Labeled macrophage scavenger receptor antagonists for imaging atherosclerosis and vulnerable plaque
First Claim
Patent Images
1. A compound of formula (I):
- M-Ch-Ln-(BM)n
(I) wherein M is a radionuclide selected from;
99mTc, 117mSn, 111In, 97Ru, 67Ga, 68Ga, 89Zr, 177Lu, 47Sc, 105Rh, 188Re, 60Cu, 62Cu, 64Cu and 67Cu, or a paramagnetic metal ion of atomic number 21-29, 42-44, or 58-70, or a heavy metal ion of atomic number 21-31, 39-49, 50, 56-80, 82, 83, 90;
Ch is a metal chelator having a formula selected from the group;
wherein A1, A2, A3, A4, A5, A6, A7, and A8 are independently selected at each occurrence from the group;
NR19, NR19R20, S, SH, O, OH, PR19, PR19R20, P(O)R21R22, and a direct bond to Ln;
E is a direct bond, CH, or a spacer group independently selected at each occurrence from the group;
(C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C3-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23;
R19 and R20 are each independently selected from the group;
a direct bond to Ln, hydrogen, (C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C3-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23, and an electron, provided that when one of R19 or R20 is an electron, then the other is also an electron;
R21 and R22 are each independently selected from the group;
a direct bond to Ln, —
OH, (C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C3-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23;
R23 is independently selected at each occurrence from the group;
a direct bond to Ln, ═
O, F, Cl, Br, I, —
CF3, —
CN, —
CO2R24, —
C(═
O)R24, —
C(═
O)N(R24)2, —
CHO, —
CH2OR24, —
OC(═
O)R24, —
OC(═
O)OR24a, —
OR24, —
OC(═
O)N(R24)2, —
NR25C(═
O)R24, —
NR25C(═
O)OR24a, —
NR25C(═
O)N(R24)2, —
NR25SO2N(R24)2, —
NR25SO2R24a, —
SO3H, —
SO2R24a, —
SR24, —
S(═
O)R24a, —
SO2N(R24)2, —
N(R24)2, —
NHC(═
S)NHR24, ═
NOR24, NO2, —
C(═
O)NHOR24, —
C(═
O)NHNR24R24a, —
OCH2CO2H, 2-(1-morpholino)ethoxy, (C1-C5)alkyl, (C2-C4)alkenyl, (C3-C6)cycloalkyl, (C3-C6)cycloalkylmethyl, (C2-C6)alkoxyalkyl, aryl substituted with 0-2 R24, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O;
R24, R24a, and R25 are independently selected at each occurrence from the group;
a direct bond to Ln, H, (C1-C6)alkyl, phenyl, benzyl, (C1-C6)alkoxy, halide, nitro, cyano, and trifluoromethyl;
Ln is a linking group having the formula;
((W)h-(CR13R14)g)x-(Z)k-((CR13aR14a)g′
—
(W)h′
)x′
wherein, W is independently selected at each occurrence from the group;
O, S, NH, NHC(═
O), C(═
O)NH, NR15C(═
O), C(═
O)N R15, C(═
O), C(═
O)O, OC(═
O), NHC(═
S)NH, NHC(═
O)NH, SO2, SO2NH, (OCH2CH2)s, (CH2CH2O)s′
, (OCH2CH2CH2)s″
, (CH2CH2CH2O)t, and (aa)t′
;
aa is independently at each occurrence an amino acid;
Z is selected from the group;
aryl substituted with 0-3 R16, (C3-C10)cycloalkyl substituted with 0-3 R16, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R16;
R13, R13a, R14, R14a, and R15 are independently selected at each occurrence from the group;
H, ═
O, COOH, SO3H, PO3H, (C1-C5)alkyl substituted with 0-3 R16, aryl substituted with 0-3 R16, benzyl substituted with 0-3 R16, and (C1-C5)alkoxy substituted with 0-3 R16, NHC(═
O)R17, C(═
O)NHR17, NHC(═
O)NHR17, NHR17, R17, and a direct bond to Ch;
R16 is independently selected at each occurrence from the group;
a direct bond to Ch, COOR17, C(═
O)NHR17, NHC(═
O)R17, OH, NHR17, SO3H, PO3H, —
OPO3H2, —
OSO3H, aryl substituted with 0-3 R17, (C1-C5)alkyl substituted with 0-1 R18, (C1-C5)alkoxy substituted with 0-1 R18, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R17;
R17 is independently selected at each occurrence from the group;
H, alkyl substituted with 0-1 R18, aryl substituted with 0-1 R18, a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-1 R18, (C3-C10)cycloalkyl substituted with 0-1 R18, polyalkylene glycol substituted with 0-1 R18, carbohydrate substituted with 0-1 R18, cyclodextrin substituted with 0-1 R18, amino acid substituted with 0-1 R18, polycarboxyalkyl substituted with 0-1 R18, polyazaalkyl substituted with 0-1 R18, peptide substituted with 0-1 R18, wherein the peptide is comprised of 2-10 amino acids, 3,6-O-disulfo-B-D-galactopyranosyl, bis(phosphonomethyl)glycine, and a direct bond to Ch;
R18 is a direct bond to Ch;
k is selected from 0, 1, and 2;
h is selected from 0, 1, and 2;
h′
is selected from 0, 1, and 2;
g is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
g′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s″
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
t is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
t′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
x is selected from 0, 1, 2, 3, 4, and 5;
x′
is selected from 0, 1, 2, 3, 4, and 5;
n is an integer from 1 to 10;
BM is an SR-A antagonist of formula;
wherein R1 is independently selected from;
H, R1-benzamido, R1-benzylether, R1-benzylamino, amino, fluoralkyl, halo, cyano, nitro, aryloxyl, haloaryl, aryl, alkoxy, and 1,2-benzo;
or R1 represents a fused ring forming naphthalene moiety with the six membered aryl ring it substitutes;
R2 is a direct bond to Ln; and
m is an integer from 1 to 4;
or a pharmaceutically acceptable salt thereof.
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Accused Products
Abstract
Detectably labeled macrophage scavenger receptor antagonists useful for the diagnosis and monitoring of various cardiovascular diseases including but not limited to atherosclerosis, vulnerable plaque, coronary artery disease, renal disease, thrombosis, transient ischemia due to clotting, stroke, myocardial infarction, organ transplant, organ failure and hypercholesterolemia.
48 Citations
49 Claims
-
1. A compound of formula (I):
-
M-Ch-Ln-(BM)n
(I)wherein M is a radionuclide selected from;
99mTc, 117mSn, 111In, 97Ru, 67Ga, 68Ga, 89Zr, 177Lu, 47Sc, 105Rh, 188Re, 60Cu, 62Cu, 64Cu and 67Cu, or a paramagnetic metal ion of atomic number 21-29, 42-44, or 58-70, or a heavy metal ion of atomic number 21-31, 39-49, 50, 56-80, 82, 83, 90;
Ch is a metal chelator having a formula selected from the group;
wherein A1, A2, A3, A4, A5, A6, A7, and A8 are independently selected at each occurrence from the group;
NR19, NR19R20, S, SH, O, OH, PR19, PR19R20, P(O)R21R22, and a direct bond to Ln;
E is a direct bond, CH, or a spacer group independently selected at each occurrence from the group;
(C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C3-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23;
R19 and R20 are each independently selected from the group;
a direct bond to Ln, hydrogen, (C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C3-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23, and an electron, provided that when one of R19 or R20 is an electron, then the other is also an electron;
R21 and R22 are each independently selected from the group;
a direct bond to Ln, —
OH, (C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C3-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23;
R23 is independently selected at each occurrence from the group;
a direct bond to Ln, ═
O, F, Cl, Br, I, —
CF3, —
CN, —
CO2R24, —
C(═
O)R24, —
C(═
O)N(R24)2, —
CHO, —
CH2OR24, —
OC(═
O)R24, —
OC(═
O)OR24a, —
OR24, —
OC(═
O)N(R24)2, —
NR25C(═
O)R24, —
NR25C(═
O)OR24a, —
NR25C(═
O)N(R24)2, —
NR25SO2N(R24)2, —
NR25SO2R24a, —
SO3H, —
SO2R24a, —
SR24, —
S(═
O)R24a, —
SO2N(R24)2, —
N(R24)2, —
NHC(═
S)NHR24, ═
NOR24, NO2, —
C(═
O)NHOR24, —
C(═
O)NHNR24R24a, —
OCH2CO2H, 2-(1-morpholino)ethoxy, (C1-C5)alkyl, (C2-C4)alkenyl, (C3-C6)cycloalkyl, (C3-C6)cycloalkylmethyl, (C2-C6)alkoxyalkyl, aryl substituted with 0-2 R24, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O;
R24, R24a, and R25 are independently selected at each occurrence from the group;
a direct bond to Ln, H, (C1-C6)alkyl, phenyl, benzyl, (C1-C6)alkoxy, halide, nitro, cyano, and trifluoromethyl;
Ln is a linking group having the formula;
((W)h-(CR13R14)g)x-(Z)k-((CR13aR14a)g′
—
(W)h′
)x′wherein, W is independently selected at each occurrence from the group;
O, S, NH, NHC(═
O), C(═
O)NH, NR15C(═
O), C(═
O)N R15, C(═
O), C(═
O)O, OC(═
O), NHC(═
S)NH, NHC(═
O)NH, SO2, SO2NH, (OCH2CH2)s, (CH2CH2O)s′
, (OCH2CH2CH2)s″
, (CH2CH2CH2O)t, and (aa)t′
;
aa is independently at each occurrence an amino acid;
Z is selected from the group;
aryl substituted with 0-3 R16, (C3-C10)cycloalkyl substituted with 0-3 R16, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R16;
R13, R13a, R14, R14a, and R15 are independently selected at each occurrence from the group;
H, ═
O, COOH, SO3H, PO3H, (C1-C5)alkyl substituted with 0-3 R16, aryl substituted with 0-3 R16, benzyl substituted with 0-3 R16, and (C1-C5)alkoxy substituted with 0-3 R16, NHC(═
O)R17, C(═
O)NHR17, NHC(═
O)NHR17, NHR17, R17, and a direct bond to Ch;
R16 is independently selected at each occurrence from the group;
a direct bond to Ch, COOR17, C(═
O)NHR17, NHC(═
O)R17, OH, NHR17, SO3H, PO3H, —
OPO3H2, —
OSO3H, aryl substituted with 0-3 R17, (C1-C5)alkyl substituted with 0-1 R18, (C1-C5)alkoxy substituted with 0-1 R18, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R17;
R17 is independently selected at each occurrence from the group;
H, alkyl substituted with 0-1 R18, aryl substituted with 0-1 R18, a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-1 R18, (C3-C10)cycloalkyl substituted with 0-1 R18, polyalkylene glycol substituted with 0-1 R18, carbohydrate substituted with 0-1 R18, cyclodextrin substituted with 0-1 R18, amino acid substituted with 0-1 R18, polycarboxyalkyl substituted with 0-1 R18, polyazaalkyl substituted with 0-1 R18, peptide substituted with 0-1 R18, wherein the peptide is comprised of 2-10 amino acids, 3,6-O-disulfo-B-D-galactopyranosyl, bis(phosphonomethyl)glycine, and a direct bond to Ch;
R18 is a direct bond to Ch;
k is selected from 0, 1, and 2;
h is selected from 0, 1, and 2;
h′
is selected from 0, 1, and 2;
g is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
g′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s″
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
t is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
t′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
x is selected from 0, 1, 2, 3, 4, and 5;
x′
is selected from 0, 1, 2, 3, 4, and 5;
n is an integer from 1 to 10;
BM is an SR-A antagonist of formula;
wherein R1 is independently selected from;
H, R1-benzamido, R1-benzylether, R1-benzylamino, amino, fluoralkyl, halo, cyano, nitro, aryloxyl, haloaryl, aryl, alkoxy, and 1,2-benzo;
or R1 represents a fused ring forming naphthalene moiety with the six membered aryl ring it substitutes;
R2 is a direct bond to Ln; and
m is an integer from 1 to 4;
or a pharmaceutically acceptable salt thereof. - View Dependent Claims (2, 3, 4, 5, 12, 13, 14, 15, 16, 17, 18, 19, 29, 30, 31, 38, 39, 44, 45)
-
3. The compound of claim 1 wherein Ch is
-
4. The compound of claim 1 wherein Ch is
-
5. The compound of claim 1 wherein Ch is selected from the group:
- DTPA, DOTA, TETA, TRITA, HETA, DOTA-NHS, TETA-NHS, DOTA(Gly)3-L-(p-isothiocyanoto)-Phe-amide, and DO3A.
-
12. A method to diagnose a cardiovascular disease in a patient comprising administering to the patient in need of such diagnosis an effective amount of a compound of claim 1 and detecting the presence of the compound.
-
13. The method of claim 12 wherein the cardiovascular disease is selected from:
- atherosclerosis, vulnerable plaque, coronary artery disease, renal disease, thrombosis, transient ischemia due to clotting, stroke, myocardial infarction, organ transplant, organ failure and hypercholesterolemia
-
14. A method to monitor a cardiovascular disease in a patient comprising administering to the patient in need of such monitoring an effective amount of a compound of claim 1 and detecting the presence of the compound.
-
15. The method of claim 14 wherein the cardiovascular disease is selected from:
- atherosclerosis, vulnerable plaque, coronary artery disease, renal disease, thrombosis, transient ischemia due to clotting, stroke, myocardial infarction, organ transplant, organ failure and hypercholesterolemia
-
16. A method to monitor the progression of an atherosclerotic lesion in a patient comprising administering to the patient in need of such monitoring an effective amount of a compound of claim 1 and detecting the presence of the compound.
-
17. A method to detect vulnerable plaque comprising administering to the patient in need of such detection a compound of claim 1 and detecting the presence of the compound.
-
18. The method of claim 12 wherein the detection comprises magnetic resonance imaging.
-
19. The method of claim 12 wherein the detection comprises X-ray imaging.
-
29. A pharmaceutical composition comprising a predetermined quantity of a compound of claim 1, or a pharmaceutically acceptable salt thereof;
- and a pharmaceutically acceptable carrier or diluent.
-
30. The pharmaceutical composition of claim 29 further comprising an effective amount of a stabilizer.
-
31. The pharmaceutical composition of claim 30 wherein the stabilizer is selected from the group:
- ascorbic acid, benzyl alcohol, gentisic acid or a metal salt thereof, p-aminobenzoic acid or a salt thereof, cysteamine, 5-amino-2-hydroxybenzoic acid or a metal salt thereof, nicotinic acid or a metal salt thereof, nicotinamide, a polyhydroxylated aromatic compound, an aromatic amine, and a hydroxylated aromatic amine.
-
38. A kit comprising a sealed vial comprising a predetermined quantity of a compound of claim 1 or a pharmaceutically acceptable salt thereof;
- and a pharmaceutically acceptable carrier or diluent.
-
39. The kit of claim 38 further comprising at least one of a reducing agent, a bulking agent, and a weak transfer ligand.
-
44. A kit comprising (a) a first vial comprising a predetermined quantity of a compound of claim 1, or a pharmaceutically acceptable salt thereof;
- and (b) a second vial comprising a pharmaceutically acceptable carrier or diluent.
-
45. The kit of claim 44 further comprising at least one of a reducing agent, a bulking agent, and a weak transfer ligand.
-
-
6. A compound of formula (I):
-
M-Ch-Ln-(BM)n
(I)wherein, M is radionuclide selected from;
99mTc, 117mSn, 111In, 97Ru, 67Ga, 68Ga, 89Zr, 77Lu, 47Sc, 105Rh;
188Re, 60Cu, 62Cu, 64Cu and 67Cu, or a paramagnetic metal ion of atomic number 21-29, 42-44, or 58-70, or a heavy metal ion of atomic number 21-31, 39-49, 50, 56-80, 82, 83, 90;
Ch is a metal chelator having a formula selected from the group;
wherein, A1, A2, A3, A4, A5, A6, A7, and A8 are independently selected at each occurrence from the group;
NR19, NR19R20, S, SH, O, OH, PR19, PR19R20, P(O)R21R22, and a direct bond to Ln;
E is a direct bond, CH, or a spacer group independently selected at each occurrence from the group;
(C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C3-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23;
R19 and R20 are each independently selected from the group;
a direct bond to Ln, hydrogen, (C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C1-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23, and an electron, provided that when one of R19 or R20 is an electron, then the other is also an electron;
R21 and R22 are each independently selected from the group;
a direct bond to Ln, —
OH, (C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl substituted with 0-3 R23, aryl substituted with 0-3 R23, (C3-C10)cycloalkyl substituted with 0-3 R23, heterocyclo-(C1-C10)alkyl substituted with 0-3 R23, wherein the heterocyclo group is a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O, (C6-C10)aryl-(C1-C10)alkyl substituted with 0-3 R23, (C1-C10)alkyl-(C6-C10)aryl-substituted with 0-3 R23, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R23;
R23 is independently selected at each occurrence from the group;
a direct bond to Ln, ═
O, F, Cl, Br, I, —
CF3, —
CN, —
CO2R24, —
C(═
O)R24, —
C(═
O)N(R24)2, —
CHO, —
CH2OR24, —
OC(═
O)R24, —
OC(═
O)OR24a, —
OR24, —
OC(═
O)N(R24)2, —
NR25C(═
O)R24, —
NR25C(═
O)OR24a, —
NR25C(═
O)N(R24)2, —
NR25SO2N(R24)2, —
NR25SO2R24a, —
SO3H, —
SO2R24a, —
SR24, —
S(═
O)R24a, —
SO2N(R24)2, —
N(R24)2, —
NHC(═
S)NHR24, ═
NOR24, NO2, —
C(═
O)NHOR24, —
C(═
O)NHNR24R24a, —
OCH2CO2H, 2-(1-morpholino)ethoxy, (C1-C5)alkyl, (C2-C4)alkenyl, (C3-C6)cycloalkyl, (C3-C6)cycloalkylmethyl, (C2-C6)alkoxyalkyl, aryl substituted with 0-2 R24, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O;
R24, R24a, and R25 are independently selected at each occurrence from the group;
a direct bond to Ln, H, (C1-C10)alkyl, phenyl, benzyl, (C1-C10)alkoxy, halide, nitro, cyano, and trifluoromethyl;
Ln is a linking group having the formula;
((W)h-(CR13R14)g)x-(z)k-((CR13aR14a)g′
-(W)h)x′
;
wherein, W is independently selected at each occurrence from the group;
O, S, NH, NHC(═
O), C(═
O)NH, NR15C(═
O), C(═
O)N R15, C(═
O), C(═
O)O, OC(═
O), NHC(═
S)NH, NHC(═
O)NH, SO2, SO2NH, (OCH2CH2)s, (CH2CH2O)s′
, (OCH2CH2CH2)s″
, (CH2CH2CH2O)t, and (aa)t′
;
aa is independently at each occurrence an amino acid;
Z is selected from the group;
aryl substituted with 0-3 R16, (C3-C10)cycloalkyl substituted with 0-3 R16, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R16;
R13, R13a, R14, R14a, and R15 are independently selected at each occurrence from the group;
H, ═
O, COOH, SO3H, PO3H, (C1-C5)alkyl substituted with 0-3 R16, aryl substituted with 0-3 R16, benzyl substituted with 0-3 R16, and (C1-C5)alkoxy substituted with 0-3 R16, NHC(═
O)R17, C(═
O)NHR17, NHC(═
O)NHR17, NHR17, R17, and a direct bond to Ch;
R16 is independently selected at each occurrence from the group;
a direct bond to Ch, COOR17, C(═
O)NHR17, NHC(═
O)R17, OH, NHR17, SO3H, PO3H, —
OPO3H2, —
OSO3H, aryl substituted with 0-3 R17, (C1-C5)alkyl substituted with 0-1 R18, (C1-C5)alkoxy substituted with 0-1 R18, and a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-3 R17;
R17 is independently selected at each occurrence from the group;
H, alkyl substituted with 0-1 R18, aryl substituted with 0-1 R18, a 5-10 membered heterocyclic ring system containing 1-4 heteroatoms independently selected from N, S, and O and substituted with 0-1 R18, (C3-C10)cycloalkyl substituted with 0-1 R18, polyalkylene glycol substituted with 0-1 R18, carbohydrate substituted with 0-1 R18, cyclodextrin substituted with 0-1 R18, amino acid substituted with 0-1 R18, polycarboxyalkyl substituted with 0-1 R18, polyazaalkyl substituted with 0-1 R18, peptide substituted with 0-1 R18, wherein the peptide is comprised of 2-10 amino acids, 3,6-O-disulfo-B-D-galactopyranosyl, bis(phosphonomethyl)glycine, and a direct bond to Ch;
R18 is a direct bond to Ch;
k is selected from 0, 1, and 2;
h is selected from 0, 1, and 2;
h′
is selected from 0, 1, and 2;
g is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
g′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
s″
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
t is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
t′
is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10;
x is selected from 0, 1, 2, 3, 4, and 5;
x′
is selected from 0, 1, 2, 3, 4, and 5;
n is an integer from 1 to 10;
BM is an SR-A antagonist of formula;
wherein R1 is independently selected from;
H, R1-benzamido, R1-benzylether, R1-benzylamino, amino, fluoralkyl, halo, cyano, nitro, aryloxyl, haloaryl, aryl, alkoxy, and 1,2-benzo;
or R1 represents a fused ring forming naphthalene moiety with the six membered aryl ring it substitutes;
R2 is a direct bond to Ln;
m is an integer from 1 to 4;
M′
is a metal ion selected from Fe(III), Os(III), Co(III), Ni(II), or Cu(II);
M″
is a metal-containing moiety selected from;
V═
O, Mo═
O, or Re═
O; and
L is a coligand selected from;
trialkylphosphine, triarylphosphine, triarylyalkylphosphine, pyridine or pyridine analog with appropriate substituent on the pyridine ring;
or a pharmaceutically acceptable salt thereof. - View Dependent Claims (7, 8, 9, 10, 20, 21, 22, 23, 24, 25, 26, 27, 32, 33, 34, 40, 41, 46, 47)
-
8. The compound of claim 6 wherein Ch is
-
9. The compound of claim 6 wherein Ch is
-
10. The compound of claim 6 wherein Ch is selected from the group:
- DTPA, DOTA, TETA, TRITA, HETA, DOTA-NHS, TETA-NHS, DOTA(Gly)3-L-(p-isothiocyanoto)-Phe-amide, and DO3A.
-
20. A method to diagnose a cardiovascular disease in a patient comprising administering to the patient in need of such diagnosis an effective amount of a compound of claim 6 and detecting the presence of the compound.
-
21. The method of claim 20 wherein the cardiovascular disease is selected from:
- atherosclerosis, vulnerable plaque, coronary artery disease, renal disease, thrombosis, transient ischemia due to clotting, stroke, myocardial infarction, organ transplant, organ failure and hypercholesterolemia
-
22. A method to monitor a cardiovascular disease in a patient comprising administering to the patient in need of such monitoring an effective amount of a compound of claim 6 and detecting the presence of the compound.
-
23. The method of claim 22 wherein the cardiovascular disease is selected from:
- atherosclerosis, vulnerable plaque, coronary artery disease, renal disease, thrombosis, transient ischemia due to clotting, stroke, myocardial infarction, organ transplant, organ failure and hypercholesterolemia
-
24. A method to monitor the progression of an atherosclerotic lesion in a patient comprising administering to the patient in need of such monitoring an effective amount of a compound of claim 6 and detecting the presence of the compound.
-
25. A method to detect vulnerable plaque comprising administering to the patient in need of such detection a compound of claim 6 and detecting the presence of the compound.
-
26. The method of claim 20 wherein the detection comprises magnetic resonance imaging.
-
27. The method of claim 20 wherein the detection comprises X-ray imaging.
-
32. A pharmaceutical composition comprising a predetermined quantity of a compound of claim 6, or a pharmaceutically acceptable salt thereof;
- and a pharmaceutically acceptable carrier or diluent.
-
33. The pharmaceutical composition of claim 32 further comprising an effective amount of a stabilizer.
-
34. The pharmaceutical composition of claim 33 wherein the stabilizer is selected from the group:
- ascorbic acid, benzyl alcohol, gentisic acid or a metal salt thereof, p-aminobenzoic acid or a salt thereof, cysteamine, 5-amino-2-hydroxybenzoic acid or a metal salt thereof, nicotinic acid or a metal salt thereof, nicotinamide, a polyhydroxylated aromatic compound, an aromatic amine, and a hydroxylated aromatic amine.
-
40. A kit comprising a sealed vial comprising a predetermined quantity of a compound of claim 6 or a pharmaceutically acceptable salt thereof;
- and a pharmaceutically acceptable carrier or diluent.
-
41. The kit of claim 40 further comprising at least one of a reducing agent, a bulking agent, and a weak transfer ligand.
-
46. A kit comprising (a) a first vial comprising a predetermined quantity of a compound of claim 6, or a pharmaceutically acceptable salt thereof;
- and (b) a second vial comprising a pharmaceutically acceptable carrier or diluent.
-
47. The kit of claim 46 further comprising at least one of a reducing agent, a bulking agent, and a weak transfer ligand.
-
- 11. A compound of the formula:
Specification