# Patent

## Title
Water soluble tetrapyrollic photosensitizers for photodynamic therapy

## Abstract

A tetrapyrollic photosensitizer compound having at least one pendant —CH2CH2CON(CH2CON(CH2COOH)2)2 or —N(CH2COOH)2 group or esters thereof said tetrapyrollic compound being a chlorin, bacteriochlorin, porphyrin, pyropheophorbide, purpurinimide, or bacteriopurpurinimide. Desirably the compound has the formula:




or a pharmaceutically acceptable derivative thereof, wherein R1-R8 and R10 are various substituents and R9 is substituted or unsubstituted —CH2CH2CON(CH2CON(CH2COOH)2)2; or —N(CH2COOH)2. The invention also includes a method of treatment by photodynamic therapy by treatment with light after injecting the compound and a method of imaging by fluorescence after injection of the compound.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
This is a division of U.S. patent application Ser. No. 11/452,511 to Pandey et al. filed Jun. 14, 2006 now U.S. Pat. No. 7,501,509 for WATER SOLUBLE TETRAPYROLLIC PHOTOSENSITIZERS FOR PHOTODYNAMIC THERAPY which is a continuation-in-part of U.S. patent application Ser. No. 10/607,922 to Pandey et al. filed Jun. 27, 2003 now U.S. Pat. No. 7,166,719 entitled FLUORINATED PHOTOSENSITIZERS RELATED TO CHLORINS AND BACTERIOCHLORINS FOR PHOTODYNAMIC THERAPY which in turn claims priority from Provisional Application Ser. No. 60/392,473 to Pandey et al. filed Jun. 27, 2002 entitled FLUORINATED PHOTOSENSITIZERS RELATED TO CHLORINS AND BACTERIOCHLORINS FOR PHOTODYNAMIC THERAPY.
The above applications are incorporated herein by reference in their entirety.


STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH
This invention was made with government support under Grant Number NIH CA55791 awarded by the National Institute of Health. The government has certain rights in this invention.


BACKGROUND OF THE INVENTION
For a number of years, attempts have been underway in various laboratories to replace Photofrin® with new porphyrin-based photosensitizers (PS). To date, most PS are amphiphilic in nature in that they contain both hydrophilic and hydrophobic substituents. Due to their π-conjugated systems, a phenomenon known as aggregation has become a concern such that it can: “decrease fluorescence quantum yields, shorten a photosensitizer's triplet excited state lifetime or reduce its photosensitizing efficiency”. Most of these compounds, therefore, are visibly aggregated in solution, so the challenge remains to be the synthesis of effective water-soluble photosensitizers that accumulate in the tumor, yet clear at a suitable time as to limit toxicity. Several researchers have either incorporated sugar residues on the periphery or ionic groups such as pyridinium, sulfonato or carboxylate groups as a means to enhance photosensitizers' aqueous solubility. The 5, 10, 15, 20-tetrakis(4-sulfonatophenyl)-porphyrin (TPPS4) is a known tetrasodium salt that although soluble in water still absorbs weakly at  ̃630 nm. Core modifications have been made to TPPS4 in which chalcogen atoms such as sulfur, selenium and tellurium have aided in the water solubility of the PS, as well as, increasing the wavelength maximum to  ̃695 nm. Unfortunately, these compounds were found to be toxic Therefore, the aim of the present invention was to synthesize effective and non-toxic water-soluble long wavelength absorbing photosensitizers with high singlet oxygen ability, singlet oxygen being a key cytotoxic agent for PDT.Tetrapyrollic compounds, especially porphyrin related compounds, have played a key role in developing a variety of photosensitizers. Inventors herein have recently shown that porphyrin-based compounds can also be used (i) as PET and SPECT imaging agents and (ii) as vehicles to deliver the required contrast agents (MRI, Fluorescence etc.) to image tumors. These approaches have been extremely useful in developing multimodality agents. However, one major drawback with most of these compounds is their limited solubility in water. Therefore, most of the formulations require a biocompatible surfactant, e.g. such as those commonly sold under the trademarks TWEEN-80 or CREMOPHORE. At low concentrations, such formulations are approved by FDA for clinical use, but to avoid a number of disadvantages with such formulations, it would be ‘ideal’ to design water soluble compounds for tumor imaging and therapy.
An approach for increasing the water solubility is to introduce hydrophilic substituents (e.g., —COOH, PEG, amino acids, charged species etc.) in the desired molecules. Unfortunately such incorporation can limit biological efficacy.
The following references are incorporated by reference as background art.

    1. R. K. Pandey, G. Zheng The Porphyrin Handbook (Eds: Kadish, Rodgers and Smith), vol. 6, Academic Press, Boston, 2000.
    2. Suresh K. Pandey, Amy L. Gryshuk, Munawwar Sajjad, Xiang Zheng, Yihui Chen, Mohei M. Abouzeid, Janet Morgan, Ivan Charamisinau, Hani A. Nabi, Allan Oseroff and Ravindra K. Pandey, Multiomodality Agents for Tumor Imaging (PET, Fluorescence) and Photodynamic Therapy: A Possible See and Treat Approach. J. Med. Chem. 2005, 48, 6286-6295.
    3. Ravindra K. Pandey et al., Chlorophyll-a Analogs Conjugated with Aminophenyl-DTPA as Potential Bifunctional Agents for Magnetic Resonance Imaging and Photodynamic Therapy. Bioconjugate Chem. 2005, 16, 32-42.
    4. Ravindra K. Pandey, A. B. Sumlin, W. R. Potter, D. A. Bellnier, B. W. Henderson, S. Constantine, M. Aoudia, M. R. Rodgers, K. M. Smith and T. J. Dougherty, Structure and Photodynamic Efficacy Among Alkyl Ether Analogues of Chlorophyll-a Derivatives. Photochem. Photobiol. 1996, 63, 194-205.
    5. Gang Zheng, Susan Camacho, William Potter, David A. Bellnier, B. W. Henderson, Thomas J. Dougherty and Ravindra K. Pandey, Synthesis, tumor uptake and in vivo photosensitizing efficacy of a homologous series of the 3-(1′-alkoxy)ethyl-purpurin-18-N-alkylimides, J. Med. Chem., 2001, 44, 1540-1559.
    6. Yihui Chen, Andrew Graham, William Potter, Janet Morgan, Lurine Vaughan, David A. Bellnier, Barbara W. Henderson, Allan Oseroff, Thomas J. Dougherty and Ravindra K. Pandey, J. Med. Chem. (Rapid Communication), 2002, 45, 255-258.





BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1A shows a graph of In vivo photosensitizing efficacy of PS 15 and the corresponding water-soluble analog PS 16 (24 h p.i.) BALB-C mice were implanted with Colo-26 tumors. The tumors were exposed with laser light (135 J/cm2, 75 mW/cm2 for 30 min) 24 h post injection.
FIG. 1B shows a schematic preparation of compound 16 from compound 15.
FIG. 2 shows a graph of In vivo photosensitizing efficacy of compounds 9, 12 and 14. BALB-C mice were implanted with Colo-26 tumors. The tumors were exposed with laser light (135 J/cm2, 75 mW/cm2 for 30 min) 24 h post injection.
FIG. 3 shows an In vivo fluorescence image of PS 16 (24 h p.i.). A: intact tumor; B: skin flap with tumor removed so that PS fluorescence could be imaged on underside.
FIG. 3A shows a BALB/c Colon-26 background fluorescence image prior to PS injection.
FIG. 4 shows an In vivo fluorescence image of PS 16 in various organs (24 h p.i.). A: Colon-26 tumor; B: skin over tumor; C: large intestine; D: liver; E: stomach.
FIG. 5 shows In vivo quantitation of PS 16 fluorescence normalized to controls (ex: 417 nm; em:  ̃710 nm).



BRIEF DESCRIPTION OF THE INVENTION
In accordance with the present invention, a series of water soluble purpurinimides were prepared and some of these compounds were found to be quite effective both for PDT efficacy and tumor imaging (fluorescence).
The photosensitizers are tetrapyrollic photosensitizers having at least one pendant —CH2CH2CON(CH2CON(CH2COOH)2)2 or —N(CH2COOH)2 group or esters thereof. The substituted tetrapyrollic compound is usually a chlorin, bacteriochlorin, porphyrin, pyropheophorbide, purpurinimide, or bacteriopurpurinimide. The target is hyperproliferative tissue that may be selected from vascular endothelial tissue, a neovasculature tissue, a neovasculature tissue present in an eye, an abnormal vascular wall of a tumor, a solid tumor, a tumor of a head, a tumor of a neck, a tumor of an eye, a tumor of a gastrointestinal tract, a tumor of a liver, a tumor of a breast, a tumor of a prostate, a tumors of a lung, a nonsolid tumor, malignant cells of one of a hematopoietic tissue and a lymphoid tissue, lesions in a vascular system, a diseased bone marrow, and diseased cells in which the disease is one of an autoimmune and an inflammatory disease.
DETAILED DESCRIPTION OF THE INVENTION
In a preferred embodiment the compound of the invention has the formula:




or a pharmaceutically acceptable derivative thereof.

R1 and R2 are each independently substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, —C(O)Ra or —COORa or —CH(CH3)(OR) or —CH(CH3)(O(CH2)nXR) where Ra is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, or substituted or unsubstituted cycloalkyl where R2 may be CH═CH2, CH(OR20)CH3, C(O)Me, C(═NR21)CH3 or CH(NHR21)CH3.
X is an aryl or heteroaryl group.
n is an integer of 0 to 6.
R and R′ are independently H or lower alkyl of 1 through 8 carbon atoms.
R20 is methyl, butyl, heptyl, dodecyl or 3,5-bis(trifluoromethyl)-benzyl.
R21 is 3,5,-bis(trifluoromethyl)benzyl.
R1a and R2a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond.
R3 and R4 are each independently hydrogen or substituted or unsubstituted alkyl.
R3a and R4a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond.
R5 is hydrogen or substituted or unsubstituted alkyl.
R6 and R6a are each independently hydrogen or substituted or unsubstituted alkyl, or together form ═O.
R7 is a covalent bond, alkylene, azaalkyl, or azaaraalkyl or ═NR20 where R20 is hydrogen or lower alkyl of 1 through 8 carbon atoms or —CH2-3,5-bis(tri-fluoromethyl)benzyl or —CH2X—R1 or —YR1 where Y is an aryl or heteroaryl group.
R8 and R8a are each independently hydrogen or substituted or unsubstituted alkyl or together form ═O.
R9 is —CH2CH2CON(CH2CON(CH2COOA)2)2 or —N(CH2COOH)2; where A is —H.
R10 is hydrogen, or substituted or unsubstituted alkyl.
Each of R1-R10, when substituted, is substituted with one or more substituents each independently selected from Q, where Q is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or —CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or —NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue;
each Q is independently unsubstituted or is substituted with one or more substituents each independently selected from Q1, where Q1 is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue.
Synthetic details for the preparation of examples of water soluble photosensitizers of the invention are depicted in Schemes 1-4 as follow:






















All the intermediates and the final products were characterized by NMR and mass spectrometry analyses. The purity was ascertained by analytical TLC. The starting photosensitizers (e.g. HPPH, fluorinated purpurinimide 7 and the N-butyl-purpurinimide 10 were synthesized by following published methodologies that were developed in our laboratory) The Synthetic details are as follows:
Compound No. 2
Iminodiacetic acid (5.0 gm, 0.03756 mole) was taken in a 500 ml RBF, water (150 ml) and THF (50 ml) were added to it. Resultant mixture was cooled to 0° C. using an ice bath. K2CO3 (25.9 gm, 0.187 mole) was added to it in portions keeping temperature of reaction mixture below 10° C. After 10 min of stirring at the same temperature Cbz-Cl (7.9 ml, 0.056 mole) was added to it drop wise. Resultant mixture was stirred for 6 hr at room temperature, concentrated partially to remove THF. Reaction mixture was washed with ether to remove excess of Cbz-Cl, aq layer was separated, acidified with dil HCl and extracted with EtOAc (100 ml×3). Organic layers were separated, combined and washed with H2O (100 ml), dried over sodium sulfate and concentrated to give 2 as viscous oil in quantitative yield.
Yield: 9.6 gm (95.7%). 1HNMR (400 MHz, CDCl3): δ 7.36-7.30 (m, 5H, Ph), 5.16 (s, 2H, PhCH2O), 4.15 (s, 2H, CH2), 4.12 (s, 2H, CH2). EIMS: 267 (m+).
Compound No. 3
Di-acid 2 (0.5 gm, 1.88 mmol), Di-tert-butyl iminodiacetate (0.92 gm, 3.77 mmol), EDCl (1.0 gm, 5.6 mmol) and DMAP (0.36 gm, 5.6 mmol) were dissolved in dry DCM (30 ml). Resultant mixture was stirred at room temperature for 16 hr under N2 atm, diluted with DCM (100 ml) and washed with brine (50 ml). Organic layer was separated, dried over sodium sulfate and concentrated. Crude was purified on silica gel column using EtOAc/hexane (20-40%) as eluent to give product 3. Yield: 1.0 gm (75%).
1HNMR (400 MHz, CDCl3): δ 7.34-7.28 (m, 5H, Ph), 5.12 (s, 2H, PhCH2O), 4.28 (d, 1H, J=6.4 Hz), 4.24 (d, 1H, J=6.8 Hz), 4.18-4.14 (m, 1H), 4.05 (m, 4H), 3.91 (m, 1H), 3.74 (d, 1H, J=8.0 Hz), 3.67 (d, 1H, J=10.8 Hz), 1.47 (s, 9H, CO2But), 1.45 (s, 9H, CO2But), 1.44 (s, 9H, CO2But), 1.40 (s, 9H, CO2But). EIMS: 744 (m+Na+).
Compound No. 4
Compound 3 (0.9 gm, 1.24 mmol), Pd/C (10%, 1.0 gm), MeOH (60 ml) were stirred together under H2 atm for 2 hr. Reaction mixture was filtered over celite, filtrate was concentrated and chromatographed over silica get using MeOH/DCM (1-3%) as eluent. Yield: 0.6 gm (82.5%).
1HNMR (400 MHz, CDCl3): δ 4.06 (s, 4H, CH2), 4.01 (s, 4H, CH2), 3.46 (s, 4H, CH2), 1.46 (s, 36H, CO2But). EIMS: 587 (m+).
Compound No. 5
HPPH (100.0 mg, 0.157 mmol), amine 4 (184.5 mg, 0.314 mmol), EDCl (90.4 mg, 0.471 mmol) and DMAP (57.5 mg, 0.471 mmol) were dissolved in dry DCM (30 ml). Resultant mixture was stirred at room temperature for 16 hr under N2 atm, diluted with DCM (100 ml) and washed with brine (50 ml). Organic layer was separated, dried over sodium sulfate and concentrated. Crude was purified on silica gel column using MeOH/DCM (1-3%) as eluent to give product 5. Yield: 120.0 mg (63.35%). UV-vis (λmax cm−1, dichloromethane): 409, 505, 535, 606& 661.
1HNMR (400 MHz, CDCl3): δ 9.74 (s, 1H, meso-H), 9.51 (s, 1H, meso-H), 8.52 (s, 1H, meso-H), 5.91 (m, 1H, CH3CHOhexyl), 5.35 (d, 1H, 151-CH, J=20.0 Hz), 5.13 (d, 1H, 151-CH, J=20.0 Hz), 4.52-4.49 (m, 2H, H-17 & H-18), 4.29-4.27 (m, 4H), 4.11 (m, 2H), 4.09-4.04 (m, 4H), 3.88-3.85 (m, 2H, CH2), 3.74-3.72 (m, 2H, OCH2hexyl), 3.67 (s, 3H, ring-CH3), 3.66-3.59 (m, 2H, 81-CH2), 3.36 (s, 3H, ring-CH3), 3.26 (s, 3H, ring-CH3), 2.78-2.66 (m, 2H, 172-CH2), 2.53-2.49 (m, 1H, 17′-CH), 2.15 (m, 1H, 17′-CH), 2.11 (d, 3H, CH3CHOhexyl, J=6.8 Hz), 1.79 (d, 3H, 18-CH3, J=7.6 Hz), 1.74 (t, 3H, 8-CH2CH3, J=7.6 Hz) 1.63 (m, 4H, CH2-hexyl), 1.47-1.43 (four singlets each for CO2But, 36H), 1.20 (m, 4H, CH2-hexyl), 0.77 (t, 3H, CH3-hexyl, J=6.4 Hz), 0.37 (brs, 1H, NH), −1.82 (brs, 1H, NH). EIMS: 1206 (m+).
Compound No. 6
Compound 5 (70.0 mg) was stirred in 5 ml of 70% TFA/DCM for 3 hr at room temperature. The reaction mixture was concentrated and dried under high vacuum to give 6 in quantitative yield.
Yield: 50.0 mg (87.7%). UV-vis (λmax cm−1, THF): 408, 505, 538, 605 & 660. EIMS: 983 (m++1).
Compound No. 8
Acid 7 (100.0 mg, 0.115 mmol), amine 4 (136.0 mg, 0.231 mmol), EDCl (44.4 mg, 0.231 mmol) and DMAP (28.27 mg, 0.231 mmol) were dissolved in dry DCM (30 ml). Resultant mixture was stirred at room temperature for 16 hr under N2 atm, diluted with DCM (100 ml) and washed with brine (50 ml). Organic layer was separated, dried over sodium sulfate and concentrated. Crude was purified on silica gel column using MeOH/DCM (1-3%) as eluent to give product 8. Yield: 80.0 mg (48%). UV-vis (λmax cm−1, dichloromethane): 365, 414, 548 & 701. 1HNMR (400 MHz, CDCl3): δ 9.74 (s, 1H, meso-H), 9.60 (s, 1H, meso-H), 8.51 (s, 1H, meso-H), 8.20 (s, 2H, bis-CF3C6H3), 7.79 (s, 1H, bis-CF3C6H3), 5.79 (s, 2H, benzylic CH2), 5.75 (m, 1H, CH3CHObutyl), 5.19-5.16 (m, 1H, H-17), 4.60-4.49 (m, 2H, CH2), 4.40-4.31 (m, 2H, CH2), 4.18-3.96 (m, 8H, 4-CH2), 3.62 (s, 3H, ring-CH3), 3.61-3.60 (m, 4H, 2CH2), 3.26 (s, 3H, ring-CH3), 3.16 (s, 3H, ring-CH3), 2.94-2.87 (m, 1H, 17-CH), 2.76-2.69 (m, 1H, 172-CH), 2.40-2.34 (m, 1H, 17′-CH), 2.05 (d, 3H, CH3CHObutyl, J=10.2 Hz), 1.77-1.64 (m, 11H, 171-CH, 18-CH3, 2CH2butyl, 8-CH2CH3), 1.48 (s, 9H, CO2But), 1.46 (s, 9H, CO2But), 1.39 (s, 9H, CO2But), 1.38 (s, 9H, CO2But), 0.89-0.85 (spitted t, 3H, CH3-butyl), 0.21 (brs, 1H, NH), 0.07 (brs, 1H, NH). EIMS: 1403 (m+).
Compound No. 9
Compound 8 (60.0 mg) was stirred in 5 ml of 70% TFA/DCM for 3 hr at room temperature. Reaction mixture was concentrated and dried under high vacuum to give 9 in quantitative yield.
Yield: 40.0 mg (77.36%). UV-vis (λmax cm−1, THF): 363, 414, 546 & 699. EIMS: 211 (m++1).
Compound No. 11
Acid 10 (50.0 mg, 0.072 mmol), amine 4 (84.7 mg, 0.144 mmol), EDCl (34.5 mg, 0.18 mmol) and DMAP (22.0 mg, 0.18 mmol) were dissolved in dry DCM (30 ml). Resultant mixture was stirred at room temperature for 16 hr under N2 atm, diluted with DCM (100 ml) and washed with brine (50 ml). Organic layer was separated, dried over sodium sulfate and concentrated. Crude was purified on silica gel column using MeOH/DCM (1-2%) as eluent to give product 11.
Yield: 65.0 mg (71.42%). UV-vis (λmax cm−1, dichloromethane): 363, 415, 508, 547 & 701. 1HNMR (400 MHz, CDCl3): δ 9.72 (s, 1H, meso-H), 9.63 (s, 1H, meso-H), 8.52 (s, 1H, meso-H), 5.79 (m, 1H, CH3CHObutyl), 5.22 (m, 1H, H-17), 4.66 (m, 2H, CH2), 4.45 (t, 2H, OCH2butyl, J=7.6 Hz), 4.33 (m, 1H, H-18), 4.18-4.00 (m, 4H, 2CH2), 3.97-3.95 (m, 4H, 2CH2), 3.84 (s, 3H, ring-CH3), 3.68-3.61 (m, 4H, 8-CH2CH3, CH2), 3.30 (s, 3H, ring-CH3), 3.18 (s, 3H, ring-CH3), 3.00-2.90 (m, 1H, 172-CH), 2.74-2.69 (m, 1H, 172-CH), 2.45-2.39 (m, 1H, 17′-CH), 2.06 (d, 3H, CH3CHObutyl, J=6.8 Hz), 2.01-1.96 (m, 2H, NCH2-butyl), 1.70 (m, 1H, 17′-CH), 1.68-1.61 (m, 10H, 18-CH3, 2CH2butyl, 8-CH2CH3), 1.51, 1.49, 1.37 & 1.36 (each singlet for 36H, CO2But), 1.10 (t, 3H, CH3—Obutyl, J=7.6 Hz), 0.87 (t, 3H, CH3—Nbutyl, J=7.4 Hz), −0.02 (brs, 1H, NH), −0.12 (brs, 1H, NH). EIMS: 1263 (m+).
Compound No. 12
Compound 11 (60.0 mg) was stirred in 5 ml of 70% TFA/DCM for 3 hr at room temperature. Reaction mixture was concentrated and dried under high vacuum to give 12 in quantitative yield.
Yield: 42.0 mg (85.19%). UV-vis (λmax cm−1, dichloromethane): 363, 415, 508, 547 & 701. EIMS: 1039 (m+).
In Vivo Photosensitizing Efficacy
The experiments were performed in female BALB/c mice (6-8 weeks of age) purchased from Clarence Reeder (National Cancer Institute Fredrick Cancer Research Facility, Fredrick, Md.). The mice were injected s.c. in the axilla with 106 Colo-26 cells in 50 μL complete RPMI-1640 and were used for experimentation when the tumors reached 5-6 mm. All experiments were performed under the approved protocols of the RPCI Animal Care and Use Committee and followed DLAR regulations.
(a) Comparative Photosensitizing Efficacy of 15 vs its Water Soluble Analog 16:
BALB/c mice inoculated with Colon-26 tumors were injected with 0.7 μmoles/kg of either PS 15 or 16 and at  ̃24 h p.i., the mice were treated with PDT for a total fluence of 135 J/cm2 at 75 mW/cm2 (30 minute treatment). Preliminary studies had shown that PS 15 was only 30% effective using the 135 J/cm2 at 75 mW/cm2 (30 minute) PDT regimen. However, when its water-soluble analog was tested, the PDT response enhanced to 70% mice tumor-free by day 90.
Three explanations for this may be that (1) the slight charge from the carboxylate groups may be contributing to differing localization sites of PS 16 in comparison to 15 (as mentioned above), (2) the PDT-induced mechanism of action may differ in comparison to 16 or (3) the increased PS uptake in the tumor compared to the skin of 16 could be contributing to the enhanced PDT response. The main purpose of these experiments was to determine if the water-soluble PS could be utilized as both a PDT agent and diagnostic imaging tool. The initial in vivo experiments displayed the advantage of the water-soluble PS over its parent compound, 15.
Comparative Photosensitizing Efficacy Water-soluble Photosensitizers 9 and 12
The in vivo photosensitizing efficacy of water-soluble photosensitizers 9 and 12 was determined in BALB-C mice bearing Colo-26 tumors at similar treatment conditions. At 24 h postinjction of the photosensitizer (i. v., 0.51 mol/Kg), the tumors were exposed to laser light (at the photosensitizer's longest wavelength absorption (135 J/cm2, 75 mW/cm2 for 30 min) and the tumor regrowth was measured daily. The results are summarised in Figure X. As can be seen among the three candidates, compared to 12, compounds 9 and 12 were found to be more effective.
In Vivo Fluorescence Imaging With the Water-Soluble Analog 16
Measurement of PS accumulation in the tumor and skin via fluorescence measurements using a non-invasive optical imaging camera system was performed. When tumors reached 4-5 mm in diameter, the BALB/c mice were imaged prior to PS injection (using body weight of Ketamine Xylazine or 80 mg/kg of Pentobarbital Sodium anesthesia) to make certain that no endogenous chromophores were excited at the particular wavelengths utilized (425/50 nm or 540/40 nm excitation filters). Background fluorescence measurements had been a concern for previous researchers because it was found that the current diet of the mice contained chlorophyll (λmax fluorescence=676 nm). When evaluating a photosensitizer such as HPPH, the PS emission peak at  ̃668 nm overlapped with that of chlorophyll. Therefore, the fluorescence images obtained were not particularly specific for only PS fluorescence. For instance, when the background mice were imaged (No PS) using an excitation wavelength of 425/50 nm the chlorophyll from the diet was present in both the hair (yellow) and BALB/c skin (red) exhibiting an emission peak at  ̃676 nm. For the experiments with PS 15 and 16, there was no concern that the emission peak of chlorophyll would overlap with that of the PS (emission at  ̃710 nm).
For non-invasive in vivo imaging of PS fluorescence, the NuanceTM Imaging Camera was beneficial in that once anesthetized the whole body of the mouse could be placed into the imaging LT-9CABINET, which provided the proper light insulation required for measurement and the ILLUMATOOL low power light source necessary for keeping the amount of light delivered to each mouse constant (3 mice per time point). This imaging technology was quite beneficial due to the fact that it was minimally invasive, so that there was no need to sacrifice the animal in order to obtain information about where the PS was localized. Previous studies have involved invasive procedures in which a mouse was sacrificed, the tumor or skin was excised and histological staining was performed on the paraffin blocks. Below are fluorescence images of PS 16 excited using the 425/50 nm filter and collected via the non-invasive CCD Nuance Imaging Camera (Princeton Instruments Inc.). This system was capable of taking qualitative hyperspectral images in the specific range of 650-720 nm focused on 710 nm. Attached to the small animal images are the spectral properties of the hair (yellow), skin (blue) and tumor (red).
From FIG. 3, it can be seen that PS 16 showed a significant selectivity for tumors (peak fluorescence at  ̃710 nm), but when the skin flap was performed there appeared to be a noticeable amount of PS remaining in the underside of the skin after tumor removal. It is important to remember that these are qualitative images of PS accumulation in the tumor and skin. As a means to determine the exact uptake of the PS in the tumor versus the skin and other organs, a skin-flap excision, as well as, an ex vivo biodistribution study were performed. Once removed, the organs (tumor, skin, heart, spleen, muscle, kidney, stomach, intestine, lung and liver) were placed on a plexiglass plate and their fluorescence was collected (425/50 nm excitation). The fluorescence image displayed fluorescence peaks at  ̃675 (yellow spectrum characteristic of chlorophyll-a from diet) and  ̃710 nm (red spectrum characteristic of PS 16) with visible fluorescence in the tumor, skin, large intestine, liver and stomach. The organs were homogenized, dissolved in Solvable and read on the Fluoromax II Fluorimeter at 417 nm. After reading the fluorescence of all the organ samples, it was determined that the tumor and liver retained PS 16 (peak emission  ̃710 nm), while the skin, stomach and intestine retained material characteristic of chlorophyll-a (peak emission  ̃676 nm). The average fluorescence per mg/mL of protein was normalized to background mice (no PS) and plotted for each organ (avg. of 3 samples per organ).
This invention describes the successful synthesis of a new long wavelength water-soluble PS. The in vitro and in vivo PDT photosensitizing experiments indicated that PS 16 was superior to its parent compound, 15
At its therapeutic PDT dose of 0.7 μmoles/kg (70% mice were tumor-free by day 60, 7/10 mice), PS 16 displayed selective tumor uptake at 24 h p.i. as visualized by NuanceTM imaging and confirmed by the fluorescence extraction experiments. This is the first report of a water-soluble fluorinated purpurinimide being utilized as a dual PDT-imaging agent.

## Claims

1. An article of manufacture, comprising packaging material and a compound contained within the packaging material or salt thereof wherein the compound or salt thereof is effective in a photodynamic therapy treatment for ameliorating the symptoms of a hyperproliferative disorder; and the packaging material includes a label that indicates that the compound or salt thereof is used in a photodynamic therapy treatment for ameliorating the symptoms of a hyperproliferative disorder and the compound is a pharmaceutically acceptable tetrapyrollic photosensitizer compound having at least one pendant —CH2CH2CON(CH2CON(CH2COOH)2)2 or —N(CH2COOH)2 group or esters thereof said tetrapyrollic compound being a chlorin, bacteriochlorin, porphyrin, pyropheophorbide, purpurinimide, or bacteriopurpurinimide wherein the compound has the formula:




wherein:
R1 and R2 are each independently substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, —C(O)Ra or —COORa or —CH(CH3)(OR) or —CH(CH3)(O(CH2)nXR) where Ra is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, or substituted or unsubstituted cycloalkyl where R2 may be CH═CH2, CH(OR20)CH3, C(O)Me, C(═NR21)CH3 or CH(NHR21)CH3;
where X is an aryl or heteroaryl group;
n is an integer of 0 to 6;
R is independently H or lower alkyl of 1 through 8 carbon atoms;
where R20 is methyl, butyl, heptyl, docecyl or 3,5-bis(trifluoromethyl)-benzyl; and
R21 is 3,5,-bis(trifluoromethyl)benzyl;
R1a and R2a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond;
R3 and R4 are each independently hydrogen or substituted or unsubstituted alkyl;
R3a and R4a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond;
R5 is hydrogen or substituted or unsubstituted alkyl;
R6 and R6a are each independently hydrogen or substituted or unsubstituted alkyl, or together form ═O;
R7 is a covalent bond, alkylene, azaalkyl, or azaaraalkyl or ═NR20 where R20 is hydrogen or lower alkyl of 1 through 8 carbon atoms or —CH2-3,5-bis(tri-fluoromethyl)benzyl or —CH2X—R1 or —YR1 where Y is an aryl or heteroaryl group;
R8 and R8a are each independently hydrogen or substituted or unsubstituted alkyl or together form ═O;
R9 is —CH2CH2CON(CH2CON(CH2COOH)2)2; or —N(CH2COOH)2 
R10 is hydrogen, or substituted or unsubstituted alkyl and;
each of R1-R10, when substituted, is substituted with one or more substituents each independently selected from Q, where Q is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue;
each Q is independently unsubstituted or is substituted with one or more substituents each independently selected from Q1, where Q1 is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue.

2. A method for administering a therapy to a target comprising hyperproliferative tissue, comprising:
(i) administering to a subject by injecting a pharmaceutically acceptable compound that preferentially associates with the target, and
(ii) irradiating the subject with light of a wavelength and total fluence sufficient to produce a therapeutic effect;
wherein the compound is a tetrapyrollic photosensitizer compound having at least one pendant —CH2CH2CON(CH2CON(CH2COOH)2)2 or —N(CH2COOH)2 group or lower alkyl esters thereof said tetrapyrollic compound being a chlorin, bacteriochlorin, porphyrin, pyropheophorbide, purpurinimide, or bacteriopurpurinimide where the compound has the formula:





wherein:
R1 and R2 are each independently substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, —C(O)Ra or —COORa or —CH(CH3)(OR) or —CH(CH3)(O(CH2)nXR) where Ra is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, or substituted or unsubstituted cycloalkyl where R2 may be CH═CH2, CH(OR20)CH3, C(O)Me, C(═NR21)CH3 or CH(NHR21)CH3;
where X is an aryl or heteroaryl group;
n is an integer of 0 to 6;
R is independently H or lower alkyl of 1 through 8 carbon atoms;
where R20 is methyl, butyl, heptyl, docecyl or 3,5-bis(trifluoromethyl)-benzyl; and
R21 is 3,5,-bis(trifluoromethyl)benzyl;
R1a and R2a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond;
R3 and R4 are each independently hydrogen or substituted or unsubstituted alkyl;
R3a and R4a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond;
R5 is hydrogen or substituted or unsubstituted alkyl;
R6 and R6a are each independently hydrogen or substituted or unsubstituted alkyl, or together form ═O;
R7 is a covalent bond, alkylene, azaalkyl, or azaaraalkyl or ═NR20 where R20 is hydrogen or lower alkyl of 1 through 8 carbon atoms or —CH2-3,5-bis(tri-fluoromethyl)benzyl or —CH2X—R1 or —YR1 where Y is an aryl or heteroaryl group;
R8 and R8a are each independently hydrogen or substituted or unsubstituted alkyl or together form ═O;
R9 is —CH2CH2CON(CH2CON(CH2COOH)2)2; or —N(CH2COOH)2 
R10 is hydrogen, or substituted or unsubstituted alkyl and;
each of R1-R10, when substituted, is substituted with one or more substituents each independently selected from Q, where Q is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue;
each Q is independently unsubstituted or is substituted with one or more substituents each independently selected from Q1, where Q1 is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue
wherein the target is selected from the group consisting of: a neovasculature tissue, a neovasculature tissue present in an eye, an abnormal vascular wall of a tumor, a solid tumor, a tumor of a head, a tumor of a neck, a tumor of an eye, a tumor of a gastrointestinal tract, a tumor of a liver, a tumor of a breast, a tumor of a prostate, a tumors of a lung, a nonsolid tumor, malignant cells of one of a hematopoietic tissue and a lymphoid tissue.

3. The method of claim 2, further comprising the step of allowing sufficient time for any of the compound that is not preferentially associated to the target tissue to clear from non-target tissue of the subject prior to the step of irradiating.

4. The method of claim 2 where the method is photodynamic therapy for treating hyperproliferative tissue in a subject and the subject is irradiated with light of a wavelength and fluence to sufficiently activate the compound to destroy or impair the hyperproliferative tissue.

5. The method of claim 4 wherein the compound has the formula:




wherein:
R1 and R2 are each independently substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, —C(O)Ra or —COORa or —CH(CH3)(OR) or —CH(CH3)(O(CH2)nXR) where Ra is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, or substituted or unsubstituted cycloalkyl where R2 may be CH═CH2, CH(OR20)CH3, C(O)Me, C(═NR21)CH3 or CH(NHR21)CH3;
where X is an aryl or heteroaryl group;
n is an integer of 0 to 6;
R is independently H or lower alkyl of 1 through 8 carbon atoms;
where R20 is methyl, butyl, heptyl, docecyl or 3,5-bis(trifluoromethyl)-benzyl; and
R21 is 3,5,-bis(trifluoromethyl)benzyl;
R1a and R2a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond;
R3 and R4 are each independently hydrogen or substituted or unsubstituted alkyl;
R3a and R4a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond;
R5 is hydrogen or substituted or unsubstituted alkyl;
R6 and R6a are each independently hydrogen or substituted or unsubstituted alkyl, or together form ═O;
R7 is a covalent bond, alkylene, azaalkyl, or azaaraalkyl or ═NR20 where R20 is hydrogen or lower alkyl of 1 through 8 carbon atoms or —CH2-3,5-bis(tri-fluoromethyl)benzyl or —CH2X—R1 or —YR1 where Y is an aryl or heteroaryl group;
R8 and R8a are each independently hydrogen or substituted or unsubstituted alkyl or together form ═O;
R9 is —CH2CH2CON(CH2CON(CH2COOH)2)2; or —N(CH2COOH)2 
R10 is hydrogen, or substituted or unsubstituted alkyl and;
each of R1-R10, when substituted, is substituted with one or more substituents each independently selected from Q, where Q is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue;
each Q is independently unsubstituted or is substituted with one or more substituents each independently selected from Q1, where Q1 is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue.