Use of pyrroloquinoline compounds to kill clinically latent microorganisms
Inventors
Beck, Petra Helga • Brown, Marc Barry • Clark, David Edward • Coates, Anthony • Dyke, Hazel Joan • Hu, Yanmin • Londesbrough, Derek John • Mills, Keith • Pallin, Thomas David • Reid, Gary Patrick • Stoddart, Gerlinda
Assignees
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Abstract
There is provided the use of compounds of formula I wherein R1, R2, R3 and X have meanings given in the description, for the preparation of a medicament for killing clinically latent microorganisms. There is also provided the use of compounds of formula I for treating microbial infections, as well as certain compounds of formula I per se.
Core Innovation
The invention relates to substituted 2,3-dihydro-1H-pyrrolo[3,2-c]quinoline derivatives and pharmaceutically acceptable salts. In particular, the disclosed compounds include 4-methyl-1-(2-phenylethyl)-8-phenoxy-2,3-dihydro-1H-pyrrolo[3,2-c]-quinoline or a pharmaceutically acceptable salt thereof, and the compounds include pharmaceutically acceptable derivatives, including salts, solvates, N-oxides, and quaternary ammonium salts.
The compounds are described for use in killing clinically latent microorganisms and for treatment of protozoal diseases. Clinically latent microorganisms are described as viable/non-culturable microorganisms, phenotypically tolerant microorganisms, and metabolically active but slow-growing microorganisms, while protozoal disease use cases include Leishmania, Plasmodium, Trypanosoma, Giardia, coccidia/Cryptosporidium, Toxoplasma, Balantidium, amoebae such as Entamoeba, and Microsporidia.
The disclosure also addresses pharmaceutically acceptable formulations for administering the described compounds, including topical pharmaceutical compositions and combination products for topical administration. Combination concepts include the described compound or its salt together with a conventional antibiotic agent or an antimicrobial agent, formulated in admixture with a pharmaceutically acceptable adjuvant, diluent, or carrier.
The disclosure further describes therapeutic and non-therapeutic uses, including medicament preparations for latent killing and treatment of microbial infection, and ex vivo use as a sterilising agent and preservative. A kit-of-parts concept is also described.
Claims Coverage
The independent claim coverage centers on 2 specific inventive features: a pyrrolo[3,2-c]quinoline compound and a combination product with an antimicrobial agent. Dependent claim coverage adds hydrochloride salt narrowing and extends to carrier or topical administration elements, with selectable antimicrobial agents including telithromycin and other named antimicrobial options.
Specific pyrrolo[3,2-c]quinoline compound
A compound which is 4-methyl-1-(2-phenylethyl)-8-phenoxy-2,3-dihydro-1H-pyrrolo[3,2-c]-quinoline, or a pharmaceutically acceptable salt thereof.
Hydrochloride salt of the compound
The compound wherein the pharmaceutically acceptable salt is 4-methyl-1-(2-phenylethyl)-8-phenoxy-2,3-dihydro-1H-pyrrolo[3,2-c]-quinoline hydrochloride.
Combination product with an antimicrobial agent
A combination pharmaceutical product comprising the compound, or a pharmaceutically acceptable salt thereof, together with an antimicrobial agent, formulated together in admixture with a pharmaceutically acceptable adjuvant, diluent, or carrier.
Selectable antimicrobial agent set
The antimicrobial agent is selected from specified antibiotic, antifungal, and other antimicrobial classes and includes specific named antimicrobial agents, including telithromycin and combinations such as caspofungin plus flucytosine.
Carrier or topical administration
The combination product further comprising a carrier or topical administration.
Coverage centers on the specific 4-methyl-1-(2-phenylethyl)-8-phenoxy-2,3-dihydro-1H-pyrrolo[3,2-c]quinoline, including hydrochloride, and extends to combination products with an antimicrobial agent formulated with a pharmaceutically acceptable adjuvant, diluent, or carrier, including topical administration.
Stated Advantages
Treating protozoal diseases including the explicitly enumerated protozoa and associated diseases.
Providing topical pharmaceutical compositions and topical combination products including the described compound with a conventional antibiotic agent.
Use in killing clinically latent microorganisms, including viable/non-culturable microorganisms, phenotypically tolerant microorganisms, and metabolically active but slow-growing microorganisms.
Use as a sterilising agent and preservative.
Documented Applications
Protozoal disease treatment for Leishmania, Plasmodium, Trypanosoma, Giardia, Cryptosporidium, Toxoplasma, Balantidium, Entamoeba species, and Microsporidia.
Topical pharmaceutical compositions and topical combination products using the described compound or salt together with a conventional antibiotic agent.
Antimicrobial performance assessed by log-kill assays against stationary-phase bacteria and/or persister bacteria, including E. coli, Enterococcus, Staphylococcus aureus, Streptococcus, and Mycobacterium tuberculosis.
Medicament preparations for latent killing and treatment of microbial infection.
Ex vivo use as a sterilising agent and preservative.
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