Use of 2-substituted-thiazolidine-4-carboxylic acids for treatment of cataract

Abstract: The invention provides the use of a compound of the formula: R is hydrogen, hydroxy, aliphatic(C₁₋₂₀), (CH₂) n -Q, where n is 0-20 and Q is phenyl, thienyl, furyl, pyridyl, or (CH₂) n -T where n is 0-20 and T is an aliphatic ring of 3 to 7 carbon atoms, or =0 or a ketal of 2-5 carbons, or hydroxy, or O-aliphatic (C₁₋₁₀),or N(R₁)₂ where R₁ is hydrogen or alkyl of 1 to 5 carbons, or thiazolidine, or a sugar; and Z is -OH or a pharmaceutically acceptable salt thereof, OR₃ where R₃ is an aliphatic group of 1-10 carbons, N(R₁)₂ when R₁ is hydrogen or alkyl of 1-5 carbon atoms, in the preparation of a medicament for delaying the onset of cataract in mammals.

Description: Field of the Invention The present invention relates generally to the field of diseases of the eye and particularly to certain thiazolidine compounds useful for delay of cataract. Background of the Invention Several compounds in the family of 2-substituted-thiazolidine-4-carboxylates or carboxylate analogs (2-substituted-THZ) are known. One of the compounds in this family, 2-oxothiazolidine-4-carboxylic acid (OTC), has been shown to have some effect in protecting mice against acetominophen hepatotoxicity (Nagasawa, H.T., et al. J. Med. Chem . 1984, 27, 591-596). This compound has also been shown to have some effect in raising glutathione levels in cultured rabbit lenses in vitro (Holleschan, A.M., et al., Lens Research , 3(1-2), 1097-118 (1986)). However, these efforts did not demonstrate that OTC or other compounds in the THZ family had any effect on cataracts. Garner et al , Investigative Ophthalmology & Visual Science, Vol 29, January 1988, page 147, Abstract 9, reported that subcutaneous injection of OTC delayed cataract formation in galactosemic mice but made no mention of the therapeutic effects of OTC when administered orally or topically to the eye. Summary of the Invention The present invention is defined in the claims appended hereto and relates to the use of certain 2-substituted-thiazolidine carboxylates or carboxylate analog (2-substituted THZ) for the manufacture of a medicament for the delaying of onset of cataracts. The 2-substituted-THZ compounds of this invention have the following structure: where R in the broadest embodiment is a group which in conjunction with the Z group imparts to the 2-substituted-THZ compound a hydrophobicity in terms of a partitioning coefficient (organic/aqueous) having a log P value of at least -1 or greater. Specifically, R may be hydroxy, aliphatic(C₁₋₂₀), (CH₂) n -Q, where n is 0-20 and Q is phenyl, thienyl, furyl, pyridyl, or (CH₂) n -T where n is 0-20 and T is an aliphatic ring of 3 to 7 carbon atoms, or =0 or a ketal of 2-5 carbons, or hydroxy, or 0-aliphatic (C₁₋₁₀), or N(R₁)₂ where R₁ is hydrogen or alkyl of 1 to 5 carbons, or thiazolidine, or a sugar group selected from an arabino, lyxo, ribo, xylo, galacto, gluco and manno groups; and Z is -OH or a pharmaceutically acceptable salt thereof, OR₃ where R₃ is an aliphatic group of 1-10 carbons, N(R₁)₂ when R₁ is hydrogen or alkyl of 1-5 carbon atoms. Preferably R is hydrogen, =0, -OH, -SH, -NH₂, alkyl(C₁₋₁₀), (CH₂) n -Q wherein n is 0-10 and Q is phenyl, thienyl, furyl, pyridyl, thiazolidine, or a sugar group as hereinbefore defined. More preferably R is hydrogen, methyl, ethyl, pentyl, pyridyl, =0, hydroxymethyl, tetradecyl, 4-diethylaminophenyl, thiethyl, phenyl, phenethyl, tetrahydrophenylpropyl, hydroxyphenyl, glycero, thiazolidine or one of the sugar groups arabino, lyxo, ribo, xylo, galacto, gluco or manno. The 2-substituted THZ compounds of the present invention may be used to treat cataracts in mammals by administering a therapeutically effective amount of the selected compound to the mammal. Description of the Illustrative Embodiment The word cataract is a general term for any pathological condition in which there is a loss of transparency of the eye. The resulting deterioration of vision in a mammal diseased with cataracts is a consequence of the loss of transparency of the lens which results from back scattering of light of detrimental modulation of light passing through the involved lens. Currently, surgical correction of a cataract is used to correct the condition by removal of the cataract diseased lens and its replacement by an intraocular lens (IOL) or alternatively by spectacles or contact lenses. However, this surgical approach has risks and therefore other efforts, such as the present invention, are directed toward development of various non-surgical treatments of cataracts. In this regard, the compounds of the present invention, 2-substituted-thiazolidine-4-carboxylates or carboxylate analog compounds are useful for the treatment of cataracts. The compounds of this invention contain chiral centers and accordingly, may be prepared as enantiomeric or diasteriomeric mixtures or in optically pure form. Unless otherwise specified herein, such preparations are racemates at each chiral center. However, the scope of the invention is not to be considered as limited to these forms but also to encompass the individual optical isomers of the compounds. The substitution group, R, as shown in the 2-substituted THZ structure above, may be essentially any atom or functional group which does not render the substituted THZ compound ineffective for treatment of cataracts and does not impart any deleterious or untoward effect upon the subject to which it is administered in the context of its intended use. Further, any pharmaceutically acceptable carboxylic acid carboxylate analog, e.g. ester, amide, or salt of the 2-substituted-THZ compound may be prepared and used for the treatment of cataracts. Another consideration in the selection of the R group for substitution is the corneal penetration of the R-substituted THZ compound. This factor has relevance in topical application of the compound and in other contemplated delivery methods. Failure of the 2-substituted THZ compound to adequately penetrate the cornea may affect the efficacy of the compound. In this regard, R-substituted compounds exhibiting some measure of hydrophobicity may exhibit better corneal penetration for topical application of the compound. The hydrophobicity of the compound may be measured in terms of its partitioning coefficient (Log P) between organic and aqueous phases. A partitioning coefficient of at least -1 or greater should enable the selected R-Substituted THZ compound to pass through the amphiphilic cellular membranes of lens cells via topical application. The most preferred R-group substituents of the present invention are listed in Table I below. Depending on the mammal involved and delivery method utilized, e.g. topical, oral, injection, or subcutaneous, an R-group may be selected such that the efficacy of the 2-substituted-THZ compound for delay of cataract is maximized for that mammal or test subject. Accordingly, variation of the R-group, its hydrophobicity characteristics and partitioning coefficients may enable flexibility in the selection of an efficacious 2-Substituted-THZ compound within the scope of the present invention. This list (Table I) is merely representative of the possible 2-substituted-THZ compounds contemplated by the present invention. Of course, other R-group substituents may be used in accordance with the present invention without departing from its concept. The compounds of this invention may be delivered topically in any common ocular formulation comprising a gel, ointment, solution suspension or extended release insert. Systemic administration methods are also possible in various formulations for oral, intravenous, and subcutaneous administrations in various forms, e.g., solid, suspension or solution, as appropriate. Pharmaceutical compositions of this invention comprise 2-substituted-THZ compounds and pharmaceutical carriers suitable for the route of administration. Standard methods for formulating pharmaceutical compositions of this type may be found in Remington's Pharmaceutical Sciences , Mack Publishing Company, Easton, PA. For topical administration, the pharmaceutical composition may be in the form of a solution, gel, ointment, or the like. Standard pharmaceutical carriers for such compositions may be used. Preferably, compositions for topical administration will contain 0.05-5% of the active ingredient. A typical cream formulation may contain the following: Ingredient Parts by Weight Water 98-99 Polyvinyl alcohol 1-2 Non-ionic surfactant 0-10 Mineral oil 0-10 Typical pharmaceutical adjuvants 0-5 Active ingredient 0.001-0.1 Chlorobutenol 0.5 Sodium chloride 0.9 A typical ointment formulation may contain the following: Ingredients Parts by Weight White petrolatum 40-94 Mineral Oil 5-20 Glycol solvent 1-15 Surfactant 0-10 Stabilizer 0-10 Active Ingredient 0.05-5 For oral administration, suitable pharmaceutical carriers include mannitol, lactose, starch, magnesium stearate, talcum, glucose and magnesium carbonate. Oral compositions may be in the form of tablets, capsules, powders, solutions, suspensions, sustained release formulations, and the like. A typical tablet or capsule may contain the following: Ingredients Percent w/w Lactose, spray-dried 40-99 Magnesium stearate 1-2 Cornstarch 10-20 Active ingredient 0.001-20 Parenteral compositions are prepared in conventional suspension or solution forms, as emulsions or as solid forms for reconstruction. Suitable carriers are water, saline, dextrose, Hank's solution, Ringer's solution, glycerol, and the like. Parenteral administration is usually by injection which may be subcutaneous, intramuscular or intravenous. A therapeutic (effective) concentration of 2-substituted-THZ compound for treatment of cataract is a concentration which causes delay in the onsent of cataract in a mammal having a predisposition, propensity, likelihood or possibility of forming cataract due to various etiological (cataractogenic) factors. A given therapeutic concentration may vary from individual to individual (according to the individual's needs and susceptibility to treatment), mammal to mammal, or condition to condition. Accordingly, no single therapeutic concentration can be precisely pinpointed for treatment purposes, but will best be determined at the time and place through routine experimentation. However, it is anticipated that in treatment for the delay of cataract, an ocular or systemic formulation or dosage containing between about 0.01 mg/day/kg of a patient's body mass to about 100 mg/day/kg of patient's body mass will effectively delay the onsent of cataract. Administration may be once or several times daily depending on the concentration of the formulation being administered, the method of delivery, the patient, response to therapy, and the inherent activity of the 2-substituted-THZ containing formulation being administered. Methods for making various 2-substituted-THZ compounds are known. Generally, these compounds may be made by condensing the corresponding aldehyde of the desired substituent with cysteine or protected cysteine, preferably L-Cysteine, in the appropriate aqueous or organic solution at a temperature of 0°-100° centigrade, preferably ambient room temperature, for a period of time from 30 minutes to overnight, but preferably from 1-2 hours. More specifically, the method of preparation of the 2-substituted (sugar)-THZ compounds described in Table I is described by Roberts, T.C., et al., J. Med. Chem . 1987. 30, 1891-1896. This reference also describes methods for making other 2-substituted (sugar)-THZ compounds not included in Table I but which are within the scope of the concept of the present invention. Preferred esters are derived from the saturated aliphatic alcohols or acids of ten or fewer carbon atoms or the cyclic or saturated aliphatic cyclic alcohols and acids of 5 to 10 carbon atoms. Particularly preferred aliphatic esters are those derived from lower alkyl acids and alcohols. Here, and whereever else used, lower alkyl means having 1-6 carbon atoms. Also preferred are the phenyl or lower alkylphenyl ester. A pharmaceutically acceptable salt may be prepared for any compound of this invention having a functionality capable of forming such salt, for example an acid or an amine functionality. A pharmaceutically acceptable salt may be any salt which retains the activity of the parent compound and does not impart any deleterious or untoward effect on the subject to which it is administered in the context in which it is administered. Such a salt may be derived from any organic or inorganic base. The salt may be a mono or polyvalent ion. Of particular interest where the acid function is concerned are the inorganic ions, sodium, potassium, calcium, and magnesium. Organic amine salts may be made with amines, particularly ammonium salts such as mono-, di and trialkyl amines or ethanol amines. Salts may also be formed with caffeine, tromethamine and similar molecules. If the compound contains a nitrogen and it is sufficiently basic as to be capable of forming acid addition salts, such may be formed with any inorganic or organic acids or alkylating agent such a methyl iodide. Preferred acid addition salts are those formed with inorganic acids such as hydrochloric acid, sulfuric acid or phosphoric acid. Any of a number of simple organic acids having one, two or three carboxyl groups may be used for making acid addition salts. If the R group is -OH it can be converted to an ether or esters, or if a ketone, to a ketal, by known methods such as those described in McOmie , Plenum Publishing Press, 1973 and Protecting Groups , Ed. Greene, John Wiley & Sons, 1981. EXAMPLE 1 2(RS)-Methyl-thiazolidine-4-carboxylic Acid Acetaldehyde (0.27 g) and L-cysteine (0.75 g) were reacted in aqueous solution 10 ml at room temperature for 1.5 hours, followed by solvent evaporation evaporated in vacuo. The resulting product was recrystallized from methanol to yield the title compound. Melting Point: 161-163° centigrade Optical Rotation [ α ]²⁶D: -148°. Other 2-substituted-thiazolidine carboxylic acids may be synthesized by substantially the same method by condensing the aldehyde corresponding to the desired R-group with 1-cysteine in a suitable aqueous or organic solution or solvent. Accordingly, a substantial range of R-substituted-THZ compounds, such as those described in Table I above, may be synthesized. In a like vein, the method of preparation of oxothiazolidine-4-carboxylic acid (OTC) is described by Meister, et al. in U.S. Patent No. 4,434,158 as the method of Kaneko, et al., Bull. Chem. Soc . (Japan) Vol. 37, pp 242-4 (1964) as modified by the method of Shah, et al., Cancer Research , Vol. 39, pp. 3942-7 (1979). A variety of 2-Substituted-THZ compounds are commercially available from various chemical manufacturers and suppliers. See for example Aldrich and Sigma. This contributes to the general availability of these compounds for study. EXAMPLE 2 Use of 2(RS)-Substituted-Thiazolidine-4-Carboxylic Acid for Delay of Vacuolar Formation and Cataract Formation in Sprague-Dawley (albino) and Long-Evans (pigmented) Rats The 2(RS)-Substituted-Thiazolidine-4-Carboxylic Acid has been found to delay vacuolar formation and cataract formation in albino Sprague-Dawley and pigmented Long-Evans rats fed on an elevated sugar diet. The animals (∼ 50-100 g) were placed on a 50% galactose diet (ad lib) at 28 days of age to induce the formation of cataract. The animals were divided into several treated and untreated groups with one group remaining on normal rat chow to serve as a control group. The compound 2-oxothiazolidine-4-carboxylic acid (OTC) was obtained from a commercial vendor and prepared in various concentrations 1, 0.1, 0.01, 0.001, and 0.0001 mg/ml in a balanced salt solution. In all treated groups, OTC treatment began on the first day of the galactose diet. Efficacy of treatment of OTC was evaluated by several methods. In the first method, visual examination of the rats' eyes (n is 5 - 10 Sprague-Daley rats) was performed daily. Ocular lenses of the examined animals were graded as follows: vacuoles in one eye (+1), vacuoles in both eyes (+2), or cataract (+3). In a second method, slitlamp photography was used to record changes in the ocular lens of test subjects (n = 5-10 rats) every couple or several days. Animals were sedated with runp injection of 100µL Ketamine-HCl. The animals' eyes were dilated with 1 drop of Mydriacyl (tropicamid 1%) in each eye and photographs taken on a Zeiss photo slit-lamp instrument with a Nikon camera. The slip-lamp photographs of the ocular lenses of the examined animals were graded as follows: vacuoles in one eye (+1), vacuoles in both eyes (+2), or cataract (+3). In a third evaluation method, ocular lenses of test subjects (n is 5-10 Long-Evans rats were examined every couple or several days using an Intraoptics Lens Opacity Meter 701 manufactured by Intraoptics, Inc. The animals were sedated with a rump injection of 100µL Ketamine-HCl. The animals' eyes were dilated with 1 drop Mydriacyl (tropicamid 1%) in each eye. The animals' ocular lenses were examined using the Intraoptics Lens Opacity Meter 701 to obtain a numerical value related to the degree of lenticular density ranging in values from 0-100 with increasing light scattering in the lens. The instrument auto calibrates on start up of the instrument. The backscatter of light from the test subjects' ocular lens is measured using a modulated dark red LED 700 mm, 1.5 mm beam that runs along the axis of the lens with the results of said beam being processed by a microprocessor within the meter. Five consecutive readings were taken by the instrument for each eye with 600 total readings being taken in a given 0.5 second sampling interval. The resulting values were averaged and reported with standard deviations noted by the instrument. Animals were divided into subgroups by method of delivery of the test compound. The corresponding test concentrations and methods are set forth in Table II below: Method of Delivery OTC Concentration (mg/ml) Systemic (1) Subcutaneous injection (20µL; once per day) 1, 0.1, 0.01, 0.001, 0.0001 (2) Osmotic delivery with Alzet minipumps (0.5 µL/hour; continuous 24 hours/day) 0.01, 0.001, 0.0001 (3) Os (oral) gavage (100 µL of OTC in 20% Tween-20 via incubation with 20 gauge stomach syringe; once per day 1, 0.1, 0.01, 0.001 Ocular (1) Topical (drops) (OTC in 25µL Lacrilube; twice per day) 1, 0.1, 0.01 In each subgroup, OTC was found to delay vacuolar formation and cataract formation in the treated animals as compared to the untreated animals. Based on these results, efficacy may be expected from use of the other compounds named in Table I. Similarly, based on these results homologues or other R-substituted compounds not specifically named herein may be expected to be efficacious for use in delay of cataract.

Claims: Claims for the following Contracting States : AT, BE, CH, DE, FR, GB, IT, LI, LU, NL, SE The use of a compound of the formula: Wherein R is, hydroxy, aliphatic(C₁₋₂₀), (CH₂) n -Q, where n is 0-20 and Q is phenyl, thienyl, furyl, pyridyl, or (CH₂) n -T where n is 0-20 and T is an aliphatic ring of 3 to 7 carbon atoms, or =0 or a ketal of 2-5 carbons, or hydroxy, or O-aliphatic (C₁₋₁₀),or N(R₁)₂ where R₁ is hydrogen or alkyl of 1 to 5 carbons, or thiazolidine, or a sugar group selected from arabino, lyxo, ribo, xylo, galacto, gluco and manno groups; and Z is -OH or a pharmaceutically acceptable salt thereof, OR₃ where R₃ is an aliphatic group of 1-10 carbons, N(R₁)₂ wherein R₁ is hydrogen or alkyl of 1-5 carbon atoms, for the manufacture of a medicament for delaying the onset of cataract in mammals, provided that where Z =OH and R is =0, the use is for the manufacture of a medicament for topical treatment of a mammal to delay the onset of cataract. The use according to Claim 1 where R is =O, -OH, -SH, -NH₂, alkyl(C₁₋₁₀), (CH₂) n -Q wherein n is 0-10 and Q is phenyl, thienyl, furyl, pyridyl, thiazolidine, or a sugar. The use according to Claim 1 wherein R is methyl, ethyl, pentyl, pyridyl, =0, hydroxymethyl, tetradecyl, 4-diethylaminophenyl, thiethyl, phenyl, phenethyl, tetrahydrophenylpropyl, hydroxyphenyl, glycero, thiazolidine or one of the sugar groups arabino, lyxo, ribo, xylo, galacto, gluco or manno. The use according to claim 1 where R is oxo-. An ophthalmic composition adapted for topical administration to the eye, to the exclusion of administration by injection, said composition being suitable for use in treating a mammal to delay the onset of cataract and comprising a compound as defined in any one of the preceding claims and an ophthalmically acceptable carrier. An ophthalmic composition according to claim 5 in the form of a gel, ointment cream or extended release ocular insert. An ophthalmic composition according to claim 5 wherein said compound constitutes 0.05 to 5% of the composition. Claims for the following Contracting States : ES, GR The use of a compound of the formula: Wherein R is hydroxy, aliphatic(C₁₋₂₀), (CH₂) n -Q, where n is 0-20 and Q is phenyl, thienyl, furyl, pyridyl, or (CH₂) n -T where n is 0-20 and T is an aliphatic ring of 3 to 7 carbon atoms, or =0 or a ketal of 2-5 carbons, or hydroxy, or O-aliphatic (C₁₋₁₀),or N(R₁)₂ where R₁ is hydrogen or alkyl of 1 to 5 carbons, or thiazolidine, or a sugar group selected from arabino, lyxo, ribo, xylo, galacto, gluco and manno groups; and Z is -OH or a pharmaceutically acceptable salt thereof, OR₃ where R₃ is an aliphatic group of 1-10 carbons, N(R₁)₂ wherein R₁ is hydrogen or alkyl of 1-5 carbon atoms, for the manufacture of a medicament for delaying the onset of cataract in mammals, provided that where Z =OH and R is =0, the use is for the manufacture of a medicament for topical treatment of a mammal to delay the onset of cataract. The use according to Claim 1 where R is =O, -OH, -SH, -NH₂, alkyl(C₁₋₁₀), (CH₂) n -Q wherein n is 0-10 and Q is phenyl, thienyl, furyl, pyridyl, thiazolidine, or a sugar. The use according to Claim 1 wherein R is methyl, ethyl, pentyl, pyridyl, =0, hydroxymethyl, tetradecyl, 4-diethylaminophenyl, thiethyl, phenyl, phenethyl, tetrahydrophenylpropyl, hydroxyphenyl, glycero, thiazolidine or one of the sugar groups arabino, lyxo, ribo, xylo, galacto, gluco or manno. The use according to claim 1 where R is oxo-. A method of preparing an ophthalmic composition adapted for for topical administration to the eye, to the exclusion of administration by injection, said composition being suitable for use in treating a mammal to delay the onset of cataract and comprising a compound as defined in any one of the preceding claims and an ophthalmically acceptable carrier, which method comprises bringing the compound into association with the ophthalmically acceptable carrier. A method according to claim 5 wherein the ophthalmic composition is in the form of a gel, ointment cream or extended release ocular insert. A method according to claim 5 wherein said compound constitutes 0.05 to 5% of the composition.

Inventors: GARNER WILLIAM H, WHEELER LARRY A, GARNER, WILLIAM H., WHEELER, LARRY A.
Applicants: ALLERGAN INC, ALLERGAN, INC
Application year: 1989
Main classification: A61K31
IPC codes: C07D277, C07H17, A61P3, C07D417, A61P27, A61K31