Details for Patent: 6,992,107

Title:	Esters of 5-aminolevulinic acid and their use as photosensitizing compounds in photochemotherapy
Abstract:	The present invention provides a compound of formula I; R.sup.2.sub.2N--CH.sub.2COCH.sub.2--CH.sub.2CO--OR.sup.1 (I) wherein R.sup.1 represents (a) an optionally substituted branched C.sub.6-30 alkyl group, comprising a straight chain C.sub.4-29 alkyl group, branched by substitution with one or more C.sub.1-6 alkyl groups, wherein said site of substitution is at C2 or a higher C atom, (b) a non-heteroaromatic aryl substituted alkyl group, wherein said aryl group is substituted, or (c) an alkoxy substituted alkyl group, wherein said alkoxy group is substituted by a methoxy group or an alkoxy group substituted with an alkoxy group, wherein in (a) and (b) said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; R.sup.2, each of which may be the same or different, represents a hydrogen atom or a group R.sup.1, wherein R.sup.1 represents (a) an optionally substituted branched C.sub.5-30 alkyl group, comprising a straight chain C.sub.4-29 alkyl group, branched by substitution with one or more C.sub.1-6 alkyl groups, wherein said site of substitution is at C2 or a higher C atom, (b) a non-heteroaromatic aryl substituted alkyl group, wherein said aryl group is substituted, or (c) an alkoxy substituted alkyl group, wherein said alkoxy group is substituted by a methoxy group or an alkoxy group substituted with an alkoxy group, wherein in (a) and (b) said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; and R.sup.3 represents a hydrogen or C.sub.1-6 alkyl group, and salts thereof for use in photochemotherapy or diagnosis. Pharmaceutical compositions comprising said compound, methods of diagnosis or photochemotherapy using said compound and related compounds and compositions, and products and kits comprising said compounds are also provided.
Inventor(s):	Gierskcky; Karl E. (Oslo, NO), Moan; Johan (Oslo, NO), Peng; Qian (Oslo, NO), Steen; Harald (Oslo, NO), Warloe; Trond (Oslo, NO), Bjorseth; Alf (Glomfjord, NO)
Assignee:	Photocure ASA (Oslo, NO)
Filing Date:	Sep 06, 2000
Application Number:	09/655,570
Claims:	1. A compound of formula I, R.sup.2.sub.2N--CH.sub.2COCH.sub.2--CH.sub.2CO--OR.sup.1 (I) wherein R.sup.1 represents (a) an optionally substituted branched C.sub.6-30 alkyl group, comprising a straight chain C.sub.4-29 alkyl group, branched by substitution with one or more C.sub.1-6 alkyl groups, wherein said site of substitution is at C2 or a higher C atom, or (b) a non-heteroaromatic aryl substituted alkyl group, wherein said aryl group is substituted, or (c) an alkoxy substituted alkyl group, wherein said alkoxy group is substituted by a methoxy group or an alkoxy group substituted with an alkoxy group, wherein in (a) and (b) said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; R.sup.2, each of which may be the same or different, represents a hydrogen atom or a group R.sup.1, wherein R.sup.1 represents (a) an optionally substituted branched C.sub.5-30 alkyl group, comprising a straight chain C.sub.4-29 alkyl group, branched by substitution with one or more C.sub.1-6 alkyl groups, wherein said site of substitution is at C2 or a higher C atom, or (b) a non-heteroaromatic aryl substituted alkyl group, wherein said aryl group is substituted, or (c) an alkoxy substituted alkyl group, wherein said alkoxy group is substituted by a methoxy group or an alkoxy group substituted with an alkoxy group, wherein in (a) and (b) said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; and R.sup.3 represents a hydrogen or C.sub.1-6 alkyl group). 2. The compound of claim 1 wherein R.sup.2 are both hydrogen atoms. 3. The compound of claim 1 wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, substituted-benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester. 4. A pharmaceutical composition comprising a compound of claim 1, or a pharmaceutically acceptable salt thereof, and at least one pharmaceutical carrier or excipient. 5. A method of diagnosis or photochemotherapeutic treatment of disorders or abnormalities of external or internal surfaces of the body, comprising administering to the affected surfaces, a composition as defined in claim 4, and exposing said surfaces to light. 6. The method of claim 5 wherein the light is in the wavelength region 300-800 nm. 7. A product comprising a compound of claim 1, or a pharmaceutically acceptable salt thereof, at least one surface-penetration assisting agent, and optionally one or more chelating agents as a combined preparation for simultaneous, separate or sequential use in treating disorders or abnormalities of external or internal surfaces of the body which are responsive to photochemotherapy. 8. A kit for use in photochemotherapy of disorders or abnormalities of external or internal surfaces of the body comprising: a) a first container containing a compound of claim 1, or a pharmaceutically acceptable salt thereof, b) a second container containing at least one surface penetration assisting agent; and optionally c) one or more chelating agents contained either within said first container or in a third container. 9. A method of in vitro diagnosis, of abnormalities or disorders by assaying a sample of body fluid or tissue of a patient, said method comprising at least the following steps: i) admixing said body fluid or tissue with a compound of claim 1, ii) exposing said mixture to light, iii) ascertaining the level of fluorescence, and iv) comparing the level of fluorescence to control levels. 10. The compound of claim 1, wherein the optionally substituted branched C.sub.6-30 alkyl group is a C.sub.6-9 alkyl group. 11. The compound of claim 1, wherein the straight chain C.sub.4-29 alkyl group is a C.sub.5-8 alkyl group. 12. The compound of claim 1, wherein the one or more C.sub.1-6 alkyl groups is a C.sub.1 or C.sub.2. 13. The compound of claim 1, wherein the non-heteroaromatic aryl substituted alkyl group is a C.sub.1 or C.sub.2 alkyl group. 14. The compound of claim 1, wherein the non-heteroaromatic aryl group is substituted with one or more alkyl, fluoro or nitro groups. 15. The compound of claim 14, wherein the one or more alkyl groups are substituted. 16. The compound of claim 1, wherein the alkoxy substituted alkyl group is a C.sub.1 or C.sub.2 alkyl group. 17. The compound of claim 1, wherein the alkoxy group substituent is substituted. 18. The pharmaceutical composition of claim 4, wherein R.sup.2 in said compound are both hydrogen atoms. 19. The pharmaceutical composition of claim 18, wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, substituted benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester. 20. The product of claim 7, wherein R.sup.2 in said compound are both hydrogen atoms. 21. The product of claim 20, wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, substituted benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester. 22. The kit of claim 8, wherein R.sup.2 in said compound are both hydrogen atoms. 23. The kit of claim 22, wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, substituted benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]henzyl ALA ester or p-fluorobenzyl ALA ester. 24. The method of claim 9, wherein R.sup.2 in said compound are both hydrogen atoms. 25. The method of claim 24, wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, substituted benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester. 26. A method of diagnosis or photochemotherapeutic treatment of disorders or abnormalities of external or internal surfaces of the body, comprising: a) administering to said external or internal surfaces, a composition comprising a compound of formula I, R.sup.2.sub.2N--CH.sub.2COCH.sub.2--CH.sub.2CO--OR.sup.1 (I) wherein R.sup.1 represents an optionally substituted branched non-cyclic C.sub.6-30 alkyl group, or a substituted alkyl group, wherein said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; R.sup.2, each of which may be the same or different, represents a hydrogen atom or a group R.sup.1, wherein R.sup.1 represents an optionally substituted branched C.sub.5-30 alkyl group, or a substituted alkyl group, wherein said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; and R.sup.3 represents a hydrogen or C.sub.1-6 alkyl group, or a pharmaceutically acceptable salt thereof, and at least one pharmaceutical carrier or excipient; and b) exposing said external or internal surfaces to light. 27. The method of claim 26, wherein R.sup.1 in said compound represents an optionally substituted branched nonyclic C.sub.6-30 alkyl group, comprising a straight chain C.sub.4-29 alkyl group, branched by substitution with one or more C.sub.1-6 alkyl groups, wherein said site of substitution is at C2 or a higher C atom, or an acyl or alkoxy substituted alkyl group. 28. The method of claim 26 or 27, wherein the light is in the wavelength region 300-800 nm. 29. The method of claim 26 or 27, wherein the composition further comprises at least one surface-penetration assisting agent and optionally one or more chelating agents. 30. The method of claim 26 or 27, wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester. 31. A method of in vitro diagnosis, of abnormalities or disorders by assaying a sample of body fluid or tissue of a patient, said method comprising at least the following steps: i) admixing said body fluid or tissue with a composition comprising a compound of formula I, R.sup.2.sub.2N--CH.sub.2COCH.sub.2--CH.sub.2CO--OR.sup.1 (I) wherein R.sup.1 represents an optionally substituted branched noncyclic C.sub.6-30 alkyl group, or a substituted alkyl group, wherein said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; R.sup.2, each of which may be the same or different, represents a hydrogen atom or a group R.sup.1, wherein R.sup.1 represents an optionally substituted branched C.sub.5-30 alkyl group, or a substituted alkyl group, wherein said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; and R.sup.3 represents a hydrogen or C.sub.1-4 alkyl group, or a pharmaceutically acceptable salt thereof, and at least one pharmaceutical carrier or excipient compound; ii) exposing said mixture to light, iii) ascertaining the level of fluorescence, and iv) comparing the level of fluorescence to control levels. 32. The method of claim 31, wherein R.sup.1 in said compound represents an optionally substituted branched non-cyclic C.sub.6-30 alkyl group, comprising a straight chain C.sub.4-29 alkyl group, branched by substitution with one or more C.sub.1-6 alkyl groups, wherein said site of substitution is at C2 or a higher C atom, or an acyl or alkoxy substituted alkyl group. 33. The method of claim 31 or 32, wherein the compound comprises is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester. 34. A kit for use in photochemotherapy of disorders or abnormalities of external or internal surfaces of the body comprising: a) a first container containing a compound of formula I, R.sup.2.sub.2N--CH.sub.2COCH.sub.2--CH.sub.2CO--OR.sup.1 (I) wherein R.sup.1 represents an optionally substituted branched non-cyclic C.sub.6-30 alkyl group, or a substituted alkyl group, wherein said substituents arc selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NRC--, --S-- or PR.sup.3-- groups; R.sup.2, each of which may be the same or different, represents a hydrogen atom or a group R.sup.1, wherein R.sup.1 represents an optionally substituted branched C.sub.5-30 alkyl group, or a substituted alkyl group, wherein said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; and R.sup.3 represents a hydrogen or C.sub.1-6 alkyl group, or a pharmaceutically acceptable salt thereof, b) a second container containing at least one surface penetration assisting agent; and optionally c) one or more chelating agents contained either within said first container or in a third container. 35. The kit of claim 34, wherein R.sup.1 in said compound represents an optionally substituted branched non-cyclic C.sub.6-30 alkyl group, comprising a straight chain C.sub.4-29 alkyl group, branched by substitution with one or more C.sub.1-6 alkyl groups, wherein said site of substitution is at C2 or a higher C atom, or an acyl or alkoxy substituted alkyl group. 36. The kit of claim 34 or 35, wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester. 37. A pharmaceutical composition comprising a therapeutically or diagnostically effective amount of a compound of formula I, R.sup.2.sub.2N--CH.sub.2COCH.sub.2--CH.sub.2CO--OR.sup.1 (I) wherein R.sup.1 represents an optionally substituted branched non-cyclic C.sub.6-30 alkyl group, or a substituted alkyl group, wherein said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; R.sup.2, each of which may be the same or different, represents a hydrogen atom or a group R.sup.1, wherein R.sup.1 represents an optionally substituted branched C.sub.5-30 alkyl group, or a substituted alkyl group, wherein said substituents are selected from hydroxy, alkoxy, acyloxy, alkoxycarbonyloxy, amino, aryl, nitro, oxo or fluoro groups, and said alkyl group is optionally interrupted or terminated by one or more --O--, NR.sup.3--, --S-- or PR.sup.3-- groups; and R.sup.3 represents a hydrogen or C.sub.1-6 alkyl group; or a pharmaceutically acceptable salt thereof, and at least one pharmaceutical carrier or excipient. 38. The pharmaceutical composition of claim 37, wherein R.sup.1 in said compound represents an optionally substituted branched non-cyclic C.sub.6-30 alkyl group, comprising a straight chain C.sub.4-29 alkyl group, branched by substitution with one or more C.sub.1-6 alkyl groups, wherein said site of substitution is at C2 or a higher C atom, or an acyl or alkoxy substituted alkyl group. 39. The pharmaceutical composition of claim 38, wherein the optionally substituted branched non-cyclic C.sub.6-30 alkyl group is a C.sub.6-9 alkyl group. 40. The pharmaceutical composition of claim 38, wherein the straight chain C.sub.4-29 alkyl group is a C.sub.5-8 alkyl group. 41. The pharmaceutical composition of claim 38, wherein the one or more C.sub.1-6 alkyl groups is a C.sub.1 or C.sub.2. 42. The pharmaceutical composition of claim 38, wherein the acyl or alkoxy substituted alkyl group is a C.sub.1 or C.sub.2 alkyl group. 43. The pharmaceutical composition of claim 42, wherein the acyl group is substituted. 44. The pharmaceutical composition of claim 43, wherein the acyl group is substituted with one or more alkyl, fluoro or nitro groups. 45. The pharmaceutical composition of claim 44, wherein the one or more alkyl groups are substituted. 46. The pharmaceutical composition of claim 38, wherein the alkoxy group is substituted by one or more alkoxy groups. 47. The pharmaceutical composition of claim 46, wherein the one or more alkoxy groups are substituted. 48. The pharmaceutical composition of claim 37 or 38, wherein R.sup.2 in said compound are both hydrogen atoms. 49. The pharmaceutical composition of claim 48, wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, p-[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester. 50. A product comprising the pharmaceutical composition of claim 37 or 38, at least one surface-penetration assisting agent, and optionally one or more chelating agents as a combined preparation for simultaneous, separate or sequential use in treating disorders or abnormalities of external or internal surfaces of the body which are responsive to photochemotherapy. 51. The product of claim 52, wherein R.sup.2 in said compound are both hydrogen atoms. 52. The product of claim 51, wherein the compound is 2-methylpentyl ALA ester, 4-methyl pentyl ALA ester, 1-ethylbutyl ALA ester, benzyl ALA ester, p-methylbenzyl ALA ester, p-nitrobenzyl ALA ester, >[trifluoromethyl]benzyl ALA ester or p-fluorobenzyl ALA ester.