PURINE AND GUANINE DERIVATIVES

Abstract: Compounds of formula (I), wherein n = 1 or 2, R<1> is H, NH2 or halogene; R<2> is H or NH2; R<3> represents the group (a) where m = 0 or 1; R<4> et R<5> are the same or different and are each H, CO2H, CO2C1-6 alkyl, NHSO2CF3, tetrazole, (CR<6>R<7>)p(Y)q(CR<6>R<7>)tZ where (CR<6>R<7>)p or (CR<6>R<7>)t may be straight or branched chain bearing the substituents R<6> and R<7> when p and t > 1; R<6> and R<7> are the same or different and are each C0-6 alkyl-Z; p = 1 - 3; q = 0 or 1; t = 0 - 4, provided that t > 0 wgeb q = 1; Y is NH, O, S(O)u where u = 0 - 2; Z is H, CN, CO2H, CO2C1-6 alkyl, NHSO2CF3, tetrazole, triazole, CONH2, CON(C1-6 alkyl)2, CONH(C1-6 alkyl), SO2NH(C1-6 alkyl) or SO2N(C1-6 alkyl)2; or a salt, soluate or hydrate thereof.

Description: PURINE AND GUANINE DERIVATIVES Field of the Invention The invention relates to purine and guanine derivatives and their use purine nucleoside phosphorylase (PNP) inhibitors, for treating conditions in mammals which are responsive to purine nucleoside phosphorylase inhibition. Background of the Invention 9-Arylmethyl-substituted purines (including guanines) have been reported as PNP inhibitors in EP-A-0, 178, 178 substantially corresponding to US-A-4,772,606. 9-Arylmethyl-substituted purines (including guanines), in which the aryl ring contains phosphonic acid groups, have also been reported as PNP inhibitors in EP-A- 0,465,297 WO-A-92/05180. Modified purines, namely 9-deazapurines, have also been reported as PNP inhibitors in US-A-4,985.434; US-A-5, 008,265; US-A- 4,985,433; US-A-5,236,926; US-A-5, 236,926 and US-A-5, 008,270. PNP inhibitory data cited in Drugs of the Future, 1 , 654 (1988), Agents and Actions, 21, 253 (1987), Proc Natl Acad Sci USA, 88, H540 (1991) and US 90/01021 indicate that modifications to the guanine base markedly alter the PNP inhibitory ability of such compounds. Also, modifications to the aryl ring of the 9- deaza (9-arylmethyl) purines can markedly alter PNP inhibitory activity. Namely replacement of a pyridine ring with piperidine greatly reduces activity as illustrated in IL Farmaco, 4£ (2), 297 (1993). Summary of the Invention The compounds of the invention are particularly useful in mammals as purine nucleoside phosphorylase (PNP) inhibitors, as selective inhibitors of T-cells and for suppressing cellular immunity. They can thus be used for the treatment of autoimmune diseases, transplant rejection, psoriasis or gout in mammals. They can also be used to potentiate the antiviral and antitumor effect of antiviral or antitumor purine nucleosides. The present invention relates to the compounds of formula (I), their tautomers, salts, solvates and hydrates. wherein n = 1-2; R 1 represents H or the group NH 2 or halogen; R 2 represents H or the group NH 2 ; R 3 represents the group where m=0, l R 4 and R 5 may be the same or different and may be H or the group CO 2 H, CO 2 C,^ alkyl, NHSO 2 CF 3 , tetrazole, (CR 6 R 7 )p (Y)q (CR 6 R 7 )tZ. Where the group (CR 6 R 7 )p or (CR 6 R 7 )t may be straight or branched chain bearing the substituents R 6 and R 7 p and t > 1. R 6 and R 7 may be the same or different and may be H or the group C^, alkyl Z. p= l-3 q=0, l t=0-4 Y=NH, 0, S(O)u where u=0-2 Z may be H or the group CN, CO 2 H, CO 2 C,^ alkyl, NHSO 2 CF 3 , tetrazole, triazole, CONH 2 , CON(C,^alkyl) 2) CONH(C,^ alkyl), SO 2 NH (C 1J6 alkyl), SO j N(C,. β alkyl) 2 * Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds; thus t > 0 when q = 1. Description of the Invention The present invention includes all possible substitution patterns around the substituent R\ and may also include substitution by R 4 at more than one carbon atom of the ring. It will be appreciated that the compounds according to the invention can contain one or more asymmetrically substituted carbon atoms. The presence of one or more of these asymmetric centres in a compound of formula (I) can give rise to stereoisomers, and in each case the invention is to be understood to extend to all such stereoisomers, including enantiomers and diastereomers, and mixtures including racemic mixtures thereof. In the formulae herein, the ~ line is used at a potential asymmetric centre to represent the possibility of R- and S- configurations, and the < line and the line to represent a unique configuration at an asymmetric centre. As used in this specification, alone or in combination, the term "C,^ alkyl" refers to a straight or branched chain alkyl moiety having from one to six carbon atoms, including for example, methyl, ethyl, propyl, isopropyl, butyl, t-butyl, pentyl, hexyl and the like. The term "halogen" means fluorine, chlorine, bromine or iodine. As used in this specification, alone or in combination, the term "C^ alkyl" refers to a straight alkyl moeity of between zero and four carbon atoms for example; methyl, ethyl, propyl etc. Salts of compounds of formula (I) include pharmaceutically acceptable salts, for example acid addition salts derived from inorganic or organic acids, such as hydrochlorides, hydrobromides, hydroiodides, p-toluenesulphonates, phosphates, sulphates, perchlorates, acetates, trifluoroacetates, propionates, citrates, malonates, succinates, lactates, oxalates, tartrates and benzoates. Salts may also be formed with bases. Such salts include salts derived from inorganic or organic bases, for example alkali metal salts such as magnesium or calcium salts, and organic amine salts such as morpholine, piperidine, dimethylamine or diethylamine salts. Any group of compounds in which an ester function (e.g. when R 5 is COYR 7 and Y is O) is present, that ester may take the form of a metabolically labile ester in which the alcohol portion constitutes, for example, an ethyl, benzyl, phenethyl, phenylpropyl, a or 3-naphthyl, 2,4-dimethylphenyl, 4-terr-butylphenyl, 2,2,2- trifluoroethyl , l -(benzyloxy)benzyl , l -(benzyloxy)ethyl ,2-methyl- l- propionyloxypropyl, 2,4,6-trimethylbenzyloxymethyl or pivaloyloxymethyl group. Also claimed as part of the invention are compounds that may be converted metabolically to any compound of formula (I) during therapeutic use of such compound. As a non-limiting example of this, compounds described by formula (I) where the 6-oxo (also known as the 6-hydroxy tautomer) substituent is absent and replaced by a hydrogen atom may be converted to compounds of general formula (I) by the action of known processes of metabolism, and thus comprise part of the current invention. Further examples are known to those skilled in the art. It will also be recognised by those skilled in the art that guanines of formula (I) can exist in the tautomeric forms depicted below. A particularly preferred compound according to the invention is 8-amino-9- (4'-oxocyclohexylmethyl)guanine and its salts, e.g. the dihydrochloride. The compounds of the invention are particularly useful for selectively suppressing T-cell mediated immunity in mammals, and for treating or preventing conditions in mammals in which T-cells are involved, these include but are not restricted to resistance to transplantation or transplantation rejection of organs or tissues (such as heart, kidney, liver, lung, bone marrow, cornea, pancreas, intestinum tenue, limb, muscle, nervus, medulla ossium, duodenum, small-bowel, skin, pancreatic islet-cell, etc. including xeno transplantation), graft-versus-host diseases by medulla ossium transplantation, autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosis, nephrotic syndrome lupus, Hashimoto's thyroiditis, multiple myasthenia gravis, type I diabetes mellitus, type II adult onset diabetes, uveitis, nephrotic syndrome, steroid-dependent and steroid resistant nephrosis, Palmo-planter pustulosis, allergic encephalomyelitis, glomerulonephritis, etc., and infectious diseases caused by pathogenic microorganisms. The compounds of formula (I) are also useful in the treatment of Gout, T- cell Leukaemia, T-cell cancers, Irritable bowel disease, Crohn's disease and Ulcerative colitis. The compounds of formula (I) are also useful for treating inflammatory, proliferative and hyperproliferative skin diseases and cutaneous manifestations of immunologically-mediated illnesses such as: psoriasis, psoriatic arthritis, atopical dermatitis, contract dermatitis and further eczematous dermatitises, seborrhoeic dermatitis, Lichen planus, Pemphigus, bullous Pemphligoid, Epidermolysis bullosa, urticaria, angioedemas, vasculitides, erythemas, cutaneous eosinophilias, acne, Alopecia areata, eosinophilic fascitis, and atherosclerosis. More particularly, the compounds of formula (I) are useful in hair revitalising, such as in the treatment of male or female pattern alopecia or alopecia senilis, by providing epilation prevention, hair germination, and/or a promotion of hair growth. The compounds of formula (I) are useful in the treatment of respiratory diseases, for example sarcoidosis, fibroid lung, idiopathic interstitial pneumonia, and reversible obstructive airways disease, including bronchial asthma, allergic asthma, intrinsic asthma, extrinsic asthma and dust asthma, particularly chronic or inveterate asthma (for example late asthma and airway hyper-responsiveness), bronchitis and the like. The compounds of formula (I) may also be useful for treating hepatic injury associated with ischaemia. The compounds of the invention are also indicated in certain eye diseases such as keratocoηjunctivitis, vernal conjunctivitis, uveitis associated with Behcet's disease, keratitis, herpetic keratitis, conical cornea, dystrophia epithelialis corneae, cornea! leucoma, ocular pemphigus, Mooren's ulcer, Scleritis, Graves' ophthalmopathy, severe intraocular inflammation and the like. The compounds of formula (I) are also useful for preventing or treating inflammation of mucosa or blood vessels (such as leukotreine B 4 -mediated diseases, gastric ulcers, vascular damage caused by ischaemic diseases and thrombosis, ischaemic bowel disease, inflammatory enterocolitis), or intestinal lesions associated with thermal burns, cytomegalovirus infection, particularly HCMV infection. Further, the compounds of formula (I) are also useful for treating or preventing renal diseases including interstitial nephritis, Goodpasture's syndrome, hemolytic-uraemic syndrome and diabetic nephropathy; nervous diseases selected from multiple myositis, Guillain-Barre syndrome, Meniere's disease and radiculopathy; endocrine diseases including hyperthyroidism and Basedow's disease; haematic diseases including pure red cell aplasia, aplastic, apiastic anaemia, hypoplastic anaemia, agranulocytosis; respiratory diseases including sarcoidosis, fibroid lung and idiopathic interstitial pneumonia; skin diseases including dermatomyositis, leukoderma vulgaris, ichthyosis vulgaris, photoallergic sensitivity and cutaneous T cell lymphoma; circulatory diseases including arteriosclerosis, aortitis syndrome, polyarteritis nodosa and myocardosis; collagen including scleroderma, Wegener's granuloma and Sjorgen's syndrome; adiposis; eosinophilic fascitis; periodontal disease; nephrotic syndrome; hemolytic-uraemic syndrome; and muscular dystrophy. Further, the compounds of the invention are indicated in the treatment of diseases, including intestinal inflammation/allergies such as Coeliac disease, proctitis, eosinophilic gastroenteritis, mastocytosis, and food related allergic diseases which have symptomatic manifestation remove from the gastrointestinal tract, for example migraine, rhinitis and eczema. The compounds of the invention also have liver regenerating activity and/or activity in stimulating hypertrophy and hyperplasia of hepatocytes. Therefore, they are useful for the treatment and prevention of hepatic diseases such as immunogenic diseases (e.g. chronic autoimmune liver diseases including autoimmune hepatitis, primary biliary cirrhosis and sclerosing cholangitis), partial liver section, acute liver necrosis (e.g. necrosis caused by toxins, viral hepatitis, shock or anoxia), B-virus hepatitis, non-A/non-B hepatitis and cirrhosis. The compounds of the invention are also useful for inhibiting the in vivo metabolic degradation of purine nucleosides via phosphorolysis and are thus useful to potentiate the antiviral and antitumor efficacy of 2' and/or 3 '-mono- or dideoxy purine nucleosides. For instance, they are useful for potentiating e.g. 2',3'-dideoxyadenosine, 2'3'-dideoxyguanosine or 2\3'-dideoxyinosine for the treatment of retrovirus infections such as acquired immunodeficiency syndrome (AIDS). They are also useful for potentiating the antitumor/cytotoxic effect of e.g. 2'-deoxyguanosine in mammals. The compounds of the invention are also useful in coadministration with other immunosuppressive agents such as, but not limited to cyclosporin A for use in transplant rejection. Such combination prolongs graft survival to a greater extent than when a single drug therapy is used, therefore increased benefit arises from being able to lower the dose of the immunosuppressant so reducing the potential for drug related side effects, see Chung-Yang Yen et al J. Surgical Research. 62, 260 (1996). The compounds of the invention are also useful for the treatment of parasitic disorders in which the parasite uses PNP to generate its own DNA constituents (ie the purine bases). Inhibition of the parasite PNP by compounds of the present invention in, for example malaria, causes death of the parasite. The above-cited properties are demonstrable in in vitro and in vivo tests using advantageously mammals, e.g. rats, mice, dogs, calves, and isolated cells thereof. Said compounds can be applied in vitro in the form of solutions, e.g. preferably aqueous solutions and in vivo either enterally or parenteraliy, advantageously orally and intravenously. The dosage in vitro may range between about 10"* and IO *10 molar concentrations. The dosage in vivo may range, depending on the route of administration, between about 0.001 and 300 mg/kg. PNP inhibition is measured radiochemically by measuring the formation of 14 C-ribose-l -phosphate from 14 C-guanosine using a modification of the method employed previously (J.C. Sircar et al J. Med. Chem. 29, 1804 (1986)) employing calf spleen as the enzyme source and I M phosphate. Results are expressed as I o values, corresponding to the concentration of compound required to achieve a 50% reduction of the formation of ribose-1 -phosphate. The potentiation of the cell growth inhibitory activity (cytotoxicity) of 2'- deoxyguanosine (d-Guo) by the compounds of the invention is determined as follows: MOLT-4 cells are grown in RPMI-1640 medium. To suspension cultures of these cells, d-Guo at a fixed concentration of (10 mM) and the candidate PNP inhibitor at varied concentrations are added. The degree of cell proliferation is measured by addition of 3 H-Thymidine for the final 16 hours of a total culture period of 72 hours. The level of incorporation of 3 H-Thymidine is assessed by liquid scintillation spectrometry. From this data, the IC 50 is calculated as the concentration of PNP inhibitor required to reduce the incorporation of 3 H-Thymidine to 50% of that of control cultures. This method is similar to that used previously to determine the effectiveness of PNP inhibitors on the potentiation of the toxicity of d-Guo (I. S. Kazmers, Science, 24, 1137-1139 (1981)). Demonstration of the efficacy of compounds of formula I in an m vivo model of a T-cell mediated disease may be carried out by using the Dinitrofluorobenzene (DNFB) sensitised mouse model of contact dermatitis. DNFB is applied topically to young adult female Balb/c mice on days 1 and 2 in a suitable vehicle. On day 6 the animals may be challenged by application of DNFB to one ear. Compounds of the invention may be dosed by an appropriate route in an appropriate vehicle. Determination of efficacy may be carried out in a number of ways, an example of which is measurement of ear thickness using calipers. Results are expressed as percentage reduction in inflammatory response. This method is similar to that reported in WO94/23309. Compounds of general formula (I) may be evaluated in an adjuvant arthritis model in the rat based on the methods employed by B.B. Newbould (1963), Br. J.Pharmacol, 21, 127-136 and CM. Pearson and F.D. Wood (1959), Arthritis Rheum, 2, 440-459. Briefly male Wistar rats (180-200g) are injected at the base of the tail with Freund's adjuvant. Twelve days later the responding animals are randomised into experimental groups. Compounds of general formula (I) are dosed either orally as a suspension in 1 % methyl cellulose or intraperitoneally in 0.2% carboxymethylcellulose from day 12 to the end of the experiment on day 22. Hind paw volumes are measured every two days from day 12 onwards and X-rays taken of the hind feet on completion of the experiment. Results are expressed as the percent increase of foot volume over day 12 values. PNP inhibition can also be determine in vivo essentially as described in Agents and Actions, 22, 379 (1987) by measuring compound induced increase in plasma inosine levels in the rat. Compounds of the general formula (I) may be prepared by any suitable method known in the art and/or by the following processes, which itself forms part of the invention. According to a second aspect of the invention, there is provided a process for preparing a compound of general formula (I) as defined above. It will be appreciated that where a particular stereoisomer of formula (I) is required, the synthetic processes descnbed herein may be used with the appropriate homochrial starting material and/or isomers may be resolved from mixtures using conventional separation techniques (e.g. HPLC). The compounds according to the invention may be prepared by the following processes. In the description and the formulae below the groups R\ R 2 , R 3 , R 4 , R s , R 6 , R 7 , X, and Y, Z, n, m, p, q, t and u are as defined above, except where otherwise stated. It will be appreciated that functional groups, such as amino, hydroxyl or carboxyl groups, present in the various compounds described below, and which it is desired to retain, may need to be in a protected form before any reaction is initiated. In such instances, removal of the protecting group may be the final step in a parucular reaction. Suitable protecting groups for such functionality will be apparent to those skilled in the art. For specific details see "Protective Groups in Organic Synthesis", Wiley Intersciene, T. W. Greene, P. G. M. Wutts. A process for preparing compounds of general formula (I) where R 1 = NH 2 comprises deprotecting a compound of general formula (II) wherein R β represents a suitably labile group such as an alkyl group, e.g. ethyl, or an arylalkyl group, e.g. benzyl. The deprotection reaction may be performed using standard conditions for hydrolysis reactions of this type. Thus, for example the reaction may be achieved in a solvent such as water containing an inert organic solvent such as an ether, e.g. a cyclic ether such as tetrahydrofuran, an amide, e.g. a substituted amide, such as dimethylformamide, or an alcohol, e.g. ethanol, in the presence of an inorganic base such as potassium carbonate or sodium hydroxide, at a temperature ranging from room temperature to the reflux temperature of the solvent mixture, preferably the reflux temperature of the solvent mixture. Alternatively, when R 8 contains groups that are labile to hydrogenation, this may be performed as a method of deprotection. Thus, for example the reaction may be achieved in an inert solvent such as an alcohol, e.g. ethanol, in the presence of a transition metal catalyst, e.g. palladium on carbon, at a low temperature, preferably room temperature. It will be appreciated that where a particular stereoisomer of formula (I) is required, this may be obtained by conventional resolution techniques such as high performance liquid chromatography. Where desired, however, appropriate homochiral starting materials may be used in the coupling reaction to yield a particular stereoisomer of formula (I). This is exemplified below. Intermediates of general formula (II) may be prepared by rearrangement of intermediates of general structure (III) The rearrangement reaction may be performed using standard conditions for this reaction as outlined by J. Wang et al.. J. Org. Chem., 5_ _, 5617 (1988). Thus, the reaction may be achieved in a solvent, for example an inert organic solvent such as an ether, e.g. a cyclic ether such as tetrahydrofuran, an amide, e.g. a substituted amide such as dimethylformamide, or an alcohol such as ethanol at a temperature ranging from ambient temperature to the reflux temperature of the solvent, preferably the reflux temperature of the solvent, in the presence of an inorganic base such as potassium carbonate or sodium methoxide. Intermediates of general formula (III) may be prepared from thioureas of general formula (IV) This transformation may be performed using the procedure outlined by J. Wang et al , J. Org. Chem., 5.2, 5617 (1988). Thus, for example the reaction may be undertaken in the presence of an inert organic solvent such as an ether, e.g. a cyclic ether such as tetrahydrofuran, an amide e.g. a substituted amide such as dimethylformamide, or a nitrile such as acetonitrile, at ambient temperature, preferably 20-30 C C, in the presence of a diimide, e.g. dicyclohexylcarbodiimide. It is also an aspect of the present invention that intermediates of formula (II) may be prepared from intermediates of formula (IV) by combining the above documented procedures. Thioureas of general formula (IV) may be prepared from amines of general formula (V). H N ( V ) N N C R 4 R 5 ) n R 3 H and isothiocyanates of general formula S=C =NHCO 2 R 8 (VI). This transformation may be performed using the procedure outlined by J. Wang et al., L Org. Chem., 5_3_, 5617 (1988). Thus, for example the reaction may be undertaken in the presence of an inert organic solvent such as an ether, e.g. a cyclic ether such as tetrahydrofuran, a nitrile such as acetonitrile or a halogenated hydrocarbon such as dichloromethane, at a low temperature, preferably ambient temperature, optionally in the presence of a base, e.g. an organic base such as an amine, e.g. triethylamine. The isothiocyanates of general formula (VI) may be prepared by the general procedure of J. Wang et al.. J. Org. Chem., 53_, 5617 (1988). The amines of general formula (V) may be prepared by reduction of nitro derivatives of general formula (VII). It will be appreciated by those skilled in the art, that reduction reactions of this type can be affected by several methods as outlined in Advanced Organic Chemistry (4th edition), J. March, Wiley Interscience, pl216-1218. A non-limiting example of this transformation would involve the use of water as solvent, optionally in the presence of an inert organic solvent such as an ether, e.g. a cyclic ether such as tetrahydrofuran or an amide, e.g. a substituted amide such as dimethylformamide, in the presence of sodium dithionite at elevated temperature, preferably 65-80°C. The nitro derivatives of general formula (VII) may be prepared by reaction of the pyrimidinones (VIII) with amines of general formula H N-(CR R ) n R 3 (IX). This reaction may be performed using standard conditions as envisaged by those skilled in the art. Thus, for example the reaction may be achieved in a solvent, for example an inert organic solvent such as ether, e.g. a cyclic ether such as tetrahydrofuran, an amide e.g. a substituted amide such as dimethylformamide or an alcohol such as ethanol, at a high temperature, preferably the boiling point of the solvent, in the presence of a base, e.g. an organic base such as an amme, e.g. triethylamine or a cyclic amme such as N-methylmorpholine. The preparation of the nitro denvatives (VIII) (R^ H,) are documented in C. Temple et al. , Nucleic Acid Chemistry, Volume (I) (1978), Wiley New York, Eds L. B. Townsend et al. , p47-52. As a further extension of the invention, intermediates of formula (V) (when R 2 = NH. 2 ) can also be prepared from pyπmidines of formula (X) This reaction may be performed using standard conditions for animation reactions of this type. Thus, for example the reaction may be achieved in a solvent, for example water or an organic acid such as acetic acid or aqueous mixtures thereof, in the presence of sodium nitπte, at a low temperature, e.g. 0°C to ambient temperature, such as 10°C. After work up procedures evident to those skilled in the art, the residue may be dissolved in a suitable solvent such as water, optionally in the presence of a cosolvent, for example an inert organic solvent such as an ether, e.g. a cyclic ether such as tetrahydrofuran or an amide, e.g. a substituted amide such as dimethylformamide, in the presence of a reducing agent, for example sodium dithionite, at a temperature ranging from ambient temperature to the reflux temperature of the solvent. The pyrimidines of general formula (X) may be prepared from the intermediates of general formula (XI) and amines of general formula (IX) using comparable conditions to those outlined for the preparation of intermediates of general formula (VII), and conditions described in C. W. Noell et al., J. Med. Chem. , 5, 558 (1962). Amines of general formula (IX) are either commercially available or are readily accessed from commercially available compounds, using methodology known to those skilled in the art. This would include, where appropriate, homochiral starting materials for the generation of single isomer compounds of formula (I). As a yet further extension of the present invention, compounds of formula (I) in which R 1 is H and R 2 is H or NH 2 can be prepared from intermediates of general formula (XII) via hydrolysis. The hydrolysis reaction may be performed using standard conditions for hydrolysis reactions of this type. Thus, for example the reaction may be carried out in a solvent, such as water, optionally in the presence of a cosolvent, for example an inert organic solvent such as an alcohol, e.g. methanol or an amide, e.g. a substituted amide such as dimethylformamide in the presence of an inorganic hydroxide containing base, e.g. sodium hydroxide, at an elevated temperature such as the boiling point of the solvent. Intermediates of general formula (XII) may be prepared by coupling a purine of general formula (XIII) with an intermediate of general formula R 9 -(CR R 5 ) n R 3 (XIV) in which R 9 represents a halogen or a suitable leaving group such as an alkylsulphonate ester, e.g. methanesulphonate, or an arylsullphonate ester, e.g. 4-toluenesulphonate. Intermediates of general formula (XII) are either commercially available or may be made using methods evident to those skilled in the art. The coupling reaction may be performed using standard conditions for reactions of this type. Thus, for example the reaction may be achieved in a solvent, for example an inert organic solvent such as an ether, e.g. a cyclic ether such as tetrahydrofuran, an amide e.g. a substituted amide such as dimethylformamide or an alcohol such as methanol, in the presence of a suitable base, for example an inorganic base such as potassium carbonate, or an organic base such as an amine, e.g. triethylamine, at a temperature between ambient temperature and the reflux temperature of the solvent, preferably 80°C. Intermediates of general formula (XIV) are either commercially available or are readily accessed from commercially available compounds, using methodology known to those skilled in the art. This would include, where appropriate, homochiral starting materials for the generation of single isomer compounds of formula (I). As a yet further extension of the present invention, compounds of formula (I) where R 1 and R* may be the same or different and are H or NH, can be prepared from intermediates of general formula (XV) (XV) R 3 via deprotection, where R" represents a group such as benzyl or substituted benzyl that can be removed using standard conditions for removal of such groups. Thus, for example the reaction may be carried out in a solvent such as an alcohol, such as ethanol, optionally in the presence of an acid, for example an inorganic acid such as hydrochloric acid. In the presence of a catalyst, for example palladium on charcoal catalyst under an atmosphere of hydrogen gas at ambient temperature. Intermediates of the general formula (XV) may be prepared by coupling a purine of general formula (XVI) with an intermediate of general formula (XIV) in which R>, R*, R J and R'may be as previously described. The coupling reaction may be performed using standard conditions for reactions of this type. Thus, for example the reaction may be achieved in a solvent, for example an inert organic solvent such as an amide e.g. a substituted amide such as dimethylformamide in the presence of a suitable base, for example an inorganic base such as sodium hydride, at a temperature between ambient temperature and the reflux temperature of the solvent, preferably 80C. Intermediates of general formula (XVI) may be prepared by a modification of the procedure given by S. Ram et al. Heterocycles 1978, 22 (1984) or M.-Y. Chae et al. J. Med. Chem. 359, 38(2), (1995). Compounds of formula (I) may also be prepared by interconversion of other compounds of formula (I). Thus, for example, a compound of formula (I) wherein R 1 is halogen (e.g. bromine) and R 2 is H or NH 2 may be prepared by halogenation (using bromine-water at ambient temperature) of a compound of formula (I) wherein R 1 is H and R 2 is H or NH 2 . Similarly, a compound of formula (I) wherein R 1 is NH 2 may be prepared by animation (using ammonium hydroxide at 150°C) of a compound of formula (I) wherein R 1 is halogen (e.g. bromine). Advantageously those starting materials are used in said reactions that lead to the formation of those compounds indicated above as being preferred. The invention also relates to any novel starting materials and processes for their manufacture. Any mixtures of final products or intermediates obtained can be separated on the basis of the physico-chemical differences of the constituents, in known manner, into the pure final products or intermediates, for example by chromatography, distillation, fractional crystallization, or by formation of a salt if appropriate or possible under the circumstances. The compounds of the invention or intermediates can also be obtained in the form of their hydrates, or include other solvents used for their crystallization. This invention also relates to a method of treatment for patients (including man and/or mammalian animals raised in the dairy, meat or fur industries or as pets) suffering from disorders or diseases associated with purine nucleoside phosphorylase as outlined above, and more specifically, a method of treatment involving the administration of the purine nucleoside phosophorylase inhibitors of formula (I) as the active constituents. Accordingly, the compounds of formula (I) can be used among other things in the treatment of autoimmune diseases, transplant rejection, psoriasis, gout, rheumatoid arthritis, myasthenia gravis, Type I diabetes, discoid lupus erythematosis, systemic lupus erythematosis, multiple sclerosis, T-cell cancers including but not limited to T-cell leukaemia and cutaneous T-cell lymphoma, atopic dermatitis, contact dermatitis or other chronic allergic conditions, such as asthma, eczema, irritable bowel disease or malaria. Additionally, the compounds of formula (I) can be used to potentiate the antiviral and antitumor effect of antiviral or antitumor purine nucleosides that may be metabolically degraded by PNP. Hence, a further embodiment of the invention relates to a method of inhibiting the phosphorolysis and metabolic breakdown of antiviral or antitumour purine nucleosides in mammals which comprises administering in conjunction therewith to a mammal in need thereof, either separately or in combination therewith, an effective purine nucleoside phosphorylase inhibiting amount of a compound of the invention or of a said compound in combination with one or more pharmaceutically acceptable carriers. More particularly, such relates to a method of inhibiting the phosphorolysis and metabolic breakdown of purine nucleosides known in the art, e.g. of 2'-deoxyguanosine, 2',3'-dideoxyinosine, 2 ',3'- dideoxyguanosine or 2',3'-dideoxyadenosine. Furthermore, the invention thus relates to a method of potentiating the antiviral or antitumor effect of a 2' or 3'-monodeoxypurine nucleosides or of 2', 3'- dideoxypurine nucleosides in mammals which comprises administering in conjunction therewith to a mammal in need thereof, either separately or in combination with a said nucleoside, an effective purine nuceloside phosphorylase inhibiting amount of a compound of the invention preferably in combination with one or more pharmaceutically acceptable carriers. More particularly, such relates to a method of enhancing or potentiating the effect of 2', 3'-dideoxypurine nucleosides known in the art, e.g. 2',3'-dideoxyinosine, 2',3'-dideoxyguanosine or 2',3'-dideoxyadenosine for the treatment of retrovirus infections, e.g. HIV -retrovirus infections (acquired immunodeficiency syndrome, AIDS). 2',3'-Dideoxypurine nucelosides are known in the art as inhibitors of HTN retrovirus infectivity and to be metabolically degraded by PΝP, e.g. as described in Biochemical Pharmacology, 22, 3797 (1987). Such are administered at a pharmaceutically acceptable dose which is effective in inhibiting HrV-retrovirus infections. Preferably the lowest possible effective dose is used. The invention further relates to pharmaceutical compositions suitable for enteral, such as oral or rectal, topical and parenteral administration, or by inhalation spray to mammals including man, which are useful to inhibit purine nucleoside phosphorylase activitiy and for the treatment of disorders responsive thereto, comprising an effective amount of a pharmacologically active compound of the invention, alone or in combination, with one or more pharmaceutically acceptable carriers. The term parenteral as used herein includes subcutaneous injections, intravenous, intrastemal injection or infusion techniques. The pharmaceutical composition containing the active ingredient may be in a form suitable for oral use, for example, as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs. Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents selected from the group consisting of sweetening agents, flavouring agents, colouring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations. Tablets contain the active ingredient in admixture with non-toxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets. These excipients may be for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example com starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid or talc. The tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period. For example, a time delay material such as glyceryl moπosterate or glyeryl distearate may be employed. They may also be coated by the techniques described in the US Patents 4,256, 108;4, 166,452; and 4,265,874 to form osmotic therapeutic tablets for control release. Formulations for oral use may also be presented as hard gelatin capsules where in the active ingredient is mixed with an inert solid diluent, for example calcium carbonate, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example peanut oil, liquid paraffin or olive oil. Aqueous suspensions contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions. Such excipients are suspending agents, for example sodium carboxymethylcellulose, hydroxy-propylmethylcellulose, sodium alginate, polyvinyl-pyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents may be a naturally occuring phosphatide, for example lecithin, or condensation products of an alkylene oxide with fatty acids, for example polyoxyethylene stearate, or condensation products of ethylene oxide with long chain aliphatic alcohols, for example heptadecaethyleneoxycetanol, or condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene with partial esters derived from fatty acids and hexitol anhydrides, for example polyoxyethylene sorbitan monooleate. The aqueous suspensions may also contain one or more preservatives, for example ethyl, or n- propyl, p-hydroxybenzoate, one or more colouring agents, one or more flavouring agents, and one or more sweetening agents, such as sucrose or saccharin. Oily suspensions may be formulated by suspending the active ingredient in a vegetable oil, for example arachis oil, olive oil, sesame oil, or coconut oil, or in a mineral oil such as liquid paraffin. The oily suspensions may contain a thickening agent, for example beeswax, hard paraffin or cetyl alcohol. Sweetening agents such as those set forth above, and flavouring agents may be added to provide a palatable oral preparation. These compositions may be preserved by the addition of an anti- oxidant such as ascorbic acid. Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agents and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified, for example sweetening, flavouring and colouring agents, may also be present. The pharmaceutical compositions of the invention may also be in the form of oil-in-water emulsions. The oily phase may be a vegetable oil, for example olive oil or arachis oil, or a mineral oil, for example liquid paraffin or mixtures of these. Suitable emulsifying agents may be natural] y-occuring gums, for example gum acaia or gum tragacanth, naturally-occuring phosphatides, for example soya bean, lecithin, and esters or partial esters dervied from fatty acids and hexitol anhydrides, for example sorbitan monooleate and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monooleate. The emulsions may also contain sweetening and flavouring agents. Syrups and elixirs may be formulated with sweetening agents, for example glycerol, propylene glycol, sorbitol and sucrose. Such formations may also contain a demulcent, a preservative and flavouring and colouring agents. The pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleagenous suspension. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above. The sterile injectable preparation may also be in a sterile injectable solution or suspension in a non-toxic parenterally-acceptable diluent or solvent, for example as a solution in 1 ,3-butane diol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil may be employed including synthetic mono- or diglycerides. In addition, fatty acids such as folic acid find use in the preparation of injectables. The compounds of formula (I) may also be adminstered in the form of suppositories for rectal administration of the drug. These compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug. Such materials are cocoa butter and polyethylene glycols. For topical use, creams, ointments, jellies, solutions or suspensions, etc. containing the compounds of formula (I) are employed. (For purposes of this application, topical application shall include mouth washes and gargles.) Dosage levels of the order of from about 0.05mg to about 140 mg per kilogram of body wieght per day are useful in the treatment of the above-indicated conditions (about 2.5mg to about 7gms per patient per day). For example, rheumatoid arthritis may be effectively treated by the administration of from about 0.01 to 50mg of the compound per kilogram of body weight per day (about 0.5mg to about 3.5gms per patient per day). The amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated and the particular mode of administration. For example, a formulation intended for the oral administration of humans may vary from about 5 to about 95 percent of the total composition. Dosage unit forms will generally contain from about lmg to about 500mg of an active ingredient. It will be understood, however, that the specific dose level for any particular patient will depend upon a variety of factors including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, route of administration, rate of excretion, drug combination and the severity of the particular disease undergoing therapy. In vitro assays for PNP were performed in 96-well plates in assay buffer containing 50mM HEPES pH7.4 and ImM potassium phosphate in a final volume of 100:/. Calf spleen PNP (0.002units/ml) was prepared in assay buffer containing ImM DTT and preincubated in the presence and absence of inhibitor for 15min at 37°C. Inhibitors were initially dissolved in DMSO and diluted with assay buffer to give a final concentration of 10%. The reaction was initiated by the addition of substrate solution consisting of a mixture of unlabelled guanosine (0.1 :M) and [U- 1 C]guanosine (- lOO.OOOdpm) and incubated for lOmin at 37°C. Assays were terminated with 200:1 of activated charcoal (50mg/ml in 8M formic acid), incubated for lOmin at room temperature, and centrifuged at 3500rpm for 20min. A sample of supernatant (100:1) containing free [ l4 C]ribose-l -phosphate was counted for 2min by liquid scintillation counting. Cell-based assays were carried out in 96 well plates using the human suspension cell lines MOLT-4 (T lymphocytes) and NC37 (B lymphocytes). Compounds were dissolved in DMSO and diluted in RPMI 1640 medium to give a final DMSO concentration of 0.5%. Cells were plated out in triplicate at 5 x lOVwell (MOLT-4 and THP-1) or 2 xlOVwell (NC37) in RPMI 1640 medium with and without 10:M 2'deoxyguanosine (dGuo) and in the presence and absence of compound. Cultures were incubated for 72h at 37°C / 5% CO, and labelled with 0.5:Ci of 3 H-thymidine per well for the last 16h. Cells were harvested onto filters which were counted on a scintillation counter. The DNFB model was performed as follows: Female Balb/c mice (body weight 20g) were sensitised by application of 25:1 of 0.5% 2,4-dinitrofluorobenzene (DNFB) to a clipped area of the abdomen on day 1. On day 6 animals were challenged by application of 0.6% DNFB to the left ear. For topical administration, compound was applied to the left ear in acetone at 30min and again at 6h after challenge with DNFB. For oral or i.p administration, compound was adminstered twice daily on days 1 to 6 inclusive. 24h after challenge with DNFB, the animals were sacrificed and 6mm punch biopsies taken from each ear and weighed. The adjuvant arthritic rat model model used the general method described above. Briefly, male Wistar rats (body weight 180-200g) were injected subcutaneously into the base of the tail with Freund's adjuvant (0.1ml of a suspension of Mycobacteriwn butyricum in light white oil). (Day 0 of the experiment). On day 12 the animals showing a positive response (hind paw volume increase of 20%) were allocated into groups which had statistically equivalent bodyweights and hind paw volumes. Compound was administered i.p. twice per day. Control animals were dosed with vehicle alone. Hind paw volumes were measured on days 14, 16, 18 and 22 of the experiment using a plethysmographic method. Results are expressed as the percent increase in hind paw volume compared to day 12 values. On the final day of the experiment the animals were sacrificed and X-rays taken of the hind feet (planar view). The X-rays were coded and examined in a blind fashion by two experienced independant operators and scored according to disease severity (0=normal animal, 10=severe disease including bone loss, severe erosions, significant osteophyte formation). These visual analogue scores (VAS) were averaged for three independent evaluations and both operators. The following non-limiting Examples are intended to illustrate the preparation of compounds of formula (I), and as such are not intended to limit the invention as set forth in the claims appended, thereto. In term ediate 1 6- Be n z y l o x y - 2 , 8- d ia m i n o- 9 - [ 8 - ( l , 4 - dioxaspiro[4.5]decanyl) methyl]purine 6-Benzyloxy-2,8-diaminopurine (Ram, et al. , Heterocycles 1978, 22 (1984)) (0.47g) in N,N-dimethylformamide (15ml) under an atmosphere of nitrogen was treated with LLH (95%,16mg) and stirred at room temperature for lh. 8- Methanesulphonyloxymethyl-l,4-dioxaspiro[4.5]decane (J.Med.Chem 36(6), 683 (1993)) was added in N,N-dimethylformamide (5ml) and the reaction heated at 80°C over night. The solvent was removed and the residue further purified by silica gel chromatography to yield the title compound as a light brown oil TLC (5% CHjOH/CHjCLJ Rf = 0.2 Example 1 8-Amino-9-(4'-oxocyclohexylmethyl)guanine dihydrochloride Intermediate 1 was dissolved in ethanol and dilute hydrochloric acid (IM, 3ml) and stirred under an atmosphere of Hydrogen gas for 16h. The reaction was filtered through celite and evaporated to dryness to yield a pale buff solid. This was stirred in dilute hydrochloric acid (2M, 10ml) for 72h then evaporated to dryness. Trituration with diethylether gave the title compound as a pale brown solid. TLC ( 10% CH3OH/ CH2C12/l %NH 3 OH) Rf = 0.0 'H NMR (DMSO, 200MHz) 1.10-2.25 (9H, ), 3.95 (2H, m), 7.10 (2H, bs), 8.40 (2H, bs), 11.45 (IH, bs).

Claims: CLAIMS 1) Compounds of formula (I) wherein n = 1 or 2; R' is H, NH 2 or halogen; R 2 is H or NH 2 ; R 3 represents the group where m = 0 or 1 ; R 4 and R 5 are the same or different and are each H, CO 2 H, CO 2 C alkyl, NHSO j CF j , tetrazole, (CR 6 R 7 ) p (Y) q (CR 6 R 7 ),Z where (CR R 7 ) p or (CR 6 R 7 ) t may be straight or branched chain bearing the substituents R 6 and R 7 when p and t > 1; R 6 and R 7 are the same or different and are each C M alkyl-Z; P= l-3; q=0 or 1; t=0-4, provided that t > 0 wgeb q = 1 ; Y is NH, O, S(O)u where u=0-2; Z is H, CN, CO 2 H, CO 2 C alkyl, NHSO 2 CF 3 , tetrazole, triazole, CONH 2 , CON(C 1J6 alkyl) 2 , CONH(C alkyl), SO 2 NH (C,^ alkyl) or SO 2 N(C 1J6 alkyl) 2 ; or a salt, soluate or hydrate thereof. 2) A compound of clai m 1 , which is 8-Amino-9-(4 ' - oxocyclohexylmethyl)guanine or a salt thereof. 3) A compound of claim or claim 2, in the form of a single enantiomer or diastereoisomer, or a mixture of such isomers. 4) A pharmaceutical composition for use in therapy, comprising a compound of any of claims 1-3, and a pharmaceutically acceptable diluent, or carrier. 5) Use of a compound of any of claims 1 to 3 for the manufacture of a human or veterinary medicament for the treatment or prevention of a condition associated with T-cell proliferation or that is mediated by T-cell proliferation, or for the selective suppression of mammalian T-cell function without diminished effect on humoral (B-cell) immunity. 6) Use according to claim 5, wherein the condition is selected from resistance to transplantation or transplantation rejection of organs or tissues (such as heart, kidney, liver, lung, bone marrow, cornea, pancreas, intestinum tenue, limb, muscle, nervus, duodenum, small-bowel, skin, pancreatic islet-cell, etc. including xeno transplantation), and graft- versus-host diseases by medulla ossium transplantation, 7) Use according to claim 5, wherein the condition is selected from autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosis, nephrotic syndrome lupus, Hashimoto's thyroiditis, multiple myasthenia gravis, type I diabetes mellirus, type II adult onset diabetes, uveitis, nephrotic syndrome, steroid-dependent and steroid resistant nephrosis, Palmo-planter pustulosis, allergic encephalomyelitis, and glomerulonephritis. 8) Use according to claim 5, wherein the condition is selected from inflammatory, proliferative and hyperproliferative skin diseases and cutaneous manifestations of immunologically-mediated illnesses such as psoriasis, psoriatic arthritis, atopical dermatitis, contract dermatitis and further eczematous dermatitises, seborrhoeic dermatitis, Lichen planus, Pemphigus, bullous Pemphligoid, Epidermolysis bullosa, urticaria, angioedemas, vasculitides, erythemas, cutaneous eosinophiiias, acne, Alopecia areata, eosinophilic fascitis, and atherosclerosis, male or female pattern alopecia or alopecia senilis. 9) Use according to claim 5, wherein the condition is gout. 10) Use according to claim 5, wherein the condition is selected from; respiratory diseases, for example sarcoidosis, fibroid lung, idiopathic interstitial pneumonia, and reversible obstructive airways disease, including bronchial asthma, allergic asthma, intrinsic asthma, extrinsic asthma and dust asthma, particularly chronic or inveterate asthma (for example late asthma and airway hyper-responsiveness), and bronchitis. 11) Use according to claim 5, wherein the condition is hepatic injury associated with ischaemia. 12) Use according to claim 5, wherein the condition is selected from viral infection, protozoal infection, or malaria. 13) Use according to claim 5, wherein the condition is selected from eye diseases such as keratoconjunctivitis, vernal conjunctivitis, uveitis associated with Behcet's disease, keratitis, herpetic keratitis, conical cornea, dystrophia epithelialis corneae, corneal leucoma, ocular pemphigus, Mooren's ulcer, Scleritis, Graves' ophthalmopathy, and severe intraocular inflammation. 14) Use according to claim 5, wherein the condition is inflammation of mucosa or blood vessels (such as leukotreine B 4 -mediated diseases, gastric ulcers, vascular damage caused by ischaemic diseases and thrombosis, ischaemic bowel disease, inflammatory enterocolitis), or intestinal lesions associated with thermal burns, cytomegalovirus infection, particularly HCMV infection. 15) Use according to claim 5, wherein the condition is selected from renal diseases including interstitial nephritis, Goodpasture's syndrome, hemolytic-uraemic syndrome and diabetic nephropathy; nervous diseases selected from multiple myositis, Guillain-Barre syndrome, Meniere's disease and radiculopathy; and endocrine diseases including hyperthyroidism and Basedow's disease. 16) Use according to claim 5, wherein the condition is selected from haematic diseases including pure red cell aplasia, aplastic, aplastic anaemia, hypoplastic anaemia, agranulocytosis. 17) Use according to claim 5, wherein the condition is selected from respiratory diseases including sarcoidosis, fibroid lung and idiopathic interstitial pneumonia. 18) Use according to claim 5, wherein the condition is selected from skin diseases including dermatomyositis, leukoderma vulgaris, ichthyosis vulgaris, photoallergic sensitivity and cutaneous T cell lymphoma. 19) use according to claim 5, wherein the condition is selected from T-cell Leukaemia or T-cell cancer. 20) Use according to claim 5, wherein the condition is selected from circulatory diseases including arteriosclerosis, aortitis syndrome, polyarteritis nodosa and myocardosis. 21) Use according to claim 5, wherein the condition is selected from collagen including scleroderma, Wegener's granuloma and Sjorgen's syndrome, adiposis, eosinophilic fascitis, periodontal disease, nephrotic syndrome, hemolytic-uraemic syndrome, and muscular dystrophy. 22) Use according to claim 5, wherein the condition is selected from intestinal inflammation/allergies such as Coeliac disease, Crohn's disease, Irritable bowelsyndrome, ulcerative colitis, proctitis, eosinophilic gastroenteritis, mastocytosis, and food related allergic diseases which have symptomatic manifestation remove from the gastrointestinal tract, for example migraine, rhinitis and eczema. 23) Use according to claim 5, wherein the condition is selected from hepatic diseases such as immunogenic diseases (e.g. chronic autoimmune liver diseases including autoimmune hepatitis, primary biliary cirrhosis and sclerosing cholangitis), partial liver section, acute liver necrosis (e.g. necrosis caused by toxins, viral hepatitis, shock or anoxia), B-virus hepatitis, non-A/non-B hepatitis and cirrhosis. 24) Use of a compound of any of claims 1 to 3 in coadministration with an antiviral agent that is metabolised by purine nucleoside phosphorylase. 25) Use of a compound of any of claims 1 to 3 in coadministration with an anti- cancer agent that is metabolised by purine nucleoside phosphorylase. 26) Use of a compound of any of claims 1 to 3 in coadministration with another immunosuppressant agent for use in the treatment of organ transplant rejection.

Inventors: BEASLEY STEVEN COLIN, MANALLACK DAVID THOMAS, MONTANA JOHN GARY, BEASLEY, STEVEN, COLIN, MANALLACK, DAVID, THOMAS, MONTANA, JOHN, GARY
Applicants: BEASLEY STEVEN COLIN, CHIROSCIENCE LTD, MANALLACK DAVID THOMAS, MONTANA JOHN GARY, BEASLEY, STEVEN, COLIN, CHIROSCIENCE LIMITED, MANALLACK, DAVID, THOMAS, MONTANA, JOHN, GARY
Application year: 1996
Main classification: C07D473
IPC codes: A61K31, A61P43, C07D473