Sidagliptin (Januvia) – developed by Merk for the treatment of Type-II diabetes – inhibits the enzyme DPP-IV, improving glucose regulation – currently approved and on the market in Australia – formulated as the H3PO4 salt key process question: what's the most efficient way to set the absolute configuration of the β- amino amide? the triazole is not superphos = hydrated form of reduced under the polyphosphoric acid hydrogenation conditions First Generation Process Route: 1. 35% NH2NH2/H2O "superphos" 60–60 °C 49% yield, two steps 1. H2, Pd/C HCl•HN 2. HCl, IPA 26% yield from 2-chloropiperazine 51% yield, 2 steps 1. (S)-BINAP-RuCl HBr, 90 psi H2, BnOHN2•HCl, MeOH, 80 °C EDC, LiOH 2. NaOH, MeOH/H 83% yield NMM = N-methylmorpholine 1. LiOH, THF/H2O DIAD, PPh 2. EDC, NMM 81% yield intramolecular HCl•HN Mitsunobu rxn recrystallized from water to upgrade ee to >99% 78% yield over 4 steps •H3PO4 60% yield over 8 steps from β-ketoester Downsides: – 2 EDC couplings (EDC is expensive!) – Mitsunobu reaction (DIAD is expensive, and generates waste) Optimized Process: t-BuCOCl, DIPEA cat, DMAP, MeCN t-Bu cat. TFA, MeCN, 50 °C MeCN/MeOH HCl•HN 82% isolated yield, 3 steps, 1 pot [RhCl(cod)] 2 (0.15 mol%) (R,S)-PPF-P(t-Bu) (0.30 mol%) 2, MeOH, 50 °C, 18 h •H3PO4 isolated in 85% yield and Sitagliptin >99.7% ee after one recrystalizaton Interesting Notes: – Merck has prepared 20 MT using this process Pt-Bu2 – when using D 2 in the hydrogenation, they only see D-incorporation at the β-carbon – they found that use of 1 mol% NH4Cl during hydrogenation step improved reproducibility (R,S)-PPF-P(t-Bu) References: Org. Proc. Res. Dev. 2005, 634 (1st generation synthesis) J. Am. Chem. Soc.2004, 13002 (Meldrum's acid addition) J. Am. Chem. Soc.2004, 9918 (free enamine hydrogenation) J. Med. Chem. 2004, 4135 (DPP-IV as target for diabetes)
Referenz 1 ) Parkinson Study Group. Pramipexole vs levodopa as initial treatment for Parkinson disease: A randomized controlled trial. JAMA 2000: 284:1931-38. 2 ) Parkinson Study Group. Pramipexole vs Levodopa as Initial Treatment for Parkinson Disease. A 4-Year Randomized Controlled Trial Arch Neurol 2004: 61:1044-53. 3 ) Corbin A et al. Maintained pramipexole monotherapy treatment
Hygiene-Empfehlungen für Arztpraxen MRSA und MRGN Patienten Kolonisation/Infektion von Haut und/oder Schleimhäuten Keimverschleppung Vermeidung der Keimverschleppung Schutz anderer Patienten und des Personals umfassende Aufklärung für Patient und Angehörige Beseitigung von MRSA auf Infektiöses Material : - respiratorische Sekrete Hygienemaßnahmen be