Organic Process Research & Development · 2019 · 14 citations · 31 references
PharmacyMedicinal ChemistryPharmaceuticsDrug DesignDrug DiscoveryPharmaceutical ManufacturingCardiac MedicationsNatural Product-based Drug DesignControl Of Mutagenic ImpuritiesGeneric Modified-release Product DevelopmentImpuritiesModified-release Oral Formulations
The development of a factory process to manufacture the novel cardiac myosin activator omecamtiv mecarbil (1) is described. Omecamtiv mecarbil is prepared via the convergent synthesis and coupling of two key fragments, aniline 2 and carbamate 4-HCl, which serves as a masked isocyanate. To enable practical access to aniline 2, reduction of the corresponding nitroaromatic was designed to control potential mutagenic impurities. Key to the efficient preparation of 2 was the benzylic bromination of 8 followed by selective debromination of a gem-dibromide byproduct and subsequent alkylation with 5-phosphate. Overall, the longest linear sequence consists of six steps, including a final salt formation step to afford the drug substance in 55% overall yield. Because of poor performance of the original free-base form of the drug substance in modified-release formulations, an improved dihydrochloride hydrate form was developed to aid drug product performance and manufacturability.
31
Forecasting the Impact of Heart Failure in the United States
Paul A. Heidenreich, Nancy M. Albert, Larry A. Allen et al. · Circulation Heart Failure · 2013 · 2.8K citations · Full text
Medicine, Cardiology, Epidemiology +16
Global Public Health Burden of Heart Failure
Gianluigi Savarese, Lars H. Lund · Cardiac failure review · 2017 · 2.7K citations · Full text
Effect of Oral Milrinone on Mortality in Severe Chronic Heart Failure
Milton Packer, Joseph R. Carver, Richard J. Rodeheffer et al. · New England Journal of Medicine · 1991 · 2.2K citations · Full text
Medicine, Cardiology, Pharmacology +17
The E Factor: fifteen years on
Roger A. Sheldon · Green Chemistry · 2007 · 1.6K citations