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CA2363088A1 - Methods for treating viral infections - Google Patents

Methods for treating viral infections Download PDF

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Publication number
CA2363088A1
CA2363088A1 CA002363088A CA2363088A CA2363088A1 CA 2363088 A1 CA2363088 A1 CA 2363088A1 CA 002363088 A CA002363088 A CA 002363088A CA 2363088 A CA2363088 A CA 2363088A CA 2363088 A1 CA2363088 A1 CA 2363088A1
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Prior art keywords
statin
compound
virus
compounds
antiviral
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CA002363088A
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French (fr)
Inventor
Patrick T. Prendergast
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Hollis Eden Pharmaceuticals Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/215Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A61K31/22Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/365Lactones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/365Lactones
    • A61K31/366Lactones having six-membered rings, e.g. delta-lactones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses
    • A61P31/18Antivirals for RNA viruses for HIV
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • General Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Virology (AREA)
  • Communicable Diseases (AREA)
  • Oncology (AREA)
  • AIDS & HIV (AREA)
  • Tropical Medicine & Parasitology (AREA)
  • Molecular Biology (AREA)
  • Emergency Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pyrane Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

The present invention relates to methods of treating a vertebrate, particularly a mammal and more particularly murine or human patient, suffering from one or more viral infections, or a cell line infected with one or more viral infections, said viral infections including but not limited to the infections of the following viruses: hepatitis C, HIV, hepatitis A, hepatitis B, hepatitis G, or hepatitis H, by administering to said patient infected with at least one of virus at least one statin or statin-like compound determined to have anti-viral activity according to the present invention, said anti-viral statin or statin-like compound being selected from the group consisting of: mevastatin, lovastatin, pravastatin, simvastatin, and the compounds disclosed in U.S. Patents Nos. 4,346,227, 4,448,979, 4,739,073. 5,273,995, 5,169,857, 5,006,530, and 5,401,746.

Description

WO 00/47196 PCTlUS00/03634 Field of the Invention The present invention relates to the field of medicine generally, and particularly relates to the treatment of viral infections. and more particularly relates to the use of statin compounds such as mevastatin and other statin-like compounds in the treatment of viral infections.
Background of the Invention Compounds designated mevastatin, lovastatin, pravastatin (as disclosed in U.S, Patent No. 4,346,227) and simvastatin are known and are r<nown to inhibit the activity of HMG-CoA reductase, and to limit cholesterol biosynthesis (as disclosed in U.S.
Patent No.
5,376,383).
For example, U.S. Patents Nos. 4,346,227 and 4,448,979 disclose that certain members of the disclosed class of compounds (a class that includes pravastatin) are capable of inhibiting biosynthesis of cholesterol and are thus useful in the treatment of hypercholesteraemia.
U.S. Patent No. 4,739,073 discloses that certain members of the class of compounds defined therein may be used to inhibit cholesterol biosynthesis and to lower the blood cholesterol level and, therefore, are useful in the treatment of hyperlipoproteinemia and atherosclerosis.
U.S. Patent No. 5,273,995 discloses that compounds defined therein provide surprising inhibition of the biosynthesis of cholesterol, and may be used to treat mammals, including humans, suffering from hypercholesterolemia, or may be useful as hypolipidemic or hypocholesterolemic agents.
U.S. Patents Nos, 5.169,857, 5,006,530 and 5,401,746 disclose that certain members of the class of compounds described therein are useful in treating hyperproteinaemia, lipoproteinaemia, and arteriosclerosis, and exhibit inhibitory action on HMG-CoA reductase (3-hydroxy-3-methyl-glutaryl coenryme A reductase) and are consequently inhibitors of cholesterol biosynthesis, and additionally cause a lowering of cholesterol content in the blood.
U.S. Patent No. 5,006,530 discloses that certain members of the class of compounds described therein are useful in treating circulatory diseases.
Summary of the Invention In accordance with the present invention, it has been surprisingly and unexpectedly found that certain compounds known in the art, including but not limited to mevastatin, lovastatin, pravastatin and sirnvastatin, are effective in treating a vertebrate, particularly a mammal and more particularly murine or human patient, suffering from one or more viral infections viral infection, treating viral infection, such viral infections include but are not WO 00!47196 PCTIUSUU/03634 limited to HIV, or hepatitis, including but not limited to hepatitis C, hepatitis A, hepatitis B, hepatitis G, and hepatitis H.
The present invention relates to methods ofi treating viral infection by administering to patients suffering from one or more viral infection at least one compound selected from the group consisting of mevastatin, iovastatin, pravastatin and simvastatin, and all analogues, metabolites, and precursors thereof, and all physiologically acceptable salts and pro-drug esters thereof.
Furthermore, in accordance with the present invention, it has been found that, surprisingly and unexpectedly, the compounds disclosed in U.S. Patents Nos.
4.346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746 as being useful in the treatments disclosed therein are effective in treating viral infection, such viral infections include but are not limited to HIV, or hepatitis, including but not limited to hepatitis C, hepatitis A, hepatitis B, hepatitis G, and hepatitis H.
The present invention relates to methods of treating a vertebrate afflicted with a viral infection by administering to said vertebrate suffering from one or more viral infection at least one compound (or physiologically acceptable salt or pro-drug ester thereof) selected from the groups of compounds (and all analogues, metabolites, precursors thereof) disclosed in any of the follow U.S. patents: U.S. Patents Nos.
4,346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746 as being useful in the treatments described in any of those patents, other than the treatment of viral infection.
Neither any known single prior art reference nor the patents cited herein, either alone or in combination, contain a disclosure which would give rise to any expectation, in an ordinarily skilled artisan, that the antiviral statin and statin-like compounds, according to the present invention, would be useful, to any degree, in the treatment of a vertebrate having a viral infection. Nor does the prior art provide a motivation to those of skill in the art to try any of the statin or statin-like compounds according to the present invention in a treatment of any vertebrate having or suffering from a viral infection.
Detailed Description of the Preferred Embodiment of the Present Invention The present invention relates to methods of treating viral infection by administering to patients suffering from one or more viral infection at least one of the compounds according to the present invention.
The term "pro-drug ester," as used herein, especially when referring to a pro-drug ester of the anti-viral statin and statin-like compounds, refers to a chemical derivative of the compound that is rapidly transformed in vivo to yield the compound, for example, by hydrolysis in blood. The term "pro-drug ester" refers to derivatives of the compound of the present invention formed by the addition of any of several ester-forming groups that are hydrolyzed under physiological conditions. Examples of pro-drug ester groups include pivoyloxymethyl, acetoxymethyl, phthalidyl, indanyl and methoxymethyl, as well as other such groups known in the art, including a (5-R-2-oxo-1,3-dioxoien-4-yl)methyl group. Other examples of pro-drug ester groups can be found in, for example, T. Higuchi and V. Stella, in "Pro-drugs as Novel Delivery Systems", Vol. 14, A.C.S. Symposium Series, American Chemical Society (1975}; and "Bioreversible Carriers in Drug Design: Theory and Application", edited by E. B. Ruche, Pergamon Press: New York, 14-21 (1987) (providing examples of esters useful as prodrugs for compounds containing carboxyl groups).
The term "pharmaceutically acceptable salt," as used herein, especially when referring to a pharmaceutically acceptable salt of the anti-viral statin and statin-like compounds, refers to any pharmaceutically acceptable salts of a compound, and preferably refers to an acid addition salt of a compound. Preferred examples of pharmaceutically acceptable salt are the alkali metal salts (sodium or potassium), the alkaline earth metal salts (calcium or magnesiumj, or ammonium salts derived from ammonia or from pharmaceutically acceptable organic amines, for example C,-C, alkylamine, cyciohexylamine, triethanolamine, ethylenediamine or tris-(hydroxymethyl)-aminomethane. With respect to compounds of the invention that are basic amines, the preferred examples of pharmaceutically acceptable salts are acid addition salts of pharmaceutically acceptable inorganic or organic acids, for example, hydrohalic, sulfuric, phosphoric acid or aliphatic or aromatic carboxylic or sulfonic acid, for example acetic, succinic, lactic, malic, tartaric, citric, ascorbic, nicotinic, methanesulfonic, p-toluensulfonic or naphthalenesulfonic acid.
Prefem:d pharmaceutical compositions of the present invention include pharmaceutically acceptable salts and pro-drug esters of the anti-viral statin and statin-like compounds disclosed herein. Accordingly, if the manufacture of pharmaceutical formulations involves intimate mixing of the pharmaceutical excipients and the active ingredient in its salt form, then it is preferred to use pharmaceutical excipients which are non-basic, that is, either acidic or neutral excipients.
The expression "antiviral statin and statin-like compounds", as herein, refers to the group of compounds (including any possible stereoisomers in any ratios, including isolated or substantially isolated stereoisomers) consisting of mevastatin, lovastatin, pravastatin and simvastatin, and therein derivatives, compounds disclosed in any of U.S.
Patents Nos. 4,346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746 as being useful in the particular treatments described in any of those patents, and all analogues, metabolites and precursors of mevastatin, lovastatin, pravastatin, simvastatin and the compounds disclosed in U.S. Patents Nos. 4,346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746, as mentioned above, and all physiologically acceptable salts and pro-drug esters thereof.
WO 00/47196 PCTlUS00/03634 The entireties of U.S. Patents Nos. 4,346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746, and all other patent documents and other publicly available documents are hereby incorporated by reference herein, and with particularity, are incorporated herein with regard to their disclosure of the anti-viral statin and statin-like compounds disclosed and with regard to their disclosure of the particular treatments, amount, and modes of treatment of those compounds with regard to the particular condition or malady for which they are shown of suggested to be useful.
The following are non-limiting examples of specific compound or classes of compounds that are within the definition of "antiviral statin and statin-like compounds," as that and related terms are used herein.
Mevastatin ([i S-(1 alpha (R*), 7 beta (2S*,4S*),5A beta]]-2- methyibutanoic acid 1,2,3,7,8,8A-hexahydro-7-methyl-8-[2-tetrahydro-4- hydroxy-6-oxo-2H-pyran-2-yl)ethyl]-1-naphthalenyl ester) has the formula:
HO
HO
O
O H

CH3 H ~,v\H CHI
Pravastatin ([1 S-[1 alpha (beta S", delta S*), 2 alpha 6 alpha 8 beta - (R*), alpha)]1,2,6,7,8,8A-hexahydro-beta, delta, 6-trihydroxy-2-methyl-8- (2-methyl-1-oxo butoxy)-1-naphthaleneheptanoic acid) has the formula _ ~~OH
OO IYC
O .~~~~H

H
CH3 %~ ~ ICHs Lovastatin ([1 S-[1 alpha (R*), 3 alpha, 7 beta, 8 beta (2S*,4S*),-8A
beta)]-2-Methylbutanoicacid1,2,3,7,8,8A-hexahydro-3,7-dimethyl-8-[2-(tetrahydro -4-hydroxy-6-oxo-2H-pyran-2-yl)ethyl]-1-naphthalenyl ester) has the formula:
HO O
O
O H

- H .~~~~H
CH3 /'~ I ICHs Simvastatin (j1S-[1 alpha, 3 alpha, 7 beta, 8 beta (2S*,4S')-8A beta]]-2,-2 dimethylbutanoic acid 1,2,3,7,8,8A-hexahydro-3,7,-dimethyl- 8-[2-(tetrahydro-4-hydroxy-6 oxo-2H-pyran-2-yl)ethyl]-1-naphthalenyl ester) has the formula:
HO O
O
O

H3C CH3 - H ,,v~H CH3 H3~~,,.~~ i r These compounds may be synthesized or isolated from natural sources according to methods and techniques well known in the art.
The anti-viral statin or statin-like compounds disclosed in U.S. Patent Nos.
5,401,746, 5,169,857, and 5,006,530 include substituted pyridines having the following general structures:
6 PCT/US00/03b34 A ?C-R
D
~ N~E
wherein A-- stands for heteroaryl which can be monosubstituted, disubstituted or trisubstituted by identical or different halogen, alkyl, alkoxy, alkylthio, alkylsulphonyl, aryl, aryloxy, arylthio, arylsulphonyl, trifluoromethyl, trifiuoromethoxy, trifluoromethylthio, alkoxycarbonyl or by a group of the formula --N R' Rz, wherei n R' and R2 -- are identical or different and denote alkyl, aryl, aralkyl, acyl, alkylsulphonyl or arylsulphonyl, or stands for aryl which can be mono-substituted to yenta-substituted by identical or different alkyl groups which can be optionally substituted by hydroxyl or alkoxy, by alkoxy, alkylthio, alkylsulphonyl, aryl, aryloxy, aryithio, arylsulphonyl, aralkyl, aralkoxy, aralkylthio, aralkylsulphonyl, halogen, cyano, nitro, trifluaromethyl, trifluoromethoxy, trifluoromethylthio, alkoxycarbonyl, sulphamoyl, dialkylsulphamoyl, carbamoyl, dialkylcarbamoyl or by a group of the formula --N R' R2, wherein R' and Rz have the abovementioned meaning and denote straight chain or branched alkyl, B - stands for cycloalkyl, or stands for alkyl which can be substituted by halogen, cyano, alkoxy, alkylthio, alkylsulphonyl, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, trifluoromethylsulphonyl, alkoxycarbonyl, acyl or by a group of the formula --N R' and R2, wherein R' and RZ --are identical or different and denote alkyl, aryl, aralkyl, aryl, alkylsulphonyl or arylsulphonyl, or by carbamoyl, dialkyl carbamoyl, sulphamoyl, dialkylsulphamoyl, heteroaryl, aryl, aryloxy, arylthio, arylsulphonyl, aralkoxy, aralkylthio or aralkylsulphonyl, where the heteroaryl and aryl radicals of the last mentioned substituents can be mono substituted, disubstituted or trisubstituted by different halogen, cyano, trifluoromethyl, trifluoromethoxy, alkyl, alkoxy, alkylthio or alkylsulphonyl, D and E are identical or different and stand far hydrogen, or stand for CN or NO-~, or stand for cycloalkyl, or stand for straight-chain or branched alkyl which can be substituted by azido, halogen, hydroxy, cyano, alkoxy, alkyithio, alkylsulphonyl, trifluoromethyl, WO 00/47196 PC'T/US00103634 trifluoromethoxy, trifluoromethylthio, trifluoromethylsulphonyl, alkoxycarbonyl, acyl or by a group of the formula --N R' RZ, wherein R' and RZ have the abovementioned meaning, or by carbamoyl, dialkylcarbamoyl, sulphamoyl, dialkylsulphamoyl, heteroaryl, aryl, aryloxy, arylthio, arylsulphonyl, aralkoxy, aralkylthio or aralkylsulphonyl, where the heteroaryl and aryl radicals can be monosubstituted, disubstituted or trisubstituted by identical or different halogen, cyano, trifluoromethyl, trifluoromethoxy, alkyl, alkoxy, alkylthio or alkylsulphonyl, or stand for heteroaryl which can be monosubstituted, disubstituted or trisubstituted by identical or different halogen, alkyl, alkoxy, alkylthio, alkylsulphonyl, aryl, aryloxy, arylthio, arylsulphonyl, trifluoromethyl, trifluoromethoxy, trifluoromethylthio or alkoxycarbonyl, or by a group of the formula --N R' R2, wherein R' and RZ have the abovementioned meaning, or stand for aryl which can be monosubstituted to pentasubstituted by identical or different alkyl which can be optionally substituted by hydroxyl or alkoxy, by alkoxy, alkylthio, alkylsulphonyl, aryl, aryloxy, arylthio, arylsulphonyl, aralkyl, aralkoxy, aralkylthio, aralkylsulphonyl, halogen, cyano, nitro, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, alkoxycarbonyl, sulphamoyl, dialkylsulphamoyl, carbamoyl ar dialkylcarbamoyl, or by a group of the formula --N R' R2, wherein R' and RZ have the abovementioned meaning, or stand for a group of the formula --N3 R', --CORS or --CR" R'2 --Y, wherein R3 and R"are identical or different and denote hydrogen or denote alkyl, aryl or aralkyl, or denote a group of the formula -CORE or --SOZ R', or and R3 and R° together form an alkylidene chain which can be interrupted by N, O, S andlor N-alkyl, N-aryl, N-aryl, N-carbamoyi or N-alkoxycarbonyl, R6 stands for hydrogen, or stands for a group --NHRe, or stands for alkoxy, or stands for alkyl, aryl, aryloxy, aralkyl, aralkoxy or heteroaryl, where the radicals mentioned can be monosubstituted, disubstituted or trisubstituted by identical or different alkyl, alkoxy, alkylthio, halogen, cyano, trifluoromethyl. trifluoromethoxy, trifluoromethylthio, amino, alkylamino or dialkylamino, R'--stands for cycloalkyl, or stands for alkyl which can be substituted by cyano, halogen, trifluoromethyl, trifluoromethoxy or alkoxycarbonyl, or stands for aryl, aralkyl or heteroaryl, where the radicals mentioned can be monosubstituted, disubstituted or trisubstituted by identical or different alkyl, alkoxy, alkylthio, halogen, cyano, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, amino, alkylamino or dialkylamino, and R8--stands for hydrogen, or stands for cycloalkyl, or stands for alkyl which is optionally substituted by cyano, halogen, trifluoromethyl or trifluoromethoxy or stands for aryl, aralkyl or heteroaryl, where the radicals mentioned can be monosubstituted, disubstituted or trisubstituted by identical or different alkyl, alkoxy, alkylthio, halogen, cyano, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, amino.
alkylamino or dialkylamino, _7-R5 --denotes hydrogen, cycloalkyl, hydroxyl, alkoxy, trimethylsilylalkoxy, aryioxy or aralkoxy, or stands far a group of the formula --N R9 R'°, wherein R9 and R'° are identical or different and denote hydrogen, alkyl, aryl or aralkyl, or denote an optionally substituted heterocyclic radical, which is bonded via a nitrogen atom, from the series comprising pyrrolidine, piperidine, morpholine, thiomorpholine or piperazine, and R" and R'Zcan be identical or different and stand for hydrogen, or stand for alkyl which can optionally be substituted by hydroxyl, halogen, alkoxy or alkoxycarbonyl, or stand for cycloalkyl, or R" and R'2 together form a saturated or unsaturated carbocyciic or heterocyclic ring having up to 6 carbon atoms, and Y--denotes a group of the formula -NR R'3R'°, --CDR'S, --S--R'6, --SO-R'6, --S02R's, -OR"or -N3, wherein R'3 and R"are identical or different and stand for hydrogen, alkyl, aryl or aralkyl, where the aryl radicals can be substituted by halogen, cyano, alkyl, alkoxy or trifluoromethyl, or stand for a group of the formula --COR'S or --SOzR'6, or R13 and R14 together form an alkylene chain which can be interrupted by N, O, S andlor N-alkyl, N-aryl, N-araikyl, N-carbamoyl or N-alkoxycarbonyl, R15 --denotes hydrogen, or denotes a group -NR18 R19, or denotes alkyl or alkoxy, or denotes aryl, aryloxy, aralkyl, aralkoxy or heteroaryl, where the radicals mentioned can be monosubstituted, disubstituted or trisubstituted by identical or different alkyl, alkoxy, alkylthio, halogen, cyano, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, amino, alkylamino or dialkylamino, R16 --denotes cycloalkyl, or denotes straight-chain or branched alkyl which can be substituted by cyano, halogen, trifluoromethyl, trifluoromethoxy or alkoxycarbonyl, or denotes aryl, aralkyl or heteroaryl, where the radicals mentioned can be monosubstituted, disubstituted or trisubstituted by identical or different alkyl, alkoxy, alkylthio, halogen, cyano, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, amino, alkylamino or dialkylamino, or denotes trimethylsilyl or dimethylethylsilyl, or denotes a group --NR9 R10, where R9 and R10 have the abovementioned meaning, R17 --stands for hydrogen, or stands for cycloalkyl, or stands for alkyl which can be substituted by halogen, cyano, alkoxy, alkylthio, alkylsulphonyl, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, trifluoromethylsulphonyl, alkoxycarbonyl or acyl, or by a group of the formula --NR1 R2, wherein R1 and R2 have the abovementioned meaning, or by carbamoyl, dialkylcarbamoyl, sulphamoyl, dlalkylsulphamayl, heteroaryl, aryl, aryloxy, arylthio, arylsulphonyl, aralkoxy, aralkylthio or aralkylsulphonyl, where the heteroaryl and aryl radicals can be monosubstituted, disubstituted or trisubstituted by identical or different halogen, cyano, trifluoromethyl, trifluoromethoxy, alkyl, alkoxy, alkylthio or alkylsulphonyl, or stands for _g_ heteroaryl which can be monosubstituted, disubstituted or trisubstituted by identical or dififerent halogen, alkyl, alkoxy, alkylthio, alkylsulphonyl, aryl, aryloxy, arylthio, arylsulphonyl, triffuoromethyl, trifluoromethoxy, trifluoromethylthio or alkoxycarbonyl, or by a group of the formula --NR'R2, wherein R1 and R2 have the abovementioned meaning, or stands for aryl which can be monosubstituted to pentasubstituted by identical or different alkyl, alkoxy, alkylthio, alkylsulphonyl, aryl, aryloxy, arylthio, arylsulphonyl, aralkyl, arafkoxy, aralkylthio, aralkylsulphonyl, halogen, cyano, nitro, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, alkoxycarbonyl, sulphamoyl, dialkylsulphamoyl, carbamoyl or dialkylcarbamoyl, or by a group of the formula --NR1 R2, wherein R1 and R2 have the abovementioned meaning, or stands for 2,5-dioxo-tetrahydropyrryl, stands for tetrahydropyranyl, or stands for trialkylsilyl , or denotes a group COR16, where R16 has the abovementioned meaning, and R18 and R19 are identical or different and denote hydrogen, or denote cycloalkyl, or denote alkyl which is optionally substituted by cyano, halogen, trifiuoromethyl or trifluoromethoxy, or denote aryl, aralkyl or heteroaryi, where the radicals mentioned can be monosubstituted, disubstituted or trisubstituted by identical or different alkyl, alkoxy, alkylthio, halogen, cyano, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, amino, alkylamino or dialkylamino, or D
and E
together stand for an organic radical.
These compounds may be synthesized or isolated from natural sources according to methods and techniques well known in the art.
In the context of the above-described substituted pyridines, cycloalkyl in general stands for a cyclic hydrocarbon radical having 3 to 8 carbon atoms. The cyclopropyl, cyclopentyl and cyclohexyl ring is preferred. Examples which may be mentioned are cyclopropyl, cycfopentyl, cyclohexyl, cycloneptyl and cyclooctyl.
In the context of the above-described substituted pyridines, alkyl in general stands for a straight-chain or branched hydrocarbon radical having 1 to 12 carbon atoms. Lower alkyl having 1 to about 6 carbon atoms is preferred. Examples which may be mentioned are methyl, ethyl, propyl, isopropyl, butyl, isobutyl, pentyl, isopentyl, hexyl, isohexyl, heptyl, isoheptyl, octyl and isooctyl.
In the context of the above-described substituted pyridines, alkoxy in general stands for a straight-chain or branched hydrocarbon radical having 1 to 12 carbon atoms which is bonded via an oxygen atom. Lower alkoxy having 1 to about 6 carbon atoms is preferred. An alkoxy radical having 1 to 4 carbon atoms is particularly preferred. Examples -g_ which may be mentioned are methoxy, ethoxy, propoxy, tsopropoxy, butoxy, isobutoxy, pentoxy, isopentoxy, hexoxy, isohexyloxy, heptoxy, isoheptoxy, octoxy and isooctoxy.
In the context of the above-described substituted pyridines, alkylthio in general stands for a straight-chain or branched hydrocarbon radical having 1 to 12 carbon atoms which is bonded via a sulphur atom. Lower alkylthio having 1 to about 6 carbon atoms is preferred. An alkylthio radical having 1 to 4 carbon atoms is particularly preferred.
Examples which may be mentioned are methylthio, ethylthio, propylthio, isopropylthio, butylthio, isobutylthio, pentylthio, isopentyithio, hexylthio, isohexylthio, heptylthio, isoheptyithio, octylthio, and isooctylthio.
In the context of the above-described substituted pyridines, atkylsulphonyl in general stands for a straight-chain or branched hydrocarbon radical having 1 to 12 carbon atoms which is bonded via an S02 group. Lower alkylsulphonyl having 1 to about 6 carbon atoms is preferred. Examples which may be mentioned are: methylsulphonyt, ethylsulphonyl, propylsulphonyl, isopropylsulphonyi, butylsulphonyl, isobutylsulphonyl, pentylsulphonyl, isopentylsulphonyl, hexylsulphonyl and isohexylsulphonyl.
In the context of the above-described substituted pyridines, sulphamoyl (aminosulphonyl) stands for the group --S02 -NH2.
In the context of the above-described substituted pyridines, aryl in general stands for an aromatic radical having 6 to about 12 carbon atoms. Preferred aryl radicals are phenyl, naphthyl and biphenyl.
In the context of the above-described substituted pyridines, aryloxy in general stands for an aromatic radical having 6 to about 12 carbon atoms which is bonded via an oxygen atom. Preferred aryfoxy radicals are phenoxy and naphthyloxy.
In the context of the above-described substituted pyridines, arylthto in general stands for an aromatic radical having 6 to about 12 carbon atoms which is bonded via a sulphur atom. Preferred arylthio radicals are phenylthio and naphthylthio.
In the context of the above-described substituted pyridines, arylsulphonyl in general stands for an aromatic radical having 6 to about 12 carbon atoms which is banded via an S02 group. Examples which may be mentioned are phenylsulphonyl, naphthylsulphonyl and biphenylsulphonyl.
tn the context of the above-described substituted pyridines, aralkyl in general stands for an aryl radical having 7 to 14 carbon atoms which s bonded via an alkylene chain. Aralkyl radicals having 1 to 6 carbon atoms in the aliphatic moiety and 6 to 12 carbon atoms in the aromatic moiety are preferred. examples which maybe mentioned are the following alkyl radicals: benzyl, naphthylmethyl, phenethyl and phenylpropyl.
Aralkoxy in general stands for an aralkyl radical having 7 to 14 carbon atoms, the alkylene chain being bonded via an oxygen atom. Aralkoxy radicals having 1 to 6 carbon atoms in WO 00/47196 PCTlUS00/03634 the aliphatic moiety and 6 to 12 carbon atoms in the aromatic moiety are preferred.
Examples which may be mentioned are the following aralkoxy radicals:
benzyloxy, naphthylmethoxy, phenethoxy and phenylpropoxy.
in the context of the above-described substituted pyridines, aralkylthio in general stands for an aralkyl radical having 7 to about 14 carbon atoms, the alkyl chain being bonded via a sulphur atom. Aralkylthio radicals having 1 to 6 carbon atoms in the aliphatic moiety and 6 to 12 carbon atoms in the aromatic moiety are preferred. Examples which may be mentioned are the following aralkylthio radicals: benzylthio, naphthylmethylthio, phenethylthio and phenyfpropylthio.
In the context of the above-described substituted pyridines, aralkylsulphonyl in general stands for an aralkyl radical having 7 to about 14 carbon atoms, the alkyl radical being bonded via an S02 link. Aralkylsulphonyl radicals having 1 to 6 carbon atoms in the aliphatic moiety and 6 to 12 carbon atoms in the aromatic moiety are preferred. Examples which may be mentioned are the following aralkylsulphonyl radicals:
benzylsulphonyl, naphthylmethylsuiphonyl, phenethylsulphonyl and phenylpropylsulphonyl.
In the context of the above-described substituted pyridines, alkoxycarbonyl can be represented, for example, by the formula CO-O-alkyl. In this connection, alkyl stands for a straight-chain or branched hydrocarbon radical having 1 to 12 carbon atoms.
Lower alkoxycarbonyl having 1 to about 6 carbon atoms in the alkyl moiety is preferred. An alkoxycarbonyl having 1 to 4 carbon atoms in the alkyl moiety is particularly preferred.
Examples which may be mentioned are the following alkoxycarbonyl radicals:
methoxycarbonyl, ethoxycarbonyl, propoxycarbonyl, isopropoxycarbonyl, butoxycarbonyf and isobutoxycarbonyl, In the context of the above-described substituted pyridines. acyl in general stands for phenyl or straight-chain or branched lower alkyl having 1 to about 6 carbon atoms which are bonded via a carbonyl group. Phenyl and alkyl radicals having up to 4 carbon atoms are preferred. Examples which may be mentioned are benzoyl, acetyl, ethylcarbonyl, propylcarbonyl, isopropylcarbonyl, butylcarbonyl and isobutylcarbonyl.
Halogen in general stands for fluorine, chlorine, bromine or iodine, preferably for fluorine, chlorine or bromine. Particularly preferably, halogen stands for fluorine or chlorine.
In the context of the above-described substituted pyridines, heteroaryl in general stands for a 5- to 6-membered aromatic ring which can contain oxygen, sulphur andlor nitrogen as hetero atoms and onto which can be fused further aromatic rings. 5-and 6-membered aromatic rings which contain one oxygen, one sulphur and/or up to 2 nitrogen atoms and which are optionally fused to benzene are preferred. Heteroaryl radicals which may be mentioned as particularly preferred are thienyl, furyl, pyrolyl, pyrazolyl, pyridyl, pyrimidyl, pyrazinyl, pyridazinyl, quinolyl, isoquinolyl, quinazolyl, quinoxalyl, phthalazinyl, WO 00/47196 PCTlUS00/03634 cinnolyl, thiazolyl, benzothiazolyl, isothiazolyl, oxazolyl, benzoxazolyf, isoxazolyl, imidazolyt, benzimidazolyl, pyrazolyl, indolyl and isoindolyl.
if R22 stands for an ester radical, then a physiologically tolerable ester radical is preferably meant by this, which is easily hydrolyzed in vivo to a freecarboxyt group and a corresponding physiologically tolerable alcohol. These include, for example, alkyl esters (C1 to C4) and aralkyl esters (C7 to C10), preferably lower alkyl esters and benzyl esters.
Moreover, the following ester radicals may be mentioned: methyl esters, ethylesters, propyl esters and benzyt esters.
In the context of the above-described substituted pyridines, if RZZ stands for a ration then a physiologically tolerable metal ration or ammonium ration is preferably meant. In this connection, alkali metalcations or alkaline earth metal rations such as, for example, sodium rations, potassium rations, magnesium rations or calcium rations, and alsoaluminum rations or ammonium rations, and also non-toxic substituted ammonium rations from amines such as dilower alkylamines, iriloweralkylamines, procain, dibenzylamine, N,N'-dibenzytethylenediamine, N-benzyl-.beta.-phenylethylamine, N-methylmorpholine or N-ethylmorpholine, 1-ephenamine, dihydroabietylamine, N,N'-bis-dihydroabietylethylenediamine, N-lower alkylpiperidine and other amines which can be used for theformation of salts are preferred.
The antiviral statin or statin-tike compounds disclosed in U.S. Patent Nos.
5,401,746, 5,169,857, and 5,006,530 also include substituted pyridines having the following, more specific, general structure:
OH OH

wherein A represents phenyl or phenyl which is monosubstituted or disubstituted by a substituent selected from the group consisting of methyl, hydroxymethyl, ethyl, propyl, isopropyl, butyl, isobutyl, tert.-butyl, methoxy, ethoxy, propoxy, isopropoxy, phenoxy, benzyloxy, fluorine, chlorine or trifluoromethyl;
B represents cyclopropyl, methyl, ethyl, propyl, isopropyl, butyl, isobutyl, or tert.-butyl;

WU UU/4719G PCTlUS00/U3634 E represents methyl, ethyl, propyl, isopropyl, butyl, isobutyl, tert.-butyl, pentyl, isopentyl, hexyi or isohexyi; and Rzz represents hydrogen, lower alkyl, phenyl, benzyl or a physiologically tolerable metal or ammonium cation. These compounds may be synthesized or isolated from natural sources according to methods and techniques well known in the art.
The compounds disclosed in U.S. Patent No. 5,273,995 include the following; [R-(R*, R*)]-2-(4-fluorophenyl}-. beta.,.delta.-dihydroxy-5-{( 1-methylethyl)-3-phenyl-4-[(phenylamino) carbonyl]-1 H-pyrrole-1-heptanoic acid, pharmaceutically acceptable salts and pro-drug esters thereof; and (2R-traps)-5-(4-fluorophenyl)-2-(1-methylethyl)-N,4-Biphenyl-1-[2-(tetrahy dro-4-hydroxy-6-oxo-2H-pyran-2-yl)ethyl]-1H-pyrrole-3-carboxamide (including the lactone form of the heptanoic acid); and [R-(R*,R*)j-2-(4-fluorophenyl)-.beta.,.delta.-dihydroxy-5-(1-methylethyl)- 3-phenyl-4 [(phenylamino)carbonyl]-1H-pyrrole-1-heptanoic acid, its pharmaceutically acceptable salts and/or pro-drug esters or (2R-traps)-5-(4-fluorophenyl)-2-(1-methylethyl-N,4 diphenyl-1-[2-(tetrahydro-4-hydroxy-6-oxo-2H-pyran-2-yl)ethyl]-1 H-pyrrole-3-carboxamide acid; and closely related structural analogs having anti-viral activity. These compounds may be synthesized or isolated from natural sources according to methods and techniques well known in the ark.
The anti-viral statin or statin-like compounds disclosed in U.S. Patent No.
4,739,073 include compounds having the following structure:
R

~---X -.Z
N

Ro wherein one of R and Ra is an unsubstituted, mono-substituted, bi-substituted, or tri-substituted aromatic ring, preferably a benzyl ring and the other is primary or secondary C,.e alkyl not containing an asymmetric carbon atom, C,.6 cycloalkyl or phenyl(CHZ)m --.
These compounds may be synthesized or isolated from natural sources according to methods and techniques well known in the art.

WO 00/d719G PCT/US00/03634 The anti-viral statin or statin-like compounds disclosed in U.S. Patent Nos.
4,448,979 and 4,346,227 include compounds having the following general structure wherein:
OH
O HO
H3C ~ 'O
CH3 ~ \ CH3 X
wherein R represents a hydrogen atom or a C1 -C5 alkyl group and one of the two X's represents a hydroxyl group and the other represents, preferably, a hydrogen or a C1-C5 alkyl, and pharmaceutically acceptable salts and pro-drug esters thereof and the corresponding lactone in which the R, moiety is lost It is noted that, in view of the number of asymmetric carbon atoms in these compounds, a variety of geometric isomers are possible.
Methods of administration and formulations. With regard to the types of formulations in which the active compounds according to the present invention can be administered, as well as any additives to be included with the active compounds in the formulations, and the possible routes of administration, it is well known to those of skill in the art that such formulations can be provided in a wide variety of types, and it is within the skill or ordinary artisans to select a specific formulation and route of administration and then test suitability for use or in use. Furthermore, suitable formulations and routes of administration can be determined by further taking into account relevant disclosure known in the art (e.g., with regard to use of mevastatin, lovastatin, pravastatin and simvastatin, by reference to any of the large amount of information known in the art concerning formulations of the particular compound or compounds for administering to patients; with regard to use of one or more compound disclosed in any of U.S. Patents Nos.4,346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746, by reference to the particular patent or patents in which the compound is described or encompassed, in particular, to disclosure in the patent or patents which relates to formulations or routes of administration). The entireties of U.S. Patents Nos.4,346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401.746 are hereby incorporated here by reference for each of their disclosures relating to formulations and routes of administration.
With regard to dosage and duration of treatment, it is recognized that the ability of an artisan skilled in pharmaceutical administration of drugs to determine suitable dosages depending on many inter-related factors is well-known, and skilled artisans are readily able to monitor patients to determine whether treatment should be started, continued, discontinued or resumed at any given time. For example, dosages of the compounds are suitably determined depending on the Individual cases taking symptoms, age and sex of the subject and the like into consideration. The amount of a compound to be incorporated into the pharmaceutical composition of the invention varies with the dosage form, solubility and chemical properties of the compound, administration route, administration scheme and the like. An effective amount for a particular patient may vary depending on factors such as the condition being treated, the overall health of the patient, the method route and dose of administration and the severity of side effects. Dosages should be varied according to side effects (if any) and blood cell counts which should be monitored frequently, preferably every several days. Determination of the appropriate dose is made by the clinician using parameters known in the art. Generally, the dose begins with an amount somewhat less than the optimum dose and it is increased by small increments thereafter until the desired or optimum effect is achieved. Suitable dosages can be determined by further taking into account relevant disclosure known in the art (e.g., with regard to use of mevastatin, lovastatin, pravastatin and simvastatin, by reference to any of the large amount of information known in the art concerning administration of the particular compound or compounds to patients; with regard to use of one or more compound disclosed in any of U.S. Patents Nos.4.346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5.401,746, by reference to the particular patent or patents in which the compound is described or encompassed, in particular, to disclosure in the patent or patents which relates to dosage and duration of treatment, as well as other factors involved in medical treatments of patients (including humans and animals). The entireties of U.S. Patents Nos.4,346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746 are incorporated here by reference for each of their disclosures relating to dosage, duration of treatment and other factors involved in medical treatments.
The compounds for use in accordance with the present invention can be obtained readily by those skilled in the art. In addition, compounds can be obtained in accordance with relevant disclosure known in the art (e.g., with regard to mevastatin, lovastatin, pravastatin and simvastatin, by reference to any of the large amount of information known in the art concerning methods of obtaining the particular compound or compounds; with regard to one or more compound disclosed in any of U.S. Patents Nos.
4,346,227, WO 00/47196 PCTlUS00/03634 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746, by reference to the particular patent or patents in which the compound is described or encompassed, in particular, to disclosure in the patent or patents which relates to methods of obtaining the compounds. The entireties of U.S. Patents Nos.4,346,227, 4,448,979, 4,739,073, 5,273,995, 5,169,857, 5,006,530, and 5,401,746 are incorporated here by reference for each of their disclosures. relating to obtaining the compounds used for treatment.
The compounds disclosed herein as having antiviral properties may be administered alone or in combination with one or more other anti-viral drug, and/or one or more other drug administered to counteract any condition caused by one or more viral infection and/or by a therapy given to combat one or more viral infection.
Such drugs, e.g., AZT, ribavirin, etc., are well known to those of skill in the art.
The components of any of the combination therapies disclosed herein can be administered simultaneously (in a combination formulation), essentially simultaneously (e.g., administration of each compound a few minutes or a few hours apart), or can be administered sequentially, e.g., several days apart, or more than a week apart. For example, according to the present invention, a compound according to the invention and a second anti-viral agent can be administered together, or essentially simultaneously, e.g., administration of each compound a few minutes or a few hours apart, or can be administered sequentially, e.g., several days apart, or more than a week apart. All such variations in administration of the combination therapy are encompassed within the scope of the invention.
As a general proposition, a, dosage in the range of from about 0.1 to about 50 mg/kg/day will have therapeutic, anti-viral efficacy within the meaning of the present invention. Typically, a dosage in the range of from about 0.5 mglkglday to about 10 mg/kg/day will be employed. A daily dosage of a statin compound will typically comprise about 10 to about 1000 mg, usually about 20 to about 500 mg, which may be administered as a single dose or as two or more subdoses. Such doses or subdoses may be administered at one or more sites or by one or more than one route of administration. The duration for the treatment is usually once per day for a sufficient length of time, typically about 1-4 weeks, for the patient to become asymptomatic, or for one or more symptoms to abate noticeably.
1n accordance with a preferred mode of using the present invention, a compound of the present invention may be administered orally, topically in creams, aerosol for nasal inhibition of, for example, Rhinovirus infections, intramuscularly (IM), intravenously (IV), or subcutaneously (SC). Preferred embodiments include IV administration using a statin compound that is micronized to an average particle diameter of about 0.1-10 wM, generally about 0.5-5 uM. !n some embodiments, a statin such as mevastatin or lovastatin is micronized to a size of about 5 pM or less and the micronized compound is suspended in sterile saline or buffer, which is administered by an IV route. Compounds of the invention and their pharmaceutically or physiologically, acceptable salts, are thus administered by any route suitable to the condition to be treated, including oral, rectal, nasal, topical (including ocular, buccal or sublingual), vaginal, parenteral (including subcutaneous, intramuscular, intravenous, intraperitoneal, intradermal, intrathecal, intradural and epidural) and pulmonary by aerosol.
Suitable formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy.
Techniques, excipients and formulations generally are found in, e.g., Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, PA 1985, 17'" edition, which is incorporated herein by reference. Methods to make formulations suitable for use in the present invention include the step of bringing into association a statin compound with one or more excipients or carriers. In general, such formulations are prepared by uniformly and intimately bringing into association a statin compound with liquid excipients or finely divided solid excipients or both, and then, if appropriate, shaping the product.
Formulations suitable for oral administration in the present invention may be presented as discrete units such as capsules, cachets or tablets, each containing a predetermined amount of statin compound; as a powder or granules; as solution or a suspension in an aqueous liquid or a non-aqueous liquid; or as an oil-in-water liquid emulsion or a water-in-oil liquid emulsion. The statin compound may also be presented as a bolus, electuary or paste.
A tablet may be made by compression or molding, optionally with one or more excipients. Compressed tablets may be prepared by compressing in a suitable machine the statin compound in a free-flowing form such as a powder or granules, optionally mixed with a binder, lubricant, inert diluent, preservative, surface active or dispersing agent.
Molded tablets may be made by moulding in a suitable machine a mixture of the powdered compound moistened with an inert liquid diluent. The tablets may optionally be coated or scored and may be formulated so as to provide slow or controlled release of the statin compound therein.
Formulations suitable for buccal administration include lozenges comprising a statin compound in a flavored basis, usually sucrose and acacia or tragacanth.
Formulations suitable for parenteral administration are usually sterile and include aqueous and non-aqueous injection solutions which may contain anti-oxidants, buffers, bacteriostats and solutes which render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents. The formulations may be presented in unit-WO 00/47196 PCTlUS00103634 dose or multi-dose containers, for example sealed ampoules and vials with elastomeric stoppers, and may be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example water far injections, immediately prior to use. Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules and tablets of the kind previously described. Unit dosage formulations will typically contain a daily dose or unit daily sub-dose, as recited above, or an appropriate fraction thereof.
To the extent not already indicated, it will be understood by those of ordinary skill in the art that any one of the various specific embodiments herein described and illustrated may be further modified to incorporate features shown in any of the other embodiments disdosed herein.
Therapeutic applications. For therapeutic applications, the compositions disclosed herein will typically comprise one or more anti-viral statin or statin-like compounds, and, the methods disclosed herein will utilize such compositions, which will contain one, two or more of such compounds, usually one. While it is possible for the compounds of the invention to be administered as pure compounds it is preferable to present them as pharmaceutical formulations. The formulations of the present invention comprise at least one statin compound together with one or more acceptable carriers or excipients and optionally other therapeutic agents, e.g., a-IFN, ribavirin, a nucleoside analog or a protease inhibitor. The one or more carriers or excipients must be "acceptable" in the sense of being compatible with the other ingredients of the formulation and not deleterious to the patient.
The compounds of this invention are useful in the treatment or prophylaxis of one or more flaviviral or togaviral infections in man or animals. Togavirus and flavivirus infections that can be treated with statin compounds include human hepatitis C
virus (HCV), California encephalitis virus, St. Louis encephalitis virus, western equine encephalitis virus, eastern equine encephalitis virus, Colorado tick fever virus, t_aCrosse encephalitis virus, Japanese encephalitis virus, yellow fever virus, Venezuelan equine encephalitis virus, Murray valley fever virus, tick-borne encephalitis viruses, GB virus A, GB virus B, GB virus C, Dengue virus 1, Dengue virus 2, Dengue virus 3, Dengue virus 4, Semliki Forest virus and Sindbis virus. The rubiviruses include human rubella virus.
Pestiviruses include mucosal disease viruses such as bovine virus diarrhea virus, hog cholera virus and sheep border disease virus.
In addition to preventing or treating togaviral infections, the statin compounds can be used to treat vertebrate subjects (humans, animals or mammals) who are coinfected with a togavirus and another virus, such as a retrovirus or a second togavirus.
Retroviruses such as a human immunodeficiency virus, e.g., HIV1 or HIV2, a simian immunodeficiency virus, a recombinant human-simian immunodeficiency virus (e.g., SHIV22s), a feline immunodeficiency virus or a feline or murine leukemia or sarcoma virus can be treated as described herein. Coinfections with hepatitis viruses may be treated using the compounds of the invention, e.g., a HCV and HIV coinfection. !n these embodiments, the subject will typically be one who has been tested to determine that (t) one or more togavirus infections is present (HCV, etc.) and (ii) a second virus infection is present, e.g., a RNA virus infection such as a retrovirus such as HIV1. HIV2, etc. or a papillomavirus infection, e.g., a human papillomavirus.
The methods disclosed herein are useful in the treatment of, or ameliorate one or more symptoms associated with, the conditions or infections disclosed herein.
These compositions and formulations may also be used to treat, or ameliorate one or more symptoms associated with, a retrovirai infection such as a HIV1 or HIV2 infection in humans. As used herein, phrases such as "amelioration of one or more symptoms associated with" means that such compounds or formulations may be used to reduce replication of an infectious agent or to reduce the number of infectious agents that are present in a subject or to ameliorate one or more symptoms associated with, or caused by, the condition or infection (e.g.. reduced fever, a shortened duration or degree of pain, or a noticeable reduction of or elimination of diarrhea or fatigue).
In addition to the ingredients particularly mentioned above the formulations of this invention may include other agents conventional in the art having regard to the type of formulation in question, for example those suitable for oral administration may include flavoring or coloring agents.
The present invention further provides veterinary compositions comprising one or more anti-viral statin or statin-like compound together with a veterinary carrier therefor.
Veterinary carriers are materials useful for the purpose of administering the composition to cats, dogs, horses, mice, rats, hamsters, rabbits and other animals and may be solid, liquid or gaseous materials that are otherwise inert or acceptable in the veterinary art and are compatible with a statin compound. These veterinary compositions may be administered orally, parenterally (e.g., IV) or by any other desired route, e.g., as described herein.
EXAMPLES
The tests described below demonstrate utility of the present invention by virtue of pharmacological activity of compositions of the present invention. These, tests are presented as illustrations of the use of the present invention, and should not be interpreted as in any way limiting the scope of the present invention. as it is defined in the claims.
_ 19_ ~'~W~ ,i'~' In order to demonstrate the efficacy of the compounds according to the present invention in the treatment of viral infections, a number of tests were conducted, as reported below.

Example 1 was an in vitro test in which simvastatin was tested in MDBK cells against bovine virus diarrhea virus (BVDV). In view of the fact that no accepted model exists for HCV, new compounds for use in the treatment of HCV are tested for activity against i3VDV, a virus which acts in a manner which is analogous to HCV The parameters of the test, and the test results are shown in Tables 1-1 through 1-3 (which may be graphed by depicting °~6 of control cell viability and % reduction in viral CPE as a fuction of drug concentration), below:
Table 1-1 1 2 3 4 5 6 7 8 9 IO 1l t2 reagent p antic background background A 0.335 0.5600.0000.0000.003 0.004 0.007 0.335 0.002 0.358 0.369 0.395 cclvc tox drug eclvctox MST

expenmental B 1.422 1.7840.2120,215 0.2371.5680.670 C , 1.294 1.3200.2360.211 0.2611.3281.610 D ' 1.221 1.4930.3980.597 0.7951.4041.915 E 0.202~ 1.6840.5400.534 O.S460.5741.740 F ~ ! 1.6561.6421.717 1.778O.S781.758 0.185 .

G 0.193 ~ 1.2721.4311.328 1.4480.3120.968 .

colorimetric background H 0.3 0.3210.326 0.3 0.321 i 6 0.321 tox vc = =
ce virus toxicity control cc BOLD
- =
ull highest control drug conc.

values shown are optimal densities Table Reagent 0.392 25% 50% 95%

Virus Control -0.051TC (pM) > 20.0 > 20.00 > 20.00 Cell Control 0.981 IC (pM) 0.49 2.89 5.79 Differential 1.032 Antiviral > 41.06 > 6.91 > 3.46 Index (AI) Table 1-3 Antiviral Test Cytotoxicity Values Test Values Row on Mean '/o Red. Mean % Cell Color;metric Conc. In Plate O.D. CPE O.D. Viability Cantrol (uM) low B 0.0625 -.048 0% 0.906 92% -.071 C 0.2 -.034 0% 1.144 100% -.071 D 0.62 0.332 32% 1.388 100% -.076 E 2 0.265 26% 1.386 10Q% -.066 F 6.25 4.443 100% 1.385 100% -.071 high 20 1.133 100% 0.788 80% -.060 G

xer~;x T . ~x~
' EXAMPLE 2 Example 2 was a comparative in v'ttro test in which ribavirin was tested (as a standard) in MDBK cells against BVDV. The parameters of the test, and the test results are shown in Tables 2-1 through 2-3 (which may be graphed by depicting 9b of control cell viability and % reduction in viral CPE as a fuction of drug concentration), below:
Table 2-1 reagent plastic background background A 0.703 0.0150.014 0.014 O.Ots0.015O.Ot3 0.377 0.372 x.413 0.438 0.569 cclvc lox drug MST 67 experimentalcc/vctox B 1.082 1.1310.253 0.262 0.2691.3270.908 C 0.930 1.1200.247 0.171 0.2080.9690.967 D 1.t24 1.1090.448 0.393 0.3081.1321.025 E 0.195 1.0900.388 0.334 0.9430.2010.961 F , 0.265 0.8240.687 0.774 0.7140.2130.763 G 1 0.230 0.5250.514 0.528 0.5230.2410.558 colorimetric backgroun H 0.3720.344 0.296 0.3470.3190.319 tox vc g cone.
= =
cell vnus toxicity control cc BOLD
= =
cell highest control val ues shown are optimal densities Table 2-2 Reagent 0.479 25% 50% 95%

Virus -0_255 TC (ltG/mL) 9.50 21 ~0 > 32.00 Control Cell Control0.615 IC (uG~mL) 0.57 2.44 -----Differential0.870 Antiviral Index16.79 8.65 ---(Al) Table ?-3 Antiviral Test Cytotoxicity Test Values Values Row on Mean % Red. In Mean % Cell Colorimetric Conc.

Plate O.D. CPE O.D- Viability Control (pglmL) low B 0.1 0.197 23!0 0.696 100% -.160 C 0.32 0.145 17!0 0.725 100% -.160 D 1 0.291 33% 0.720 100% -.132 E 3.3 0.481 55!0 0,730 100% -.183 F 10 0.636 73ro 0.450 73% -.135 high 32 0.405 47i 0.170 28% -.107 G

Example 3 was an in vitro test in which simvastatin was tested in MDBK cells against BVDV. The parameters of the test, and the test results are shown in Tables 3-1 through 3-3 (which may be graphed by depicting % of control cell viability and °r6 reduction in viral CPE as a fuction of drug concentration), below:
-21 _ v ~:~ .~'~'~.i 1~ ~h~, .

CA O~I363088 2002-08-09 n~luV ~ v ",--- c~
Table 3-1 roagent plastic background background A 0.354 0.4370.0490.021 0.023 0.0250.022 0.022 0.354 0.406 0.415 0.437 ccJve tox drug MST 67 experimentaleclvc tox B 1.936 ?.0411.668 0.37? 0.3541.976 0.845 C 1.723 1.8501.976 0.794 0.6461.780 L999 D 1.769 1.7881.740 1.175 1.0751.751 1.922 E 0.194 0.2920.274 0.249 0.2500.284 0.363 F 0? 0.1940.216 0.215 0.2130.281 0.378 G 0247 0.2060.226 0.229 0.2280.222 0.416 colorimetric background 1 0.3890.403 0.382 0.3820.349 0.349 tox trol rus control B
= ve LD = highest cell = drug coot.
toxicity vi cc =
cell con val ues shown are optimal densities 'Table Reagent 0.401 25 0 5010 95%

Virus Control-0.161 TC (~GImL) 9.69 13.10 19.30 Cell Control1.423 IC (pG~mL) < 0.63 1.15 ----Differential1.582 Antiviral > 15.50 11.42 ----Index (All Table 3-3 Antiviral Test Cytotoxicity Values Test Values Raw on Mean % Red. In Mean /~ Cell Colorimetric Conc.

Plate O.D. CPE O.D. Viability Control (pglmL) -low B 0-625 0.610 3990 1.095 77% -.052 C Z 0.951 60% t .576 100% -.052 D 6.2 1.108 70% I .473 i 00% -.018 E 20 0_036 2% -.055 0~0 -.018 F 62.5 -.028 0% .117 0% 0.003 high 200 -.002 0% -.079 0% -.011 G

Example 4 was an in vitro test in which pravastatm was tested in MDBK cells against BVDV. The parameters of the test, and the test results are shown in Tables 4-1 through 4-3 (which may be graphed by depicting % of control cell viability and % reduction in viral CPE as a fuction of drug concentration), below:

CA 02363088 2002-08-09 _ ,. a s ':
Table 4-1 reagent plastic backgrnun background A 0.4260.406 0.4430.5460.022 0.022 0.023 0.418 0.022 0.022 0.021 0.420 lox ec/vcdrug MST tox cclvc 67 experimental B 1.9501.9500.734 1.2260.2341.789 2.107 C 1.9701.8700.349 0.2080.2271.751 1.759 D 3.0911.8580.759 0.1850.9791.805 1.804 E 2.1200.2190.305 0.2920.2801.866 0.203 F 2.0510.3300.367 0.2400.2?B1.865 0.273 G 1.9730.2440.467 0.3700.6591.958 0.238 colorimetric background H 0.4480.448 0.4560.459 0.461 0.470 tox vc BOLD = highest = = drug conc.
cell virus toxtciry control cc =
cell control val ues shown are optimal densities Table Reagent 0.443 25% 50% 95%

Virus Control-0.209 TC (IrM} > 200.00 > 300.00 > 200.00 Cell Control1.448 IC (p.M) < 0.63 ---- ----Differential1.657 Antivirallndex> 320.00 ---- --.

(AI) Table 4-3 Antiviral Test Cytotoxiciry Test Values Values Row on Mean % Red. In Mtan % Cell Colorimetric Conc.

Plate O.D. CPE O.D. Viability Control (pM) low 8 0.625 0.481 29% 1.410 97% ~ 0.016 C 3 0.014 1 % l .404 97% i 0.013 D 6.25 0.380 23% 1.478 100% 0.027 E 20 0.040 2% t .532 100% 0.018 F 62.5 0.055 3% 1,510 100% 0.005 high 200 0.259 16% 1.51? 100% 0.005 G

Example 5 was an in vitro test in which fovastatin was tested in MDBK cells against BVDV. The parameters of the test, and the test results are shown in Tables 5-1 through 5-3 (which may be graphed by depicting % of control cell viability and %
reduction in viral CPE as a fuction of drug concentration), below:

I ~ 1~ ills Table 5-1 1 2 3 4 5 6 7 8 9 10 if 12 reagent ! plastic background background A 0.426 0.03?0.022 0.02? 0.022 0.031 0.406 0.023 0.418 0.420 0.443 0.546 cclvc tox drug VTN 22 cc/vc tox experimental B 1.950 ?.0290.278 0.545 2. 0.973 0.418 f C l.8?0 1.8530.393 0.305 1.759 2.141 0.616 D 1.858 1.9440.421 0.447 1.804 2.345 0.744 E 0.219 1.9661.998 1.415 0.203 2.055 1.975 F 0.230 1.6121.642 1.696 0.273 1.640 1.773 G 0.244 0.2100.220 0.218 0.338 0.356 0.218 colorimetric background H 0.4350.432 0.428 0.39 0.39) 0.429 l tox vc rus control - = SOLD = highest cell v drug conc.
toxicity cc a cell control values shown are optimal densities Table 5-?

Reagent 0.443 25% ~0% 95%

Virus Control-0.209 TC (~M) 74.20 116.00 _ 192.00 Cell Control1.448 IC (pM) 6.85 10.00 20.00 Differential1.657 Antivirallndex10.84 11.56 9.58 (A1) Table 5-3 Antivirat Test Cytotoxicity Test Values Values Row Mean % Red. Mean % Cell Golorimetric on In Conc.

Plate O.D. CPE O.D. Viability Control (~tM) low 0.625 0.231 14% I.llO 77% -.052 B

C 2 0.322 19% 1.606 100% -.052 D 6.2 0.317 19% 1.715 100% -.014 E 20 1.577 95% 1.582 100% -.015 F 62.5 1.480 89% 1.194 82% -.011 hi h 200 -.008 0% -.152 0% -,008 G

Example 6 was a test in which mevastatin was tested in PBMCs against the ROJO
strain of the HIV virus. The parameters of the test, and the test results are shown in Tabte 6 (which may be graphed by depicting % of virus control and % of cell control as a function of concentration), revealing an iCso = 0.3145 p.M and a TCSa = 2.658716 pM (T!
= 8.4531 j, below:

S~S~i!~~r ~~~ ~ x~

~~ ROIUS 2 0 ~
Table 6 RT ACTIVITY (epm) CONC 200 64 20.486.5542.0970.6710.215 0.069 0.022 0 (I~'1) SAMPLE 52.288.364.3 IS2.6224.93430.56617.512348.010518.013361.0 SAMPLE 72.384.3108.476.3 241.02108.610401.28334.3 8983.513361.0 SAMPLE 40.296.47t~4 104.41 2016.36517.114460.714239.513361.0 3 16.5 MEAN 54.989.?83.0 ! 194.12518.57845.3l 1714.311247.713361.0 t 1.I

VC 0.4 0.7 0.6 0.8 1.5 18.8 58.7 87.7 ~4.2 100.0 ~

TOXICITY VALUES (XTT-O.D. cr 4501650 nm) CONC (PNl)2 64 20.486,5542.0970.6710.2150.0690.0220 ~

SAMPLE .01890.1910.2610.349O.S691.1301.2891.6T61.7341284 SAMPLE 0.1650.1880.2550.4200.7270.9541.1961.39'71.3581.284 SAMPLE 0.163O.t780.2344.4010.7391.0371.1731.2471.3981.284 MEAN ' O. O. 0.2500.3900678 1.0401.2191.4401.4971.284 i t CC 13.4 14.5 19.5 30.4 52.8 81.0 95.0 l 116.6100.0 12.1 VIRUS AND CELL CONTROLS ARE PLATE AVERAGES

Example 7 was a comparative test in which AZT (as a standard) was tested in PBMCs against ROJO. The parameters of the test, and the test results are shown in Table 7 (which may be graphed by depicting % of virus control and % of cell control as a function of concentration), revealing an ICso = 0_OD821rM and a TCso > 4 ~.M (TI >
487), below:
Table 7 RT ACTIVITY (epm) CONC (~M)4 1.28 0.40960.1310.04? 0.0l30.00430.0014O.UU040 SAMPLE 52.2100.4176.756.2 60.2 1526.21494 8804.76866.613361.0 1 .0 SAMPLE2 56? 80.3 92.4 1554.35295.1345.5514.1 i4509.212509.?161.0 ;

SAMPLE 76.372.3 72.3 216.9120 2080.616458 13264.526442.613361.0 3 ' 5 0 MEAN ( 84.3 113.8609.11835.31317.410640.012192.815273.013361.0 61.6 VC 0.5 1 0.9 I 1 13.7~ 1 79.61 91.3~ 114.3~ 1 0.6 4.6 9.9 ~.0 ' ~,~.
i Y .~-~~' ~~~ ' ~° t x' 5ivs'Chx t. i ZL! ~? b? ~~.C~ ~' TOXICITY VALUES (XTT-O.D. @ 450/650 nm) CONC (uM)4 1.2 0.40960.1310.042 .00430.00140.00040 0.01 SAMPLE 0.7851.0851,369 1.2201.139 1.0761.44 1.162 1.284 1 1.237 SAMPLE 1.2731.0311.077 1.2691.029 1.2351.2361.159 1.284 2 1.1 l2 SAMPLES 1.2001.1981.286 1.0421.488 1.5211.5731.293 1.284 1,227 MEAN 1.0861.1051.244 1.17?1.219 1.2771.2841.205 1.2$4 ' 1.192 CC 84.6 86.0 96.9 91.7 94.9 ) 99.5 100.093.8 100.0 92.8 VIRUS AND CELL CONTROLS ARE PLATE AVERAGES

Example 8 was a comparative test in which AZT was tested in macrophages against the Ba-L strain of the HIV virus. The parameters of the test, and the test results are shown in Table 8 (which may be graphed by depicting % of virus control and °r6 of cell control as a function of concentration), revealing an ICS = 0.0085 ~M and a TC~ > 4 ~M
(TI > 471 ), below:
Table 8 p24 ACTIVITY (pglml) CON 4 1.2 0.410.13 0.0420.0 0.00430.00140.0004 0 C 8 ~ t (pM) 3 SAMPLE 0.0 0.0 0.0 0.0 175.;281.5262.6 548.0 541.3 640.3 1 ~ ' ~

SAMPLE 0.0 0.0 0.0 0,0 99,6 186.8460.1 765.? 732.0 640.3 2 !

SAMPLE 0.0 0.0 0.0 0.0 27.9 104.3573.7 366.1 679.0 640.3 MEAN ~ 0.0 0.0 0.0 100.9190.9432.1 559.8 650.8 640.3 0.0 % VC ~ 0.0 0.0 0.0 13.8 29 67,5 87.4 101.6 100.0 , 0.0 8 TOXICITY VALUES (XTT-O.D. (-,'c~T 450/650 nm) CONC 1.280.41 0.13 0.042 0.0043O.OOi40.0 0 4 , I ~
1 , 0.013 (wMl f SAMPLE 1.4811.8551.5191.1371.51?1.0731?23 1.231 1.433 1.327 I

SAMPLE 1.5051.4081.4641.0501.2451.4121.559 1.409 1.387 -2 1.327 SAMPLES 1.5051.2521.2431.4121.474i.3 1.110 1.03b 1.431 1.327 i9 MEAN 1.49?1.0501.4091.1961.4101.268I ~97 1.225 1.417 1.327 CC 112,8113.4106.290.2 106.395.6 9'7.8 92.3 106.8 100.0 VIRUS AND CELL CONTROLS ARE PLATE AVERAGES

;; -~ :~,~, '.
' s . , ~.'~~O~w ~~~~~1' f~lE~ C ~1 y es ~ ~;. 1 1 ..... .. .

Example 9 was a test in which mevastatin was tested in macrophages against Ba-L. The parameters of the test, and the test results are shown in Table 9 (which may be graphed by depicting % of virus control and °~ of cell control as a function of concentration), revealing an ICS = 12.9528 ~.M and a TC,° > 400 pM (TI
> 39 ) , below.
Table 9 p24 ACTIVITY (pglml) CONC 400 128 40.9613. 4.191.34 0 0.14 0.04 0 I ~ l 43 (wM) t 1 ~

SAMPLE 55.683.4118.5328.9701.6583.663b.7598.8 635.3640,3 SAMPLE 29.933.380.7 157.8247.0514.9541.3553.5 612.3640,3 SAMPLE 85.490.8301.8463.5593.4615.0667.8667.8 713.8640.3 MEAN 57.069.216?.0316.7514.0571.2615.3606.7 653.8640.3 VC 8,9 10.826. 49.5 ~ 89.2 96.1 94.8 ~ 100.0 I 803 I 102.1 j ~

TOXICITY VALUES (XT'T-O.D. Qa 4501650 nm) CONC 400 128 40.9613.114.19 1.34 0.43 0.14 0.04 0 (wM) SAMPLE 1.4301.4031.7871.5251.254 1.3491.6201.557 1.8751.327 I

SAMPLE 1.2051.2161,4491.3201,259 1,3621.5881.361 1.0971.327 SAMPLE 0.8951.2251.1791.3191.413 1.2321.4361.362 1.2151.327 MEAN ~ 1.2811.472; 1.309 1.3141.5481.427 1.3961.327 1.177 1.388 CC - I- ~ ~ ~ ~, ~ ~ I, ~ ~ 100.0 88.796.6 110.9l 98.6 99.0 l 107.5 I05.2 Od.6 16.7 VIRUS AND CELL CONTROLS ARE PLATE AVERAGES

Example 10 was a test in which pravastatin was tested in macrophages against Ba-L. The parameters of the test, and the test results are shown in Table 10 (which may be graphed by depicting % of virus control and °~ of cell control as a function of concentration), revealing an ICS = 34.25 ~M and a TCs° = 189 53 uAA (TI
> 5.54), below.

;.., ; _' _~,~ .,.1,,~~w ,:~~~t,~~,.~ :r~~~ Y .".

cA o2sssoss 2oo2-os-os ° ova vr, ,~ " ," .. __ ii I .111 i TablE 10 p8lml ACTIVITY
CONC 200 64 120 6.4 2 0.64 0.2 0.044 0.02 0 (1~'1) SAMPLE 177.6199.4487.4449.4488.5347.8352.0338.8 505.3 332.4 I

SAMPLE 381.0161.5266.4246.2308.2289.0638.4418.9 618.3 552.4 SAMPLE 148.582.4 279.3377.0319.7918.8442.2634.1 398.8 532.4 MEAN 235.714?.8337.7357.5371.5518.5476.9463.2 507.5 51.4 VC 42.7 28.? 61.1 64.767.2 93.9J$6.~83.9 91.9 100.0 I f ~ ~

TOX1C1TY VALUES (XTT-0 D. ~ 4501650 nm) CONC 200 64 20 6.4 2 0.64 0.2 0.064 0.02 0 (N~'1) SAMPLE 1.8142.3511.7282.1222.579. 3.0483.072 3.2143.100 SAMPLE 1.6191.5292.3131.6371.8921.8392.9193.292 3,1843.100 SAMPLE 1.0982.2202.1642.0002.3772.2663.3313.041 2.9713.100 MEAN 1.5102.0332.0881.9202?83 2.3193.0993.136 3.1233.100 CC 48.7 65.665.7 61.9 73.8 74.8 100.0101.1 ~ ( 100.7100.0 VIRUS AND CELL CONTROLS ARE PLATE AVERAGES

Example 11 was a test in which lovastatin was tested in macropharge against the Ba-L strain of HIV. The parameters of the test, and the etst results are shown in Table 11 (which may be graphed by depicting °~ of virus control and ~ of cell control as a function of concentration), revealing an ICSO = 13.49 ~M and a TC~o = 58.06 N.M (TI =
4.3039) , below Table 1 I
pglmL ACTIVITY
CONC (uM)200 64 20 6.4 2 0.64 0.2 0.0640.02 0 SAMPLE 208.4203.7124.7266.7416.8406.8429.8231.7325. 488.9 I

SAMPLE 149.2157.8353 305.6212.3236.?413.8413.5497.0488.9 SAMPLE 76.9 I5B.6108.0321.9?88.9374.8341.4444.3782.5488.9 3 !

MEAN 144.8173.4195.3298.1305.3340.1395.0363.2534.9489.9 % VC 29.6 35.5 , I ~ ~ ~ ~
39.9 69.6 80,8 74.3 109.410.0 [ L
61.0 !
62,5 x~:c. W '~a~:w~~~ C~~~f~' ~ /i4tlr r~ wav v~~q i TOXICITY VALUES (XTT-O.D. Q450/650 nm) CONC 200 64 20 6.4 2 0.64 0.2 0.0640.02 0 (I~d) SAMPLE 0.6481.1391.6842.4702.3412.29 1.3261.2952.6802.547 t SAMPLE 0.3650.3992.5902.6912.5842.3832.3812.2672.2842.547 SAMPLE 1.5521.8362.4072.4322.4592 2.8002.5262.4272.547 MEAN 0.8551.1252.2272.5312.4612.2732.1692.0292.4642.547 %CC 36.644.2 8?.4 99.4 96.6 89.3 85.2 79.7 95.7 100.0 VIRUS AND CELL CONTROLS ARE PLATE AVERAGES

Example 12 was a test in which simvastatin was tested in macrophages against Ba-L. The parameters of the test, and the test results are shown in Table 12 (which may be graphed by depicting ~ of virus control and % of cell control as a function of concentration), revealing an IC5° = 51.39 wM and a TCso > 200 ~M (TI >
3.8918), below:
Table 12 pglmL ACTIVITY
CONC 200 64 20 6.4 2 0.2 0.064 0.02 0 (11M) ~ ' 0.64 i SAMPLE 139.1154.5129.7186.6319.1256.7234.6229.6 480.5 368.9 SAMPLE 65.6 70.6425.?277.7298.7264.4193.2372.7 217.5 368.9 SAMPLE 173.3173.9382.0344.5189.9254.1454.0446.3 41 368.9 3 l.9 MEAN 126.0133.0312.5?89.6269.2158. 293.9349.5 363.3 368.9 S

VC 34.2 36.184.7 73.1 73.0 70.1 79.7 84.8 98.5 100.0 TOXICITY VALUES (XTT-O.D. Q 450/650 nm) C NC 200 64 30 6.4 2 0.2 0.064 0.02 0 (uM) 0.64 SAMPLE 1.3481.7661.795 1.7151.808 1.8802.610 2.5702.859 1 ~
2.404 SAMPLE 1.7421.607I .9122.6713.266 2.9642.661 2.3792.859 2 '.
I
.876 ~

SAMPLE 1.8232.1682.311 2.7222.1642.31 2.7812.630 3.0162.859 3 l MEAN 1.6381.8472.006 2.3692.4132.1972.5422.364 2.6552.859 CC 57.3 64.6 70.2 82.9 84.476.8 88.9 92.1 92.9 100.0 ' VIRUS AND CELL CONTROLS ARE PLATE AVERAGES

S~S'~~ ~ f.~ ~t1 CA 02363088 2002-08-09 1'y'r~ .-in Example 13 was a test in which tovastatin was tested in PBMC against ROJO, The parameters of the test, and the test results are shown in Table 13 (which may be graphed by depicting % of virus control and °!° of cell control as a function of concentration), revealing an (C~ = 114.60 uM and a TC~o = 172.69 pArl (TI =1.5069)), below:
Tabl c 13 RT ACTIVITY (epm) CONC 200 64 20 6.4 2 0.64 0.2 0.0640.02 0 (~M) SAMPLE 76.38140.94889.07606.18675.810372.97988.31545$.910863.68065.8 1 ~

SAMPLE 60.26951.08004.37594.113549.38241.56323.813865.2975.9 8065.8 SAMPLE 38.!4073.36657.76617.45817.55612.66521.1I 9822.08065.8 3 ' 1515.4 MEAN 57.56386.4851?.07272.59014.28075.76943.713613.210130.38065.8 VC 0.7 79.2 80.8 90.2 l 100.1 86.1 168.8125,61100.0 l.8 TOXICITY VALUES (XTT-O.D. ~ 4501650 nm) CONC (PNl)200 64 30 6.4 2 0.64 0.2 0.0640.02 Q
w~

SAMPLE 0.5032.0181.8341.8041.7071.'761.683 1.7331.613 1.622 SAMPLE 0.4852.0342.121.1.9982.0712.0041.836 2.0221.583 1.622 SAMPLE O.Si72.0752 2.1042.0171.9951.853 1,8471.7?9 1.622 3 ~77 MEAN 0.5022.0422.0771.9691.9321.9251.794 1.8671.658 1.622 CC 30.9125.8128.1121.4119.1118.7110.6 1 102.2 100.0 I
5.1 VIRUS AND CELL CONTROLS ARE PLATE AVERAGES

Example 14 was a test in which pravastatln was tested in PBMC against ROJO.
The parameters of the test, and the test results are shown in Table 14 (which may be graphed by depicting °!° of virus control and % of cell control as a function of concentration), revealing an ICso = 105.12 ~M and a TC50 > 200 uM (TI > 1.9)), below:

wa!':- ;~n. :.: ~~ .~..m:. s : . . ~ . -. . .

1 w a P, i~ ~:, rr Table 14 RT ACTIVITY (epm) CONC 200 64 20 6.4 2 0.64 0.2 0.064 0.02 0 (y.~M) SAMPLE 743.12153.17957.17056.59352.48733.29581.68077.410843.111336.5 SAMPLE 305.25508.510478.418.065.214308.611520.016063.69579.019148.111336.5 SAMPLE 3820.314602.68089.17345.611073.314028.417114.013248.411986.211336.5 MEAN 1632.9742 844 10822.411578.111426.514253.10299.613993.111336.5 1 l.5 ~ I
.4 1 VC 14.3 65.5 ?8.0 95.5 102.1 125.7 90.9 123.4 100.0 j 100.8 TOXICITY VALUES (XTT-O.D. x4501650 nm) CONC 200 64 20 6.4 3 0.640.3 0.0640.02 0 ~
(GMs) SAMPLE 1.4662.1332.l 3.0002.0281.9821.8271.8221.763 1.479 l 12 SAMPLE 1.4392.2302.3982.2212.0292.0382.1061.9181.765 1.479 2 ~
~

SAMPLE 1.4691.8662.0591.9951.6561.8231.8951.T531.765 1.479 MEAN 1.4582.4763.1902.0721.9041.9481.9431.8311.764 1.4'79 CC 9B.6140.4148.1140.1128.8131.7131.4123.6t 19.3100.0 VIRUS AtrtD CELL CONTROLS ARE PLATE AVERAGES

Example 15 was a test in which simvastatin was tested in PBMC against ROJO.
The parameters of the test. and the test results are shown in Table 15 (which may be graphed by depicting % of virus control and '/o of cell control as a function of concentration), revealing an ICS = 0.3145 uM and a TC~ = 2.fi58i16 p,M (TI =
8.4538), below:
Table ! 5 RT ACTIVITY (epm) CONC 200 64 20 6.4 ? 0.64 0,2 0.064 0.0 0 (wM) SAMPLE 64.3 5869.76641.75632.74836.87288.77647.79005.68221.b8065.8 1 ~

SAMPLE 60.2 5327.14133.58633.46147.09604.71041 10015.08905.08065.8 2 7.0 SAMPLE 60.2 7662.58104.76474.67485.66207?9081.86110.85395.480 3 5.8 MEAN 61.6 6286.46293.36910.26156.57693.59048.88377.17507.38065.8 VC 0.8 77.9 78.0 ~ 85.776.3 ~ ~ 112.2~ 103.9~ 100.0 95.4 93.1 ~~~~'F~TiI~'~. ~t~' I~~ F ?R1 '- w ~~ ' R0 'NSvg o v - " - - .
TOXICITY VALUES (XTT-O.D. ~ 450!650 nm) CONC 200 64 20 6.4 2 0.64 0.2 0.064 0.02 0 (~M) -SAMPLE 0.5112.15a2,0242.0191.6391.9441.8231.857 1.645 1.622 1 0.5162.4752.6602.a982.5962.4112.364?.262 3.001 1.622 SAMPLE

SAMPLE 0.4761.74?1.9101.6751.546I i i .452f .4631.622 3 _510 .511 MEAN 0.5012.1252.1982.064t 1.955I 1.867 1.703 1.622 I .994 .899 %CC ~ 30.9 131.0135.5127.3122.9120.5I1?.I114.5 105.0 E00.0 ~ ~ ~ i VIRUS AND CELL CONTROLS ARE PLATE AVERAGES
Each of the various patent documents cited herein is hereby incorporated by reference, in its entirety, herein, to the extent permissible by applicable law, rule, or regulation.

.i 1~~A -f5wa''a.

Claims (18)

WHAT IS CLAIMED IS:
1. A method of treating a viral infection in a vertebrate in need of such treatment, comprising administering to said patient a viral infection treatment effective amount of at least one antiviral statin and statin-like compound.
2. A method of treating hepatitis C in a vertebrate in need of such treatment, comprising administering to said patient a hepatitis C treatment effective amount of at feast one antiviral statin and statin-like compound.
3. A method of treating hepatitis in a vertebrate in need of such treatment, comprising administering to said patient a hepatitis treatment effective amount of at least one antiviral statin and statin-like compound.
4. A method of treating HIV in a vertebrate in need of such treatment, comprising administering to said patient an HIV treatment effective amount of at least one antiviral statin and statin-like compound.
5. The method of Claim 1, 2, 3 or 4 wherein the vertebrate is a mammal.
6. The method of Claim 1, 2, 3 or 4 wherein the vertebrate is a human.
7. The method of Claim 1, 2, 3 or 4 wherein the antiviral statin and statin-like compound is pravastatin.
8. The method of Claim 1, 2, 3 or 4 wherein the antiviral statin and statin-like compound is lovastatinstatin.
9. The method of Claim 1, 2, 3 or 4 wherein the antiviral statin and statin-like compound is simvastatin.
10. The method of Claim 1, 2, 3 or 4 wherein the antiviral statin and statin-like compound is mevastatin.
11. A composition comprising antiviral statin and statin-like compound and at least one other anti-viral compound.
12. Use of an antiviral statin and statin-like compound in the manufacture of a medicament for use in treatment of viral infection.
13. Use of an antiviral statin and statin-like compound in the manufacture of a medicament for use in treatment of hepatitis C.
14. Use of an antiviral statin and statin-like compound in the manufacture of a medicament for use in treatment of hepatitis.
15. Use of an antiviral statin and statin-like compound in the manufacture of a medicament for use in the treatment of HIV.
16. A method of treating a vertebrate cell line having a viral infection, comprising administering to said cell line a viral infection-treatment effective amount of at least one antiviral statin and statin-like compound.
17. The method of Claim 16, wherein the vertebrate cell line is a mammalian cell line.
18. The method of Claim 16, wherein the vertebrate cell line is a human cell line.
CA002363088A 1999-02-11 2000-02-11 Methods for treating viral infections Abandoned CA2363088A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11962999P 1999-02-11 1999-02-11
US60/119,629 1999-02-11
PCT/US2000/003634 WO2000047196A2 (en) 1999-02-11 2000-02-11 Use of statins for treating viral infections

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AU2003245313A1 (en) * 2002-06-10 2003-12-22 Elan Pharma International, Ltd Nanoparticulate formulations comprising hmg coa reductase inhibitor derivatives (statins), novel combinations thereof as well as manufacturing of these pharmaceutical compositions
CA2522089A1 (en) * 2003-04-30 2004-11-11 Consejo Superior De Investigaciones Cientificas Prevention of hiv-1 infection by inhibition of rho-mediated reorganization and/or content alteration of cell membrane raft domains
US7223787B2 (en) * 2003-10-21 2007-05-29 Board Of Regents, The University Of Texas System Prenylation inhibitors reduce host cell permissiveness to viral replication
US8765704B1 (en) * 2008-02-28 2014-07-01 Novartis Ag Modified small interfering RNA molecules and methods of use
US8138161B2 (en) * 2004-10-01 2012-03-20 Novartis Vaccines And Diagnostics, Inc. Modified small interfering RNA molecules and methods of use
EP1658845A1 (en) * 2004-10-06 2006-05-24 PrimaGen Holding B.V. Use of statin or precursor thereof for the treatment of virusinfections
WO2006038797A1 (en) * 2004-10-06 2006-04-13 Primagen Holding B.V. Use of statin or precursor thereof for the treatment of hiv infections
EP2012761A1 (en) * 2006-05-04 2009-01-14 Patrick T. Prendergast Statins for the treatment of viral influenza infections
WO2008034832A1 (en) * 2006-09-18 2008-03-27 Prendergast Patrick T Compositions comprising a statin and caffeine for the treatment of viral infection
EP2241561A1 (en) * 2009-04-16 2010-10-20 Neuron Biopharma, S.A. Neuroprotective, hypocholesterolemic and antiepileptic compound
FR3041529A1 (en) * 2015-09-24 2017-03-31 Inst De Rech Pour Le Dev (Ird) COMPOSITIONS USEFUL FOR THE TREATMENT OF ARBOVIROSES
KR102581090B1 (en) * 2020-10-16 2023-09-21 고려대학교 세종산학협력단 Pharmaceutical composition for the treatment of porcine epidemic diarrhea virus comprising statin compounds

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