US2018200280A1PendingUtilityA1

4'-Fluoro-2'-Methyl Substituted Nucleoside Derivatives as Inhibitors of HCV RNA Replication

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Assignee: RIBOSCIENCE LLCPriority: May 16, 2013Filed: Sep 21, 2017Published: Jul 19, 2018
Est. expiryMay 16, 2033(~6.9 yrs left)· nominal 20-yr term from priority
A61K 45/06A61K 31/4178A61K 31/4184A61K 31/7056A61K 2300/00A61K 31/7072A61K 31/4188A61K 31/4709A61P 1/16C07H 19/20A61P 31/14A61K 31/683
62
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Claims

Abstract

Cytidine nucleoside analogues of Formula I, wherein the variables are as described herein, in combination with uridine nucleoside analogues of Formula II, wherein the variables are as described herein, produce a synergistic effect on the inhibition of HCV polymerase.

Claims

exact text as granted — not AI-modified
We claim: 
     
         1 . A method of treatment of HCV by administering to a patient in need thereof a combination of a compound of Formula I in and a compound of Formula II 
       
         
           
           
               
               
           
         
         wherein:
 each R is independently O—R 1  or NHC(R 2a )(R 2b )C(═O)OR 3 ; 
 each R′ is independently O—R 1  or NHC(R 2a )(R 2b )C(═O)OR 3 ;
 each R 1  is independently phenyl or naphthyl, optionally substituted with one or more lower alkyl, lower alkoxy, halo, lower haloalkyl, or cyano; 
 each R 2a  and R 2b  are independently H or lower alkyl; 
 each R 3  is independently H, lower alkyl, lower haloalkyl, phenyl or phenyl lower alkyl; 
 
 each X is independently O or S; 
 each Y is independently H or F; and 
 each Y′ is independently F or OH; 
 
         or a pharmacologically acceptable salt thereof. 
       
     
     
         2 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         3 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         4 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         5 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         6 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         7 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         8 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         9 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         10 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         11 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         12 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         13 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         14 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         15 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         16 . The method of  claim 1 , wherein Formula I is 
       
         
           
           
               
               
           
         
       
     
     
         17 . The method of  claim 1 , wherein the compound of Formula II is Sofosbuvir 
       
         
           
           
               
               
           
         
       
     
     
         18 . The method of  claim 1 , wherein Formula II is 
       
         
           
           
               
               
           
         
       
     
     
         19 . The method of  claim 1 , wherein compound of Formula II is 
       
         
           
           
               
               
           
         
       
     
     
         20 . The method of  claim 1 , wherein compound of Formula II is 
       
         
           
           
               
               
           
         
       
     
     
         21 . The method of  claim 1 , wherein the compound of Formula I and the compound of Formula II are, respectively, 
       
         
           
           
               
               
           
         
       
     
     
         22 . The method of  claim 1 , wherein the compound of Formula I and the compound of Formula II are, respectively, 
       
         
           
           
               
               
           
         
       
     
     
         23 . The method of  claim 1 , wherein the compound of Formula I and the compound of Formula II are, respectively, 
       
         
           
           
               
               
           
         
       
     
     
         24 . The method of  claim 1 , wherein the compound of Formula I and the compound of Formula II are, respectively, 
       
         
           
           
               
               
           
         
       
     
     
         25 . The method of  claim 1 , wherein the compound of Formula I and the compound of Formula II are, respectively, 
       
         
           
           
               
               
           
         
       
     
     
         26 . The method of  claim 1 , wherein the compound of Formula I and the compound of Formula II are, respectively, 
       
         
           
           
               
               
           
         
       
     
     
         27 . The method of  claim 1 , wherein the compound of Formula I and the compound of Formula II are, respectively, 
       
         
           
           
               
               
           
         
       
     
     
         28 . The method of  claim 1 , wherein the compound of Formula I is selected from the group consisting of:
 (S)-2-{[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-phenoxy-phosphorylamino}-propionic acid isopropyl ester;   (S)-2-[[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[[(2S,3S,4R,5R)-5-(2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-[((S)-1-isopropoxycarbonyl-ethylamino)-(naphthalen-2-yloxy)-phosphoryloxy]-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-4-methyl-3-propionyloxy-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(S)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(R)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(R)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(S)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-{(S)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-phenoxy-phosphorylamino}-propionic acid isopropyl ester;   (S)-2-{(R)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-phenoxy-phosphorylamino}-propionic acid isopropyl ester;   (S)-2-[(S)-[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(S)-[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(R)-[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(R)-[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester; and   (S)-2-[[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester.   
     
     
         29 . The method of  claim 1 , wherein the compound of Formula I is selected from the group consisting of:
 2′-Deoxy-2′,4′-difluoro-2′-methycytidine-5′-(O-phenyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiosphosphoramidate;   2′-Deoxy-2′,4′-difluoro-2′-methylcytidine-5′-(O-1-naphthyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiosphosphoramidate;   2′-Deoxy-2′,4′-difluoro-2′-methylcytidine-5′-(O-2-naphthyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiosphosphoramidate;   2′-Deoxy-2′,4′-difluoro-2′-methylcytidine-3′,5′-cyclic phosphoric acid isopropyl ester;   2′-Deoxy-2′,4′-difluoro-2′-methylcytidine-3′,5′-cyclic thiophosphoric acid isopropyl ester;   4′-Fluoro-2′-methylcytidine-5′-(O-phenyl-N—(S)-1-(isopropoxycarbonyl)ethyl phosphoramidate;   4′-Fluoro-2′-cytidine-5′-(O-1-naphthyl-N—(S)-1-(isopropoxycarbonyl)ethyl phosphoramidate;   4′-Fluoro-2′-methylcytidine-5′-(O-1-naphthyl-N—(S)-2-(isopropoxycarbonyl)ethyl phosphoramidate;   4′-Fluoro-2′-methylcytidine-5′-(O-phenyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiophosphoramidate;   4′-Fluoro-2′-methylcytidine-5′-(O-1-naphthyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiophosphoramidate;   4′-Fluoro-2′-methylcytidine-5′-(O-1-naphthyl-N—(S)-2-(isopropoxycarbonyl)ethyl thiophosphoramidate;   4′-Fluoro-2′-methylcytidine-3′,5′-cyclic phosphoric acid isopropyl ester;   4′-Fluoro-2′-methylcytidine-3′,5′-cyclic thiophosphoric acid isopropyl ester;   2′-Deoxy-2′,4′-difluoro-2′-methylcytidine-5′-{N,N′-bis[(S)-1-(isopropoxylcarbonyl)ethyl]phosphorodiamidate;   2′-Deoxy-2′,4′-difluoro-2′-methylcytidine-5′-{N,N′-bis[(S)-1-(isopropoxylcarbonyl)ethyl]thiophosphorodiamidate;   4′-Fluoro-2′-methylcytidine-5′-{N,N′-bis[(S)-1-(isopropoxylcarbonyl)ethyl]phosphorodiamidate; and   4′-Fluoro-2′-methylcytidine-5′-{N,N′-bis[(S)-1-(isopropoxylcarbonyl)ethyl]thiophosphorodiamidate.   
     
     
         30 . The method of  claim 1 , wherein the compound of Formula II is selected from the group consisting of:
 2′-Deoxy-2′,4′-difluoro-2′-methyluridine-5′-(O-phenyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiophosphoramidate;   2′-Deoxy-2′,4′-difluoro-2′-methyluridine-5′-(O-2-naphthyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiosphosphoramidate;   2′-Deoxy-2′,4′-difluoro-2′-methyluridine-5′-(O-1-naphthyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiosphosphoramidate   2′-Deoxy-2′,4′-difluoro-2′-methyluridine-3′,5′-cyclic phosphoric acid isopropyl ester;   4′-Fluoro-2′-methyluridine-5′-(O-phenyl-N—(S)-1-(isopropoxycarbonyl)ethyl phosphoramidate;   4′-Fluoro-2′-methyluridine-5′-(O-1-naphthyl-N—(S)-1-(isopropoxycarbonyl)ethyl phosphoramidate;   4′-Fluoro-2′-methyluridine-5′-(O-1-naphthyl-N—(S)-2-(isopropoxycarbonyl)ethyl phosphoramidate;   4′-Fluoro-2′-methyluridine-5′-(O-phenyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiophosphoramidate;   4′-Fluoro-2′-methyluridine-5′-(O-1-naphthyl-N—(S)-1-(isopropoxycarbonyl)ethyl thiophosphoramidate;   4′-Fluoro-2′-methyluridine-5′-(O-1-naphthyl-N—(S)-2-(isopropoxycarbonyl)ethyl thiophosphoramidate;   4′-Fluoro-2′-methyluridine-3′,5′-cyclic phosphoric acid isopropyl ester;   4′-Fluoro-2′-methyluridine-3′,5′-cyclic thiophosphoric acid isopropyl ester;   2′-Deoxy-2′,4′-difluoro-2′-methyluridine-5′-{N,N′-bis[(S)-1-(isopropoxylcarbonyl)ethyl]phosphorodiamidate;   2′-Deoxy-2′,4′-difluoro-2′-methyluridine-5′-{N,N′-bis[(S)-1-(isopropoxylcarbonyl)ethyl]thiophosphorodiamidate;   4′-Fluoro-2′-methyluridine-5′-{N,N′-bis[(S)-1-(isopropoxylcarbonyl)ethyl]phosphorodiamidate; and   4′-Fluoro-2′-methyluridine-5′-{N,N′-bis[(S)-1-(isopropoxylcarbonyl)ethyl]thiophosphorodiamidate.   
     
     
         31 . The method of  claim 1 , wherein the compound of Formula II is selected from the group consisting of:
 (S)-2-{[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-phenoxy-phosphorylamino}-propionic acid isopropyl ester;   (S)-2-[[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[[(2S,3S,4R,5R)-5-(2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-[((S)-1-isopropoxycarbonyl-ethylamino)-(naphthalen-2-yloxy)-phosphoryloxy]-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-4-methyl-3-propionyloxy-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(S)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(R)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(R)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(S)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-{(S)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-phenoxy-phosphorylamino}-propionic acid isopropyl ester;   (S)-2-{(R)-[(2S,3S,4R,5R)-5-(2,4-Dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-phenoxy-phosphorylamino}-propionic acid isopropyl ester;   (S)-2-[(S)-[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(S)-[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(R)-[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-1-yloxy)-phosphorylamino]-propionic acid isopropyl ester;   (S)-2-[(R)-[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester; and   (S)-2-[[(2S,3S,4R,5R)-5-(5-Bromo-2,4-dioxo-3,4-dihydro-2H-pyrimidin-1-yl)-2,4-difluoro-3-hydroxy-4-methyl-tetrahydro-furan-2-ylmethoxy]-(naphthalen-2-yloxy)-phosphorylamino]-propionic acid isopropyl ester.   
     
     
         32 . The method of  claim 1 , wherein the combination of a compound of Formula I and a compound of Formula II further comprises one or more of ribavirin, peginterferon-α, simeprevir, ledipasvir, daclatasvir, and velpatasvir. 
     
     
         33 . A composition comprising a compound of Formula I and a compound of Formula II, admixed with at least one carrier, diluent or excipient 
       
         
           
           
               
               
           
         
         wherein:
 each R is independently O—R 1  or NHC(R 2a )(R 2b )C(═O)OR 3 ; 
 each R′ is independently O—R 1  or NHC(R 2a )(R 2b )C(═O)OR 3 ;
 each R 1  is independently phenyl or naphthyl, optionally substituted with one or more lower alkyl, lower alkoxy, halo, lower haloalkyl, or cyano; 
 each R 2a  and R 2b  are independently H or lower alkyl; 
 each R 3  is independently H, lower alkyl, lower haloalkyl, phenyl or phenyl lower alkyl; 
 
 each X is independently O or S; 
 each Y is independently H or F; and 
 each Y′ is independently F or OH; 
 
         or a pharmacologically acceptable salt thereof. 
       
     
     
         34 . A method of treatment of HCV by administering to a patient in need thereof a compound of Formula I, or a combination of Formula I and Formula II, further in combination with a NS3A HCV protease inhibitor 
       
         
           
           
               
               
           
         
         wherein:
 each R is independently O—R 1  or NHC(R 2a )(R 2b )C(═O)OR 3 ; 
 each R′ is independently O—R 1  or NHC(R 2a )(R 2b )C(═O)OR 3 ;
 each R 1  is independently phenyl or naphthyl, optionally substituted with one or more lower alkyl, lower alkoxy, halo, lower haloalkyl, or cyano; 
 each R 2a  and R 2b  are independently H or lower alkyl; 
 each R 3  is independently H, lower alkyl, lower haloalkyl, phenyl or phenyl lower alkyl; 
 
 each X is independently O or S; 
 each Y is independently H or F; and 
 each Y′ is independently F or OH; 
 
         or a pharmacologically acceptable salt thereof. 
       
     
     
         35 . A method of treatment of HCV by administering to a patient in need thereof a compound of Formula I, or a combination of Formula I and Formula II, further in combination with an additional NS5B HCV polymerase inhibitor 
       
         
           
           
               
               
           
         
         wherein:
 each R is independently O—R 1  or NHC(R 2a )(R 2b )C(═O)OR 3 ; 
 each R′ is independently O—R 1  or NHC(R 2a )(R 2b )C(═O)OR 3 ;
 each R 1  is independently phenyl or naphthyl, optionally substituted with one or more lower alkyl, lower alkoxy, halo, lower haloalkyl, or cyano; 
 each R 2a  and R 2b  are independently H or lower alkyl; 
 each R 3  is independently H, lower alkyl, lower haloalkyl, phenyl or phenyl lower alkyl; 
 
 each X is independently O or S; 
 each Y is independently H or F; and 
 each Y′ is independently F or OH; 
 
         or a pharmacologically acceptable salt thereof.

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