine, and R 2 , R 3 , and R 4  are hydrogen.

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