Treatment of bilharziosis and filariasis employing the antimony salt of certain hydroxy quinolines
United States Patent 11 1 Riviere et al.  
  1*Apr. 22, 1975 1 TREATMENT OF BILHARZIOSIS AND FILARIASIS EMPLOYING THE ANTIMONY SALT OF CERTAIN HYDROXY QUINOLINES [76] Inventors: Eugene RiviEre. 8 rue .l. E.  
 Voisembert. 92-Issy Les Moulineaux; Danyele Yvette Vilarel, 20 rue Marie Amelie. Chantilly-60: Roger Lucien Debrie. 73 rue de la Liberation. 60-Bren0ui1le: Gerald Paul Marie Henri Loiseau. 146 rue Houdan. 92-Sceaux. all of France The portion of the term of this patent subsequent to Sept. 15. 1987. has been disclaimed.  
 [22] Filed: July 25. 1973 [2]] Appl. No.1 382.411  
 Related US. Application Data [63] Continuation-impart of Scr. No. 72.540. Sept. 15.  
 1970. Pat. No. 3.769.409.  
 [ Notice:  
 [30] Foreign Application Priority Data Sept. 19. 1969 France 69.31912 [52] US. Cl. 424/245 [51] Int. Cl A6lk 27/00 [58] Field of Search 424/245: 260/289 R [56] References Cited UNITED STATES PATENTS 2.608.556 8/1952 Kalbcrg 424/245 3.287.210 11/1966 Lcebrick 424/245 OTHER PUBLICATIONS Chemical Abstracts. Vol. 57 (1962). p. 9195(d).  
 Primary liruminer-V. D. Turner Almrney. Agent. or Firm-Browne. Beveridge. DeGrandi &amp; Kline [57] ABSTRACT 1 Claim. No Drawings TREATMENT OF BILHARZIOSIS AND FILARIASIS EMPLOYING THE ANTIMONY SALT OF CERTAIN HYDROXY QUINOLINES This application is a continuation-in-part of application Ser. No. 72.540 filed Sept. 15. 1970. now US. Pat. No. 3.769.409.  
  According to the invention a process is provided for the treatment of bilharziosis or filariasis in human beings which comprises administering orally to a human being the antimony salt of 8-hydroxyquinoline.  
 6-methyl-8-hydroxyquinoline. -fluoro-8- hydroxyquinoline. 5-chloro-8-hydroxyquino1ine. 5-nitro-8-hydroxyquinoline. 5-sulpho-8- PREPARATION l;  
 Antimony salt of S-hydroxyquinoline NoLwt. 555.8  
  A hydrochloric acid solution of antimony chloride is prepared by dissolving 22.9 parts of antimony trichloride in 40 parts of distilled water containing 10 parts by volume of 36% pure hydrochloric acid.  
  On the other hand, 54.5 parts of 8-hydroxyquinoline hydrochloride are dissolved in 40 parts of distilled water and the solution is filtered if necessary.  
  This solution is added to that of antimony chloride. the mixture is heated to 50C. and neutralised by the addition ofa 20% solution of ammonia to a pH 6-7. It is agitated for some minutes at a temperature between C and 60C filtered at this temperature and the antimony salt is washed with distilled water containing acetic acid (2 parts of acetic acid to 500 parts of distilled water) until the washings no longer contain chlorides. It is dried at 100C and 52 parts of the salt of the above formula are obtained, the contents of hydroxyquinoline and antimony of which are respectively 78.8% and 21.7%.  
 PREPARATION 2 Antimony salt of 6-methy1-8-hydroxyquino1ine CH Sb G Mol.wl:.595.8  
 PREPARATION 3 Antimony salt of 5.7-dibromo-S-hydroxyquinoline IlOLwt. 459.8  
 Br N  
 SbO  
  600 parts by volume of a 92.43% solution of ethyl alcohol and 30.3 parts of 5,7-dibromo-8- hydroxyquinoline are introduced into an apparatus provided with a stirrer. a thermometer and a reflux condenser. This mixture is heated under reflux and a solution of 23 parts of antimony trichloride in 50 parts by volume of 36% pure hydrochloric acid is slowly added. The reflux temperature is maintained for some minutes in order to obtain a clear solution. The product is filtered at about 60C in order to eliminate possible impurities and is neutralised at this temperature by the slow addition of about 7 parts by volume ofa 20% solution of ammonia of pH 6-7. The antimony salt is filtered off. washed with a 92.43% solution of ethanol. then with distilled water until the washings no longer contain chlorides. and dried at C. 41.5 parts of a salt with the following contents are obtained: bromine 35.92%, antimony 27.17%, nitrogen 3.17%.  
 PREPARATION 4 Antimony salt of 5,7-dibromo-6-methyl-8- hydroxyquinoline SbO Contents of: nitrogen: 3.05%  
 bromine: 34.95% antimony: 27.32%  
 PREPARATION 5 Antimony salt of 5-chloro 7-iodo-8-hydroxyquinoline I O Mol.wt. 442.5  
 Q I SbO The procedure is as in Preparation 3. but 30.5 parts of 5-chloro-7-iodo-8-hydroxyquinoline are used in place of the 5,7-dibromo-S-hydroxyquinoline. Weight of antimony salt obtained; 40 parts.  
 Contents of: nitrogen: 3.19% chlorine: 7.99% iodine: 29.39% antimony: 28.15%  
 PREPARATION 6 Antimony salt of 5-chloro-7-iodo-6-methyl-8- hydroxyquinoline PREPARATION 7 Antimony salt of 5-chloro-8-hydroxyquinoline Mela-1t. 516.5  
 SbO  
  The procedure is as described in Preparation 3, but 18 parts of 5-chloro-8-hydroxyquinoline are used in place of the 5,7dibromo-8-hydroxyquinoline. Weight obtained: 29 parts Contents of chlorine: 11.30%;Nitrogen: 4.53% antimony: 38.85%  
  PREPARATION 8 Antimony salt of 5-nitro- 8-h ydroxyquinoline lloLwt. 456. 5 v  
 Mol.wt. 526.8  
 SbO  
  A hydrochloric acid solution of antimony chloride is prepared by dissolving 23 parts of antimony trichloride in 40 parts of distilled water containing 10 parts by volume of 36 pure hydrochloric acid.  
  On the other hand 19 parts of 5-nitro-8- hydroxyquinoline are dissolved in 400 parts of distilled water containing parts by volume of 96% pure sulphuric acid.  
  The clear solution obtained is added to that of the antimony chloride. The mixture is heated to 5060C, neutralised by the addition of 20% solution of ammonia to pH 33.5 and maintained for some minutes with agitation at a temperature between 50 and 60C. The antimony salt formed is filtered off at this temperature, washed in distilled water until the washings no longer contain sulphates and dried at 100C.  
 Weight obtained: 32 parts. Content of nitrogen: 8.65% Content of antimony: 37.12%.  
 PREPARATION 9 Antimony Salt of 5-su1pho-8-hydroxyquinoline SO Na Mo1.wt. 630.8  
 SbOH  
  A. 36 parts of neutral sodium tartrate are dissolved in 100 parts of distilled water and there is also prepared a hydrochloric acid solution of antimony chloride by dissolving 23 parts of antimony trichloride in 40 parts of distilled water containing 10 parts by volume of pure- 36%- hydrochloric acid. This solution is added very slowly to the first solution, the pH of the mixture being kept at between 7 and 7.5 by the addition of 10% soda, say about 100 parts. If the mixture is not clear it is filtered.  
  B. In addition, 44.5 parts of 5-sulpho-8- hydroxyquinoline are dissolved in 500 parts of distilled water containing 25 parts by volume of a 30% solution of sodium hydroxide. The mixture is heated to 80-85C, the pH of the solution being adjusted to 8-8.2. 1f cloudiness is still present, it is filtered.  
  The solution of the complex antimony tartrate prepared under (A) is slowly introduced with agitation into the hot solution (B). On cooling the antimony salt of the 5-sulpho-8-hydroxyquinoline crystallises. It is filtered off. washed with a 42.5% solution of ethanol, then with a 92.43% solution of ethanol, and finally is dried at 80C.  
 Weight obtained: 45 parts. Content of nitrogen: 4.52%. sulphur: 9.95%, antimony: 19%.  
 PREPARATION l Antimony salt of -fluoro-S-hydroxyquinoline -SbO Pneumobacillus These results show that the antimony salt of 8- hydroxyquinoline possesses a high bacteriostatic power.  
  The control tubes. without an inhibiting product. but containing all the concentrations of polyethylene glycol 400 used. have always shown a culture positive for the germs used. Amoebicidal properties The tests consisted in detining in vitro&#34; the amoebicidal activity ofa strain of Entamoeba dysenteriae kept on a PAVLOVA-JONES medium the reference substance taken being emetine hydrochloride and two different processes being used.  
 1. Inhibition at the start of the cultures The minimal concentration which prevents the striking of the culture after 72 hours at 37C. is determined. The inoculation consists of about 10.000 amoebae per longer contain chlorides. After drying at l00 to 110C tube of culture, and the product to be t t d i one obtains 27 parts of the antimony salt of 5-fluoro-8- pended in Tween 80 (a polyoxyethylenated sorbitol hydroxyquinoline. monooleate).  
 Analysis (v!) c H N F 7 Sb Calculated for C,,H .,FNO:Sb 36.05 L68 4.67 6.33 40.60  
 Found 37.26 2.06 4.78 6.50 40.66  
 Toxicological properties 2. Lethal action of a culture of 3 days The antimony salts are administered orally and by a gastric tube to CHARLES RIVER CD, albino mice.  
  For all the derivatives described the LD 50 is superior to 900 mg/kg. At the doses used in human therapy. these products may be considered as atoxic. Bacteriostatic properties The antimony salt of 8-hydroxyquinoline. chosen by way of example. is suspended in polyethylene glycol 400. The culture medium is prepared from a peptonized medium treated with salt and gelose, having the following compositioni Meat extract: 5 g Peptone: 10 g Sodium chloride: 5 g Gelose: l g Distilled water pH 7.2: 1000 g (q.s.)  
  After liquefaction on a water-bath and cooling to 40-50C this medium is run into Petri dishes containing the aforesaid suspension of the antimony salt and is strongly agitated so as to distribute some insoluble grains of the latter as regularly as possible in the gelosecontaining medium. The bacterial strains are transferred in peptonized salted broth (without gelose) the day before the test. After 24 hours in an oven at 37C. the medium run into a Petri dish is inoculated in streaks on the surface and the dishes are put in the oven at 37C. A control dish receives the polyethylene glycol 400. The results are as follows: i  
  The minimal concentration which kills all the amoebae of a culture of 3 days after 48 hours at 37C is determined. The inoculation consists of about 10.000 amoebae per tube. and the product to be tested is sus- 40 pended in Tween 80.  
  The results obtained are collected in Tables I. II and Ill below. A represents the antimony salt of 8- hydroxyquinoline, B the antimony salt of 6-methyl-8- hydroxyquinoline and C the antimony salt of S-fluoro- 8-hydroxyquinoline. In Table lll. the products AB and C have been compared with the reference product emetine hydrochloride (C.E.). I  
 In Tables l. ll and lll. and number 0 and the signs 50 -l-i-. and -l+lhave the following significances:  
 0 totally inhibited culture little plentiful culture -l+- plentiful culture 4-H- very plentiful culture 5 l. Amoebicidal activity in vitro inhibition at the start of the cultures Concentrations 5 ll. Amoebicidal activity in vitro: inhibition at the start of the cultures Concentrations 1 100 000 1/200000 1/400000 l/800.000 1/1 -(100.000  
 Product A 0 0 0 -ll- Product B 0 0 0 H- -H+- Product C l) 0 0 0 lll. Amoebicidal activity in vitro: lethal action on a culture of 3 days Concentrations 1/100.000 1/200000 1/400000 l/8()0.000 1/1 .000000 Product A 0 0 -l-l+ 4-H- Product 1; 0 +1 +1+ Product c 0 -1++ (21-3. 0 +1+ Anti-bilharzian properties -Continued The anti-bilharzian activity was studied with products A and B in CD 1 mice which had been previously in-- Antihelminthic activity by mouth in fested with Schistosoma Monsoni (Porto-Rico origin Product 1 mice infested Wllh hymenolepis nana. according to the technique described by Pellegrino .I. f p h mice (in 9, Mortality and Katz N. (1969. Ann NY. Acad. Sc.. 160. 10 0/10 429-460 The animals were infested with Schistosoma B 50 90 0/10 Mansoni carcaria and treated daily with the product to 200 92 0/l3 be studied for 5 days startmg from the 45th day after 25 25 0 0 infestation. Three days after the end of the treatment. E 50 0/10 I00 90 0/l0 the oogramme was determined and the test for total 200 86 0/33 perfusion of the portal system was carried out. The re- 1 0/10 sults are set out 1n the following Table. F 100 90 0/) 30 200 81 0/22 25 10 0/10 Product Dose during 5 Mouse 50 I00 days (mg/kg Oogramme Perfusion of G (I)! by mouth) Dead eggs in the portal system l /r (effect in 71) t Product Dose &#34;1 Antlhelmmthic actlvlt by mouth 1n A &#39;00 m mg/kg by mice infested with syp acia ohvelata 200 40 3 mouth Deparasited mice (in Z Mortality 100 50 40 D 200 63 4 15 200 70 65 E 200 50 F 200 41 3/15 These results show that products A and B exhibit. in 40 mice by mouth, an anti-bilharzian activity. Antihelminthic properties the antihelminthic activity of the compounds of the invention was studied, on the one hand. with regard to cestodes in mice infested with hymenolepis nana var. fraterna according to Cavier R. and Notteghem M. (J. Ann. Pharm. franc. 26, 603-606, 1968) and, on the other hand. with regard to nematodes in mice which had been previously infested with syphacia obvelata according to Cavier (Bull. Soc. Path. exot., 55, 4l2-4l7, 1962).  
  In the following Tables, D designates the antimony salt of 5-chloro-7-iodo-8-hydroxy-quinoline, E designating the antimony salt of 5-chloro-7-iodo-6-methyl- 8-hydroxy-quinoline, F designating the antimony salt of 5-nitro-8-hydroxy-quinoline and G designating the antimony salt of 5-sulpho-8-hydroxy-quinoline.  
 Antihelminthic activity by mouth in These results show that the antimony salts of the invention have a strong antihelminthic activity and are particularly suitable for the treatment of filariases. Therapeutic applications The data for these different antimony salts of 8- hydroxyquinoline derivatives relate to the treatment of bilharziosis. amoebiasis, leishmaniasis. filariasis, and microbial diarrhoea. These products may be administered in the form of compressed tablets of 10 mg. each at the rate of 6 to 10 a day.  
 We claim:  
  1. A process for the treatment of bilharziosis or filariasis in human beings which comprises adminstering orally to a human being in need of such treatment an effective amount of the antimony salt of 8- hydroxyquinoline, 6-methyl-8-hydroxyquinoline, 5-fluor0-8-hydroxyquinoline, 5-chloro-8- hydroxyquinoline, 5-nitro-8-hydroxyquinoline, 5-sulpho-8-hydroxyquinoline, 5-chloro-7-iodo-8- hydroxyquinoline, 5,7-dibromo-8-hydroxyquinolinet 5-chloro-7-iodo-6-methyl-8-hydroxyquinoline, or 5,7- dibromo-6-methyl-8-hydroxyquinoline, at a daily dose of to mg of the salt per day.  
  UNITED STATES PATENT OFFICE CERTIFICATE OF CORRECTION PATENT N0. 3 79 549 DATED April 22 1975 |NVENTOR(S) 1 EUGENE RIVIERE ET AL It is certified that error appears in the above-identified patent and that said Letters Patent are hereby corrected as shown below:  
 In the heading, please correct the third inventor&#39;s Signed and Emalcd this eleventh 0f November 1975 [SEAL] A ttes t:  
 RUTH C. MASON C. MARSHALL DANN .-ltresli&#39;ng Officer (&#39;nmmrssimicr uj&#39; Iuu&#39;nrs and &#39;I&#39;rudcmurkx