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Hummel JR, Xiao KJ, Yang JC, Epling LB, Mukai K, Ye Q, Xu M, Qian D, Huo L, Weber M, Roman V, Lo Y, Drake K, Stump K, Covington M, Kapilashrami K, Zhang G, Ye M, Diamond S, Yeleswaram S, Macarron R, Deller MC, Wee S, Kim S, Wang X, Wu L, Yao W. Discovery of (4-Pyrazolyl)-2-aminopyrimidines as Potent and Selective Inhibitors of Cyclin-Dependent Kinase 2. J Med Chem 2024; 67:3112-3126. [PMID: 38325398 DOI: 10.1021/acs.jmedchem.3c02287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
CDK2 is a critical regulator of the cell cycle. For a variety of human cancers, the dysregulation of CDK2/cyclin E1 can lead to tumor growth and proliferation. Historically, early efforts to develop CDK2 inhibitors with clinical applications proved unsuccessful due to challenges in achieving selectivity over off-target CDK isoforms with associated toxicity. In this report, we describe the discovery of (4-pyrazolyl)-2-aminopyrimidines as a potent class of CDK2 inhibitors that display selectivity over CDKs 1, 4, 6, 7, and 9. SAR studies led to the identification of compound 17, a kinase selective and highly potent CDK2 inhibitor (IC50 = 0.29 nM). The evaluation of 17 in CCNE1-amplified mouse models shows the pharmacodynamic inhibition of CDK2, measured by reduced Rb phosphorylation, and antitumor activity.
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Affiliation(s)
- Joshua R Hummel
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Kai-Jiong Xiao
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Jeffrey C Yang
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Leslie B Epling
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Ken Mukai
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Qinda Ye
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Meizhong Xu
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Dingquan Qian
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Lu Huo
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Michael Weber
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Valerie Roman
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Yvonne Lo
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Katherine Drake
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Kristine Stump
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Maryanne Covington
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Kanishk Kapilashrami
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Guofeng Zhang
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Min Ye
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Sharon Diamond
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Swamy Yeleswaram
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Ricardo Macarron
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Marc C Deller
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Susan Wee
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Sunkyu Kim
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Xiaozhao Wang
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Liangxing Wu
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Wenqing Yao
- Incyte Research Institute, Incyte Corporation, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
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Ye Q, Liu K, Ye HF, Pan J, Sokolsky A, Wang A, Zhang K, Hummel JR, Kong L, Behshad E, He X, Conlen P, Stump K, Ye M, Diamond S, Covington M, Yeleswaram S, Atasoylu O, Vechorkin O, Yao W. Discovery of Pyrazolopyridine Derivatives as HPK1 Inhibitors. ACS Med Chem Lett 2023; 14:5-10. [PMID: 36655125 PMCID: PMC9841581 DOI: 10.1021/acsmedchemlett.2c00238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 12/07/2022] [Indexed: 12/14/2022] Open
Abstract
In spite of the great success of immune checkpoint inhibitors in immune-oncology therapy, an urgent need still exists to identify alternative approaches to broaden the scope of therapeutic coverage. Hematopoietic progenitor kinase 1 (HPK1), also known as MAP4K1, functions as a negative regulator of activation signals generated by the T cell antigen receptor. Herein we report the discovery of novel pyrazolopyridine derivatives as selective inhibitors of HPK1. The structure-activity relationship campaign led to the discovery of compound 16, which has shown promising enzymatic and cellular potency with encouraging kinome selectivity. The outstanding pharmacokinetic profiles of 16 in rats and monkeys supported further evaluations of its efficacy and safety in preclinical models.
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Affiliation(s)
- Qinda Ye
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Kai Liu
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Hai-Fen Ye
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Jun Pan
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Alexander Sokolsky
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Anlai Wang
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Ke Zhang
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Joshua R. Hummel
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Ling Kong
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Elham Behshad
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Xin He
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Patricia Conlen
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Kristine Stump
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Min Ye
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Sharon Diamond
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Maryanne Covington
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Swamy Yeleswaram
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Onur Atasoylu
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Oleg Vechorkin
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
| | - Wenqing Yao
- Incyte Research Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United States
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Sokolsky A, Vechorkin O, Hummel JR, Styduhar ED, Wang A, Nguyen MH, Ye HF, Liu K, Zhang K, Pan J, Ye Q, Atasoylu O, Behshad E, He X, Conlen P, Stump K, Ye M, Diamond S, Covington M, Yeleswaram S, Yao W. Potent and Selective Biaryl Amide Inhibitors of Hematopoietic Progenitor Kinase 1 (HPK1). ACS Med Chem Lett 2023; 14:116-122. [PMID: 36655134 PMCID: PMC9841582 DOI: 10.1021/acsmedchemlett.2c00241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 12/07/2022] [Indexed: 12/15/2022] Open
Abstract
Herein we report the discovery of a novel biaryl amide series as selective inhibitors of hematopoietic protein kinase 1 (HPK1). Structure-activity relationship development, aided by molecular modeling, identified indazole 5b as a core for further exploration because of its outstanding enzymatic and cellular potency coupled with encouraging kinome selectivity. Late-stage manipulation of the right-hand aryl and amine moieties surmounted issues of selectivity over TRKA, MAP4K2, and STK4 as well as generating compounds with balanced in vitro ADME profiles and promising pharmacokinetics.
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Affiliation(s)
- Alexander Sokolsky
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Oleg Vechorkin
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Joshua R. Hummel
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Evan D. Styduhar
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Anlai Wang
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Minh H. Nguyen
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Hai Fen Ye
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Kai Liu
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Ke Zhang
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Jun Pan
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Qinda Ye
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Onur Atasoylu
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Elham Behshad
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Xin He
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Patricia Conlen
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Kristine Stump
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Min Ye
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Sharon Diamond
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Maryanne Covington
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Swamy Yeleswaram
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
| | - Wenqing Yao
- Incyte Research
Institute, 1801 Augustine Cut-Off, Wilmington, Delaware 19803, United
States
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Abstract
α-Branched amines are ubiquitous in drugs and natural products, and consequently, synthetic methods that provide convergent and efficient entry to these structures are of considerable value. Transition-metal-catalyzed C-H bond additions to imines have the potential to be highly practical and atom-economic approaches for the synthesis of a diverse and complex array of α-branched amine products. These strategies typically employ readily available starting inputs, display high functional group compatibility, and often avoid the production of stoichiometric waste byproducts. A number of C-H functionalization methods have also been developed that incorporate cascade cyclization pathways to give amine-substituted carbocycles, and in many cases, proceed with the formation of multiple stereogenic centers. Advances in the area of asymmetric C-H bond additions to imines have also been achieved through the use of chiral imine N-substituents as well as by enantioselective catalysis.
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Affiliation(s)
- Joshua R Hummel
- Department of Chemistry, Yale University, New Haven, CT 06520 8107 (USA)
| | - Jonathan A Ellman
- Department of Chemistry, Yale University, New Haven, CT 06520 8107 (USA)
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Abstract
The transition-metal-catalyzed addition of C-H bonds to carbonyls, imines, and related polarized π bonds has emerged as a particularly efficient and powerful approach for the construction of an incredibly diverse array of heteroatom-substituted products. Readily available and stable inputs are typically employed, and reactions often proceed with very high functional group compatibility and without the production of waste byproducts. Additionally, many transition-metal-catalyzed C-H bond additions to polarized π bonds occur within cascade reaction sequences to provide rapid access to a diverse array of different heterocyclic as well as carbocyclic products. This review highlights the diversity of transformations that have been achieved, catalysts that have been used, and types of products that have been prepared through the transition-metal-catalyzed addition of C-H bonds to carbonyls, imines, and related polarized π bonds.
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Affiliation(s)
- Joshua R Hummel
- Department of Chemistry, Yale University , 225 Prospect Street, New Haven, Connecticut 06520, United States
| | - Jeffrey A Boerth
- Department of Chemistry, Yale University , 225 Prospect Street, New Haven, Connecticut 06520, United States
| | - Jonathan A Ellman
- Department of Chemistry, Yale University , 225 Prospect Street, New Haven, Connecticut 06520, United States
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Abstract
A highly stereoselective three-component C(sp(2) )-H bond addition across alkene and polarized π-bonds is reported for which Co(III) catalysis was shown to be much more effective than Rh(III) . The reaction proceeds at ambient temperature with both aryl and alkyl enones employed as efficient coupling partners. Moreover, the reaction exhibits extremely broad scope with respect to the aldehyde input; electron rich and poor aromatic, alkenyl, and branched and unbranched alkyl aldehydes all couple in good yield and with high diastereoselectivity. Multiple directing groups participate in this transformation, including pyrazole, pyridine, and imine functional groups. Both aromatic and alkenyl C(sp(2) )-H bonds undergo the three-component addition cascade, and the alkenyl addition product can readily be converted into diastereomerically pure five-membered lactones. Additionally, the first asymmetric reactions with Co(III) -catalyzed C-H functionalization are demonstrated with three-component C-H bond addition cascades employing N-tert-butanesulfinyl imines. These examples represent the first transition metal catalyzed C-H bond additions to N-tert-butanesulfinyl imines, which are versatile and extensively used intermediates for the asymmetric synthesis of amines.
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Affiliation(s)
- Jeffrey A Boerth
- Department of Chemistry, Yale University, 225 Prospect St., New Haven, CT, 06520, USA
| | - Joshua R Hummel
- Department of Chemistry, Yale University, 225 Prospect St., New Haven, CT, 06520, USA
| | - Jonathan A Ellman
- Department of Chemistry, Yale University, 225 Prospect St., New Haven, CT, 06520, USA.
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Affiliation(s)
- Jeffrey A. Boerth
- Department of Chemistry; Yale University; 225 Prospect St. New Haven CT 06520 USA
| | - Joshua R. Hummel
- Department of Chemistry; Yale University; 225 Prospect St. New Haven CT 06520 USA
| | - Jonathan A. Ellman
- Department of Chemistry; Yale University; 225 Prospect St. New Haven CT 06520 USA
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Wangweerawong A, Hummel JR, Bergman RG, Ellman JA. Preparation of Enantiomerically Pure Perfluorobutanesulfinamide and Its Application to the Asymmetric Synthesis of α-Amino Acids. J Org Chem 2016; 81:1547-57. [PMID: 26844947 DOI: 10.1021/acs.joc.5b02700] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
A high yielding and practical two-step synthesis of enantiomerically pure perfluorobutanesulfinamide from Senanayake's 2-aminoindanol-derived sulfinyl transfer reagent was developed and carried out on a multigram scale. Straightforward condensation of this sulfinamide with ethyl glyoxylate provided the N-perfluorobutanesulfinyl imino ester. The utility of this activated N-sulfinyl imino ester was demonstrated for reactions that gave either no product or very low yields with the corresponding less electrophilic N-tert-butanesulfinyl derivative. Specifically, the Rh(III)-catalyzed C-H bond addition of aromatic compounds to the N-perfluorobutanesulfinyl imino ester provided arylglycines with very high diastereoselectivities for a range of directing groups including pyrrolidine amide, azo, sulfoximine, 1-pyrazole, and 1,2,3-triazole functionalities. Thermal asymmetric aza-Diels-Alder reactions also proceeded in good yields and with high selectivity, including for the substituted dienes (E)-1,3-pentadiene and (2E,4E)-2,4-hexadiene.
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Affiliation(s)
- Apiwat Wangweerawong
- Department of Chemistry, Yale University , 225 Prospect Street, New Haven, Connecticut 06520-8170, United States
| | - Joshua R Hummel
- Department of Chemistry, Yale University , 225 Prospect Street, New Haven, Connecticut 06520-8170, United States
| | - Robert G Bergman
- Division of Chemical Sciences, Lawrence Berkeley National Laboratory, and Department of Chemistry, University of California , Berkeley, California 94720, United States
| | - Jonathan A Ellman
- Department of Chemistry, Yale University , 225 Prospect Street, New Haven, Connecticut 06520-8170, United States
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Abstract
The first examples of cobalt(III)-catalyzed C-H bond addition to isocyanates are described, providing a convergent strategy for arene and heteroarene amidation. Using a robust air- and moisture-stable catalyst, this transformation demonstrates a broad isocyanate scope and good functional-group compatibility and has been performed on gram scale.
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Affiliation(s)
- Joshua R. Hummel
- Department of Chemistry, Yale University, 225 Prospect Street, New Haven, Connecticut 06520-8107, United States
| | - Jonathan A. Ellman
- Department of Chemistry, Yale University, 225 Prospect Street, New Haven, Connecticut 06520-8107, United States
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Lian Y, Hummel JR, Bergman RG, Ellman JA. Facile synthesis of unsymmetrical acridines and phenazines by a Rh(III)-catalyzed amination/cyclization/aromatization cascade. J Am Chem Soc 2013; 135:12548-51. [PMID: 23957711 PMCID: PMC3789141 DOI: 10.1021/ja406131a] [Citation(s) in RCA: 171] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
We report formal [3 + 3] annulations of aromatic azides with aromatic imines and azobenzenes to give acridines and phenazines, respectively. These transformations proceed through a cascade process of Rh(III)-catalyzed amination followed by intramolecular electrophilic aromatic substitution and aromatization. Acridines can be directly prepared from aromatic aldehydes by in situ imine formation using catalytic benzylamine.
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Affiliation(s)
- Yajing Lian
- Department of Chemistry, Yale University, New Haven, Connecticut 06520, United States
| | - Joshua R. Hummel
- Department of Chemistry, Yale University, New Haven, Connecticut 06520, United States
| | - Robert G. Bergman
- Division of Chemical Sciences, Lawrence Berkeley National Laboratory, and Department of Chemistry, University of California, Berkeley, California 94720, United States
| | - Jonathan A. Ellman
- Department of Chemistry, Yale University, New Haven, Connecticut 06520, United States
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Davis FA, Gaddiraju NV, Theddu N, Hummel JR, Kondaveeti SK, Zdilla MJ. Enantioselective synthesis of cocaine C-1 analogues using sulfinimines (N-sulfinyl imines). J Org Chem 2012; 77:2345-59. [PMID: 22300308 DOI: 10.1021/jo202652f] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The first examples of cocaine analogues having substituents (methyl, ethyl, n-propyl, n-pentyl, and phenyl) at the C-1 position of the cocaine tropane skeleton were prepared by heating sulfinimine-derived α,β-unsaturated pyrrolidine nitrones. In the presence of the Lewis acid Al(O(t)Bu)(3) the nitrones undergo an intramolecular [3 + 2] cycloaddition to give tricyclic isoxazolidines that were transformed in three steps to the cocaine analogues. In the absence of the Lewis acid, lactams were formed resulting from rearrangement of the nitrone to an oxaziridine. A novel Pd- and base-promoted rearrangement of methanesulfonate salts of isoxazolidine to bridge bicyclic[4.2.1]isoxazolidines was discovered.
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Affiliation(s)
- Franklin A Davis
- Department of Chemistry, Temple University, Philadelphia, Pennsylvania 19122, USA.
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Hummel JR, Cooper SJ. The managed care contract: the blueprint for monitoring agreements. Healthc Financ Manage 2001; 55:49-50, 52. [PMID: 11407119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
Healthcare providers generally undertake monitoring programs of managed care arrangements as a way of analyzing financial performance, uncovering lapses in contractually mandated performance that might expose the organization to financial loss, and gathering information that can be helpful in renegotiating the contract or negotiating new arrangements. To secure access to the information needed to achieve these goals, the provider should ensure that the contract spells out the information required, the health plan's obligations to supply this information, and the consequences of the plan's failure to meet those obligations. Such consequences may include financial penalties for the plan and special termination rights for the provider. Without a contractually explicit assurance that the needed information will be available, a provider may find itself with no way to achieve its contract-monitoring goals.
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Affiliation(s)
- J R Hummel
- Greensfelder, Hemker & Gale, PC, St. Louis, Missouri, USA
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Hummel JR. Risk pools: payers and providers take the plunge. Healthc Financ Manage 1999; 53:42-6. [PMID: 11066680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
Providers considering managed care risk pool arrangements should understand thoroughly what services the pool covers, the time period covered, and how the pool is administered. Important issues related to pool administration include how credits and debits are applied; when the accounting occurs (interim, year-end, or contract termination); and provisions for reports, audit rights, and dispute resolution. Although a pool arrangement gives the health plan control over claims payment, the risk allocation made possible through a pool arrangement helps ensure that the economic incentives of the health plan and the provider are aligned.
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Affiliation(s)
- J R Hummel
- Greensfelder, Hemker & Gale, P.C., St. Louis, Missouri, USA
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