146 Fluorine in Medicinal Chemistry and Chemical Biology
6.2.1.2 Antimalarial Activity
The IC
50
values for the fl uoroalkyl ethers 9 , evaluated on P. falciparum (W - 2 strain)
(27 nM < IC
50
< 72 nM), are higher than that of artemether (IC
50
= 6 nM), wherein only
a small infl uence of the structure of fl uorinated chains is observed [40] . However, ethers
9 were very active in vivo (Peters test, P. berghei , intraperitoneal administration for 4
days at 35.5 µ mol/kg), especially ethers 9b and 9c . All animals were cured before day 42
(D - 42). Compound 9b has been investigated more in detail [41] .
1
High activity was
also found after subcutaneous administration (ED
50
= 1 mg/kg, ED
90
= 1.5 mg/kg; cf.
artesunate: ED
50
= 2.8 mg/kg, ED
90
= 5.4 mg/kg) or oral administration (ED
50
= 2.8 mg/kg,
ED
90
= 4.3 mg/kg; cf. artesunate: ED
50
= 10.5mg /kg, ED
90
= 15.3 mg/kg). However, its
water solubility is very low (log P = 6.1, water solubility at pH 7.4 < 5 µ g /mL). Thus, an
appropriate formulation was required.
6.2.2 Fluorinated Analogues of Dihydroartemisinin and Artemether
Substantial effects on both stability and metabolism might be expected from the presence
of a trifl uoromethyl substituent at C - 10 in DHA and its ethers. The following effects were
anticipated:
• Glucuronidation of CF
3
- DHA 12 should be greatly slowed relative to DHA, because the
electron - withdrawing character of the trifl uoromethyl group can affect the two possible
glucuronidation processes. The nucleophilicity of the hydroxyl in CF
3
- DHA 12 is
strongly decreased. Consequently, 12 is expected to be a poorer glycosyl acceptor,
regardless of its confi guration at C - 10. Alternatively, an intermediate oxonium ion 14 at
C - 10, which is a potential glycosyl donor, should be generated from 12 only with high
activation energy (see Scheme 6.4 ).
• In vivo stability of the trifl uoromethyl analogue 13a of artemether is anticipated to be
increased in two ways: fi rst, the trifl uoromethyl group could decrease the oxidation of
the methoxy group [30, 34 – 37] ; second, the intermediate oxonium ion 14 should be
much more diffi cult to generate in acidic medium [30] .
To validate these hypotheses, the synthesis of the trifl uoromethyl analogues of DHA and
artemether was investigated.
6.2.2.1 Chemistry
The hemiketal 12 was easily prepared in high yield (80%) from artemisinin by treatment
with trifl uoromethyl trimethylsilane (TMSCF
3
) in the presence of tetrabutylammonium
fl uoride trihydrate (TBAF, 3H
2
O). Complete desilylation occurred after addition of water
(see Scheme 6.5 ). The reaction was stereoselective, and the α confi guration of the CF
3
group was unambiguously determined ( β - 12 ) [40, 44] . However, this confi guration at C - 10
is not the result of an α approach of the CF
3
but of a thermodynamic equilibrium of the
1
For pharmacokinetic studies experiments were performed with an intravenous formulation (0.1 M Captisol ™ in water)
(solubility: 4600 µ g/mL) and an oral standard suspension vehicle (SSV) formulation (0.5 % w/v CMC, 0.5 % v/v benzyl alcohol,
0.4 % v/v Tween 80 in 0.9 % w/v NaCl) (solubility: 585 µ g/mL): K. A. McIntosh, W. N. Charman et al. , unpublished results,
2002.