Routes to Essential Medicines - Peter J. Harrington - E-Book

Routes to Essential Medicines E-Book

Peter J. Harrington

0,0
69,99 €

-100%
Sammeln Sie Punkte in unserem Gutscheinprogramm und kaufen Sie E-Books und Hörbücher mit bis zu 100% Rabatt.

Mehr erfahren.
Beschreibung

This comprehensive workbook helps readers become familiar with the structures and synthetic challenges associated with nearly 300 essential medicines and gain the skills needed for pharmaceutical development.

  • Highlights nearly three hundred medicines on the latest World Health Organization (WHO) Model List of Essential Medicines and their manufacturing routes
  • Features exercises that equip students with the skills necessary to solve similar real-world problems
  • Includes a retrosynthetic analysis for each commodity chemical and supplies an extensive list of key journal and information sites and a library of reagents, solvents, and conditions for many common organic reactions

Sie lesen das E-Book in den Legimi-Apps auf:

Android
iOS
von Legimi
zertifizierten E-Readern

Seitenzahl: 355

Veröffentlichungsjahr: 2021

Bewertungen
0,0
0
0
0
0
0
Mehr Informationen
Mehr Informationen
Legimi prüft nicht, ob Rezensionen von Nutzern stammen, die den betreffenden Titel tatsächlich gekauft oder gelesen/gehört haben. Wir entfernen aber gefälschte Rezensionen.



Table of Contents

Cover

Title Page

Copyright Page

Dedication Page

About the Companion Website

Introduction

A

Abacavir

Acetazolamide

Acetylcysteine

Acetylsalicylic Acid

Acyclovir

Albendazole

Allopurinol

Amidotriazoate

Amikacin

Amiloride

4‐Aminosalicylic Acid

Amiodarone

Amitriptyline

Amlodipine

Amodiaquine

Amoxicillin

Ampicillin

Anastrozole

Artemether

Artesunate

Ascorbic Acid

Atazanavir

Atracurium Besylate

Atropine

Azathioprine

Azithromycin

Aztreonam

B

Beclomethasone Dipropionate

Bedaquiline

Bendamustine

Benznidazole

Benzoyl Peroxide

Benzyl Benzoate

Betamethasone

Bicalutamide

Biperiden

Bisoprolol

Budesonide

Bupivacaine

C

Caffeine

Calcium Folinate/Folinic Acid

Capecitabine

Carbamazepine

Cefalexin

Cefazolin

Cefepime

Cefixime

Cefotaxime

Ceftaroline

Ceftazidime

Ceftriaxone

Chlorambucil

Chloramphenicol

Chlorhexidine

Chloroquine

Chloroxylenol

Chlorpromazine

Ciprofloxacin

Cisplatin, Carboplatin, Oxaliplatin

Clarithromycin

Clindamycin

Clofazimine

Clomifene

Clomipramine

Clopidogrel

Cloxacillin

Clotrimazole

Clozapine

Codeine

Colecalciferol

Cyclizine

Cyclophosphamide

Cycloserine

Cytarabine

D

Dacarbazine

Daclatasvir

Dapsone

Darunavir

Dasabuvir

Dasatinib

Delamanid

Desmopressin

Dexamethasone

Diazepam

Diethylcarbamazine

Dihydroartemisinin

Diloxanide Furoate

Dimercaprol

Docetaxel

Docusate Sodium

Dolutegravir

Dopamine

Doxycycline

E

Efavirenz

Eflornithine

Emtricitabine

Enalapril

Entecavir

Ephedrine

Epinephrine

Ergocalciferol

Ergometrine

Estradiol Cypionate

Ethambutol

Ethinylestradiol

Ethionamide

Ethosuximide

Etonogestrel

Etoposide

F

Fentanyl

Fluconazole

Flucytosine

Fludarabine Phosphate

Fludrocortisone Acetate

Fluorouracil

Fluoxetine

Fluphenazine

Folic Acid

Fomepizole

Formoterol

Fosfomycin

Furosemide

G

Gemcitabine

Gliclazide

Glutaral

Glyceryl Trinitrate

H

Haloperidol

Halothane

Hydralazine

Hydrochlorothiazide

Hydrocortisone

Hydroxycarbamide

Hydroxychloroquine

Hyoscine Butylbromide

I

Ibuprofen

Ifosfamide

Imatinib

Iohexol

Ipratropium Bromide

Irinotecan

Isoflurane

Isoniazid

Isosorbide Dinitrate

Itraconazole

Ivermectin

K

Ketamine

L

Lactulose

Lamivudine

Lamotrigine

Latanoprost

Ledipasvir

Leuprorelin

Levamisole

Levofloxacin

Levonorgestrel

Levothyroxine

Lidocaine

Linezolid

Loperamide

Lopinavir

Loratidine

Lorazepam

Losartan Potassium

Lumefantrine

M

Mannitol

Mebendazole

Medroxyprogesterone Acetate

Mefloquine

Meglumine Iotroxate

Melarsoprol

Mercaptopurine

Meropenem

Mesna

Metformin

Methadone

Methotrexate

Methyldopa

Methylprednisolone

Methylthioninium Chloride

Metoclopramide

Metronidazole

Miconazole

Midazolam

Mifepristone

Miltefosine

Misoprostol

Moxifloxacin

N

Naloxone

Neostigmine Methylsulfate

Nevirapine

Niclosamide

Nicotinamide

Nifedipine

Nifurtimox

Nilotinib

Nitrofurantoin

Norethisterone and Norethisterone Enanate

O

Ofloxacin

Ombitasvir

Omeprazole

Ondansetron

Oseltamivir

Oxamniquine

Oxytocin

P

Paclitaxel

Paracetamol

Paritaprevir

Penicillamine

Pentamidine

Permethrin

Phenobarbital

Phenytoin

Piperacillin

Piperaquine

Praziquantel

Prednisolone

Primaquine

Procarbazine

Progesterone

Proguanil

Propofol

Propranolol

Propylthiouracil

Prostaglandin E

1

Prostaglandin E

2

Pyrantel

Pyrazinamide

Pyridoxine

Pyridostigmine Bromide

Pyrimethamine

Pyronaridine

R

Raltegravir

Ranitidine

Retinoic Acid (All‐

trans

)

Retinol (Vitamin A

1

)

Ribavirin

Rifabutin

Rifampicin

Rifapentine

Risperidone

Ritonavir

S

Salbutamol

Simeprevir

Simvastatin

Sodium Calcium Edetate

Sofosbuvir

Spironolactone

Succimer

Sulfadiazine and Silver Sulfadiazine

Sulfadoxine

Sulfamethoxazole

Sulfasalazine

Suramin

Suxamethonium Chloride

T

Tamoxifen

Tazobactam

Tenofovir Disoproxil

Terbinafine

Testosterone

Tetracaine

Tetracycline

Thiamine

Tigecycline

Timolol

Tranexamic Acid

Triclabendazole

Trimethoprim

Tropicamide

U

Ulipristal Acetate

V

Valganciclovir

Valproic Acid

Vecuronium Bromide

Velpatasvir

Verapamil

Vincristine

Vinorelbine

Voriconazole

W

Warfarin

X

Xylometazoline

Z

Zidovudine

Zoledronic Acid

A Demonstration: Amiodarone

References

Index

End User License Agreement

Guide

Cover Page

Title Page

Copyright Page

Dedication Page

About the Companion Website

Introduction

Table of Contents

Begin Reading

A Demonstration: Amiodarone

Index

Wiley End User License Agreement

Pages

iii

iv

v

vi

xiv

xv

xvi

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

67

68

69

70

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

100

101

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125

126

127

128

129

130

131

132

133

134

135

136

137

138

139

140

141

142

143

144

145

146

147

148

149

150

151

152

153

154

155

156

157

158

159

160

161

162

163

164

165

166

167

168

169

170

171

172

173

174

175

176

177

178

179

180

181

182

183

184

185

186

187

188

189

190

191

192

193

194

195

196

197

198

199

200

201

202

203

204

205

206

207

208

209

210

211

212

213

214

215

216

217

218

219

220

221

222

223

224

225

226

227

228

229

230

231

232

233

234

235

236

237

238

239

240

241

242

243

244

245

246

247

248

249

250

251

252

253

254

255

256

257

258

259

260

261

262

263

264

265

266

267

268

269

270

271

272

273

274

275

276

277

278

279

280

281

282

283

284

285

286

287

288

289

290

291

292

293

294

295

296

297

298

299

300

301

302

303

304

305

306

307

308

309

310

311

312

313

314

315

316

317

318

319

320

321

322

323

324

325

326

327

328

329

330

331

332

333

334

335

336

337

338

339

340

341

342

343

344

345

346

347

348

349

350

351

352

353

354

355

356

357

358

359

360

361

362

363

364

365

366

367

368

369

370

371

372

373

374

375

376

377

378

379

380

381

382

383

384

385

386

387

388

389

390

391

392

393

394

395

396

397

398

399

400

401

402

403

404

405

406

407

408

409

410

411

412

413

414

415

416

417

418

419

420

421

422

423

424

425

426

427

428

429

430

431

432

433

434

435

436

437

438

439

440

441

442

443

444

445

446

447

448

449

450

451

452

453

454

455

456

457

458

459

460

461

462

463

464

465

466

467

468

469

470

471

472

473

474

475

476

477

217

478

479

480

481

482

483

484

485

486

487

488

489

490

491

492

493

494

Routes to Essential Medicines

A Workbook for Organic Synthesis

Peter J. Harrington

Better Pharma Processes, LLC

Louisville, CO, USA

This edition first published 2022© 2022 John Wiley & Sons, Inc.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Peter J Harrington to be identified as the author of this work has been asserted in accordance with law.

Registered OfficeJohn Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA

Editorial Office111 River Street, Hoboken, NJ 07030, USA

For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com.

Wiley also publishes its books in a variety of electronic formats and by print‐on‐demand. Some content that appears in standard print versions of this book may not be available in other formats.

Limit of Liability/Disclaimer of WarrantyIn view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of experimental reagents, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each chemical, piece of equipment, reagent, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging‐in‐Publication Data applied for:

ISBN: 9781119722861

Cover image: [Production Editor to insert]Cover design by [Production Editor to insert]

This workbook is dedicated to everyone who made it their mission in life to discover and manufacture Essential Medicines and to:Professor Louis S. Hegedus

Who inspired this workbook project with a lesson learned at Colorado State University:An hour in the library will save you from two weeks of floundering around in the laboratory.

About the Companion Website

www.wiley.com/go/Harrington/routes_essential_medicine

Introduction

While teaching undergraduate Organic Chemistry at University of Colorado, I was asked if I could teach a course in organic synthesis. I have worked as synthetic organic chemist and educator for my entire career (Princeton University, Colorado State University, SUNY Binghamton, Syntex, Roche, University of Denver, University of Colorado, and Better Pharma Processes, LLC) but I realized I was not prepared to teach the course. This workbook project began with that missed opportunity.

In my first Organic Chemistry class at Canisius College more than forty years ago, I recognized the power synthetic organic chemists have to create new medicines to improve human healthcare. With great power comes great responsibility. The synthetic organic chemistry community accepted this responsibility: the result is our World Health Organization (WHO) Model List of Essential Medicines.

Routes to Essential Medicines: A Workbook for Organic Synthesis highlights the synthetic organic chemistry in the manufacturing routes of nearly three hundred medicines on the World Health Organization (WHO) Model List of Essential Medicines (20th List from March 2017). The workbook includes all the medicines on the list for which synthetic organic chemistry plays an important role in the manufacturing process.

Routes to Essential Medicines: A Workbook for Organic Synthesis is intended for use by upper‐level undergraduate students and graduate students participating in a course in organic synthesis or medicinal chemistry. Students using this workbook will become familiar with the structures and synthetic challenges associated with nearly three hundred essential medicines and gain an appreciation for the manufacture of specialty chemical starting materials. Students who use this workbook will develop a solid foundation for their academic and postacademic research: an extensive favorites list of key journal and information sites and a personal library of reagents, solvents, and conditions for many workhorse organic reactions. Classroom discussion and extended discussion time will provide valuable experience presenting route and reagent options and mechanisms.

For many students, this workbook will be a first encounter with the Essential Medicines on the WHO List. These medicines are the milestones in our progress in improving human healthcare in the last 100 years. The structural features of these medicines and the synthetic strategies used to create these medicines are the current state of the art and the foundation we will build upon to move human healthcare ahead for the next 100 years. How important are the Essential Medicines? In 2020 they are critically important. They are life‐and‐death important. I look out my office window on a world practicing social distancing to slow the spread of covid19. We wait for “the answer,” a drug to speed recovery from the infection, better yet, a drug to stop the spread of the virus. An optimal drug would be a drug with known and tolerable side effects, a drug which can be produced and distributed quickly, an inexpensive drug. This description fits many of the Essential Medicines on the WHO List so it comes as no surprise that many of the medicines in this workbook are being evaluated as an answer for covid19.

Workbook Organization

The workbook is organized by INN (International Non‐Proprietary Name) of the essential medicines in alphabetical order. The presentation for each target molecule begins with the structure of the target and the indications for the drug taken from the Model List. For example, for amiodarone:

From the List:

12. Cardiovascular Medicines

12.3 Antihypertensive Medicines

In the workbook:

Cardiovascular Medicines/Antihypertensive Medicines

In a group setting, each target presentation could begin with some discussion of indications, old and new. The breadth and depth of that discussion is tailored to match the time allotted and the talents and interests of the group. In many cases the discussion could be extended to include new analogs of an old drug.

One route is presented for each target molecule in most cases. The route usually has the shortest sequence from starting materials to target molecule, is adequately described in the literature, and is likely to be close to a manufacturing route still in use today.

At first glance at the target structure, previous knowledge and experience are used to create “back of the envelope” ideas for synthesis of the target. A text box highlights one idea from the list which was most influential in guiding the decision‐making leading to the presented route. Students should add ideas to create their own list as they work through the synthesis.

The route is presented as a retrosynthetic analysis accompanied by a brief text Discussion. Experimental details, references and mechanisms are not provided so that students will first focus on the structures and key disconnections. Students are then tasked to search for, evaluate, and present the procedure details (reagent(s), solvent(s), temperature, reaction time, workup, percent yield) which are the keys to the success of each reaction and the overall route. A discussion of mechanisms could accompany or follow the discussion of procedure details.

The simple sentence structure and limited vocabulary used in the text Discussion are intended to facilitate understanding by non‐English‐speaking readers. The Discussion includes tested online search terms (names for reactions, intermediates, and starting materials). The name used for an intermediate or starting material is the name commonly encountered in an online search. Name reactions are highlighted in bold. Some questions or tasks are (embedded) in the Discussion to draw attention to multiple options for reagent(s) for a reaction, selectivity data, or critical separation procedures.

The schemes are usually presented left‐to‐right without the use of retrosynthetic arrows. Retrosynthetic arrows are used to avoid confusion in some schemes. Only carbon‐containing reagents, intermediates, and products are shown. One structure in a scheme often has the positions relevant to the text Discussion numbered.

The discussion is often written so that each sentence describes one reaction. This allows the discussion to be read as a description of the retrosynthesis or the synthesis. To illustrate, for amiodarone:

Retrosynthesis: The phenol is iodinated in both ortho positions. The phenol is formed by demethylation of the ether. The ketone is formed by acylation of 2‐butyl‐2,3‐benzofuran with 4‐methoxybenzoyl chloride (Friedel–Crafts Acylation). 4‐Methoxybenzoyl chloride is formed from para‐anisic acid.

Synthesis: 4‐Methoxybenzoyl chloride is formed from para‐anisic acid. The ketone is formed by acylation of 2‐butyl‐2,3‐benzofuran with 4‐methoxybenzoyl chloride (Friedel–Crafts Acylation). The phenol is formed by demethylation of the ether. The phenol is iodinated in both ortho positions.

The retrosynthetic analysis ends with specialty chemical(s), petrochemical(s), or biochemical(s) starting materials. Specialty chemical and petrochemical starting materials are highlighted with a box to direct the reader to an Appendix. Appendix A contains the specialty chemicals used in this workbook. One retrosynthetic analysis is provided for each specialty chemical. It is important to emphasize that specialty chemicals are often manufactured by more than one route. The preferred route often changes with the implementation of new manufacturing technologies and with changes in availability and cost of petrochemical and biochemical raw materials. Each specialty chemical retrosynthetic analysis ends with petrochemical(s) or biochemical(s) available in bulk from many suppliers. Appendix B lists the petrochemicals extracted or produced from coal, crude oil, or natural gas that are used in this workbook. Appendix C lists the biochemicals that are used in this workbook.

In the optional Extended Discussion, students are tasked to propose and evaluate alternative routes, reactions, or reagents encountered in their online search work.

A course based on this workbook could be organized in many ways: medicines for pain, medicines containing fluorine, medicines made using a Diels–Alder Reaction, etc. Course development will be facilitated by the provided Indices (name reactions, starting materials from the chiral pool, diazonium salt reactions, epoxide ring‐opening reactions, fluorine‐containing target molecules, furans, imidazoles, nucleophilic aromatic substitution reactions, oxidations, peptides, photochemistry, purines, pyrazines, pyridines, pyrimidines, quinolines, symmetrical molecules, thiazoles, thioethers, triazoles.)

Appendices A, B, and C and a complete list of the References used in preparation of the workbook are available on the companion website.

www.wiley.com/go/Harrington/routes_essential_medicine

A

Abacavir

Antiviral Medicines/Antiretrovirals/Nucleoside or Nucleotide Reverse Transcriptase Inhibitors

When two chiral carbons are separated by one or more atoms, disconnections often lead back to an intermediate with the two chiral carbons next to each other and formed in the same reaction.

Discussion. Cyclopropanamine is introduced by chloride displacement in the final step (the chloropurine partner is also used to make the AIDS drug carbovir.) The imidazole ring of the purine is formed from the formamide (Traube Purine Synthesis). A C─N bond is formed by displacement of chloride from the symmetrical dichloropyrimidine by the amine of (1S,4R)‐4‐amino‐2‐cyclopentene‐1‐methanol.

The 2,5‐diaminopyrimidine 5‐formamide is formed from the 2,5‐diaminopyrimidine and formic acid. 2,5‐Diamino‐4,6‐dichloropyrimidine is formed from 2,5‐diamino‐4,6‐dihydroxypyrimidine. 2,5‐Diamino‐4,6‐dihydroxypyrimidine is formed by hydrolysis of the 5‐acetamide. 5‐Acetamido‐2‐amino‐4,6‐dihydroxypyrimidine ring is formed from guanidine and diethyl acetamidomalonate (Pinner Pyrimidine Synthesis).

(1S,4R)‐4‐Amino‐2‐cyclopentene‐1‐methanol and the (1R,4S)‐enantiomer are separated by resolution. The amino alcohols are formed by reduction of the amides (Vince Lactam). The amides are formed by displacement of methanesulfinate by hydroxide.

The 2‐azabicyclo[2.2.1]hepta‐2,5‐dienes are formed by [4 + 2]‐cycloaddition of cyclopentadiene with methanesulfonyl cyanide (Diels–Alder Cycloaddition). Methanesulfonyl cyanide is formed from sodium methanesulfinate and cyanogen chloride. Sodium methanesulfinate is formed by reduction of methanesulfonyl chloride.

Extended Discussion

Draw the structures of the retrosynthetic analysis of one alternative route to abacavir using a disconnection of the C─N bond joining the purine ring to the cyclopentene ring. Include the structures of the retrosynthetic analysis of any organic starting material(s) from petrochemical or biochemical raw materials.

Acetazolamide

Ophthalmological Preparations/Miotics and Antiglaucoma Medicines

A sulfonyl chloride attached to an aromatic ring may be formed by oxidation of the thiol.

Discussion. Acetazolamide is formed in just three steps from 5‐amino‐1,3,4‐thiadiazole‐2‐thiol. The sulfonamide is formed from the sulfonyl chloride in the final step. The sulfonyl chloride is formed by oxidation of the thiol. The amide is formed by acetylation of the amine using acetic anhydride.

Extended Discussion

Draw the structures of the retrosynthetic analysis of one alternative route to the starting material 5‐amino‐1,3,4‐thiadiazole‐2‐thiol. List the pros for the route presented and the alternative route and select one route as the preferred route.

Acetylcysteine

Antidotes/Specific

A chiral carbon in a single‐enantiomer molecule is often delivered in a starting material.

Discussion.N‐Acetyl‐L‐cysteine is formed by acetylation of L‐cysteine with acetic anhydride. L‐Cysteine is produced by fermentation.

Acetylsalicylic Acid

Medicines for Pain and Palliative Care/Non‐Opioids and Non‐Steroidal Anti‐Inflammatory Medicines

Antimigraine Medicines/For Treatment of Acute Attack

Cardiovascular Medicines/Antithrombotic Medicines/Anti‐Platelet Medicines

Medicines for Diseases of Joints/Juvenile Joint Diseases

salicylic acid

Dermatological Medicines/Medicines Affecting Skin Differentiation and Proliferation

Discussion. Acetylsalicylic acid (aspirin) is formed from another essential medicine, salicylic acid, and acetic anhydride. Salicylic acid is formed from phenol and carbon dioxide (Kolbe–Schmitt Reaction).

Acyclovir

Anti‐Infective Medicines/Antiviral Medicines/Antiherpes Medicines

Ophthalmological Preparations/Anti‐Infective Agents

Guanine is often converted to an acylated or silylated derivative to increase solubility in organic solvents. These derivatives react with alkylating agents to form a mixture of N7‐alkylated (kinetic) product and N9‐alkylated (thermodynamic) product.

Discussion. The concepts and challenges common to the many routes to acyclovir are featured in a comparison of two preferred routes. In route A, the alcohol is released by O‐desilylation in the final step. Acyclovir O‐trimethylsilyl ether is formed by desilylation of persilyl acyclovir. A mixture of the N9‐alkylated persilyl acyclovir and the N7‐alkylated regioisomer is formed in situ by in the reaction of persilyl guanine with 1,3‐dioxolane (What is the highest ratio of persilyl acyclovir to the N7‐alkylated regioisomer? What reaction conditions are associated with the highest ratio? How is the N7‐alkylated side product separated from the N9‐alkylated product?). Persilyl guanine is a mixture of N7‐TMS and N9‐TMS regioisomers formed in situ by the reaction of guanine with excess hexamethyldisilazane (HMDS).

In route B, the alcohol and amino group are released by hydrolysis of the ester and amide in the final step. The alkylation of N2,9‐diacetylguanine with 2‐(acetoxyethoxy)methyl acetate affords a mixture of the N7‐ and N9‐regioisomers. (Draw the structure of the N7‐regioisomer. What is the highest N9:N7 ratio? What reaction conditions are associated with the highest ratio? How is the N7‐alkylated side product separated from N9‐alkylated product?) N2,9‐Diacetylguanine is formed by reaction of guanine with acetic anhydride.

2‐(Acetoxyethoxy)methyl acetate is formed from 1,3‐dioxolane, acetic acid, and acetic anhydride.

Extended Discussion

List the pros and cons for routes A and B and select one route as the preferred route.

Albendazole

Anti‐Infective Medicines/Anthelmintics/Antifilarials

A benzimidazole is often formed from a 1,2‐phenylenediamine.

Discussion. The benzimidazole is formed in the final step from the benzene‐1,2‐diamine and N‐methoxycarbonylcyanamide. N‐Methoxycarbonylcyanamide is formed from cyanamide and methyl chloroformate. 4‐(Propylthio)benzene‐1,2‐diamine is formed by reduction of 2‐nitro‐4‐propylthioaniline. A C─S bond is formed by displacement of chloride from 4‐chloro‐2‐nitroacetanilide by sodium propanethiolate. The acetanilide is also hydrolyzed under the chloride displacement reaction conditions. 4‐Chloro‐2‐nitroacetanilide is formed from 4‐chloro‐2‐nitroaniline and acetic anhydride.

Extended Discussion

2‐Nitro‐4‐propylthioaniline can also be manufactured from 1‐chloro‐2‐nitrobenzene. Draw the structures of the retrosynthetic analysis of this route. List the pros and cons for both routes. Which route is preferred?

Allopurinol

Antineoplastics and Immunosuppressives/Cytotoxic and Adjuvant Medicines

Medicines for Diseases of Joints/Medicines Used to Treat Gout

Hydrazine is often the source of the two nitrogen atoms in a pyrazole ring.

Discussion. The pyrimidine ring of the pyrazolo[3,4‐d]pyrimidine is formed in the final step by reaction of 3‐aminopyrazole‐4‐carboxamide with formamide. The pyrazole ring is formed from 2‐cyano‐3‐morpholinoacrylamide and hydrazine. The enamine of 2‐cyano‐3‐morpholinoacrylamide is formed from the enol ether by the displacement of ethanol by morpholine. The enol ether of 2‐cyano‐3‐ethoxyacrylamide is formed by the reaction of 2‐cyanoacetamide with triethyl orthoformate.

Extended Discussion

The pyrimidine ring is also formed by reaction of ethyl 3‐aminopyrazole‐4‐carboxylate with formamide. Draw the structures of the retrosynthetic analysis of ethyl 3‐aminopyrazole‐4‐carboxylate. List the pros and cons for both routes and select one route as the preferred route.

Amidotriazoate

Diagnostic Agents/Radiocontrast Media

For a symmetrical molecule, symmetrical disconnections lead back to symmetrical intermediates and are likely associated with the shortest route.

Discussion. Since some amide hydrolysis is likely under iodination conditions, the diamide is formed in the final step by reaction of the diamine with acetic anhydride. The triiodide is formed by iodination of 3,5‐diaminobenzoic acid.

Extended Discussion

List reagents or reagent combinations used for direct iodination of an aromatic ring.

Amikacin

Anti‐Infective Medicines/Antibacterials/Other Antibacterials

Anti‐Infective Medicines/Antibacterials/Antituberculosis Medicines

A single‐enantiomer molecule with multiple chiral carbons is often made by modification of a natural product which has most or all of the chiral carbons already in place.

Discussion. Amikacin is semisynthetic. Amikacin is formed by acylation of the amino group at C1 of kanamycin A. This selective acylation requires a protection–deprotection strategy since kanamycin A has four amino groups and the amino group at C1 is not the most reactive.

Three of the amino groups of amikacin are released in the final step by benzyl carbamate hydrogenolysis. The amide at C1 is formed by reaction of the amino group with an N‐hydroxysuccinimide ester. Amino groups at C3 and C6′ of kanamycin A are protected as benzyl carbamates (Cbz). Kanamycin A is produced by fermentation.

The N‐hydroxysuccinimide ester is formed from the carboxylic acid. The amino group of the 4‐amino‐2‐hydroxybutanoic acid is protected as the benzyl carbamate. (S)‐4‐Amino‐2‐hydroxybutanoic acid is formed from (S)‐2‐hydroxyglutaramic acid (Hofmann Rearrangement). The amide is formed from the lactone. (S)‐5‐Oxotetrahydrofuran‐2‐carboxylic acid lactone is formed by diazotization of L‐glutamic acid. L‐Glutamic acid is produced by fermentation.

Extended Discussion

Draw the structures of three side products which are likely to be formed in the reaction of kanamycin A with two equivalents of benzyl chloroformate. Draw the structure(s) of likely impurities in amikacin as each side product is carried through the amide formation and carbamate hydrogenolysis.

or

Draw the structures of the retrosynthetic analysis of the alternative route to (S)‐4‐amino‐2‐hydroxybutanoic acid from L‐asparagine. List the pros and cons for both routes and select one route as the preferred route.

Amiloride

Diuretic

A nitrogen substituent on a pyrazine ring carbon is often introduced by displacement of chloride. The substitution is facilitated by the adjacent ring nitrogen and can be further facilitated by an electron‐withdrawing group (NO2, SO2R, COOR, CN) on a para ring carbon.

Discussion. The guanidine group is introduced in the final step by reaction of guanidine with the methyl ester. Chloride at the 5‐position of the 5,6‐dichloropyrazine is displaced by ammonia. The 5,6‐dichloropyrazine is formed by chlorination of methyl 3‐aminopyrazine‐2‐carboxylate. The methyl ester is formed from the carboxylic acid (Fischer Esterification).

3‐Aminopyrazine‐2‐carboxylic acid is formed by hydrolysis of the pyrimidine ring of lumazine (1H‐pteridine‐2,4‐dione). The pyrazine ring of lumazine is formed by reaction of 5,6‐diaminouracil with glyoxal. The amino group at the 5‐position of 5,6‐diaminouracil is formed by reduction of a nitroso group. The nitroso group is introduced by nitrosation of 6‐aminouracil. 6‐Aminouracil is formed from ethyl cyanoacetate and urea.

Extended Discussion

Draw the structures of the retrosynthetic analysis of one alternative route to 3‐aminopyrazine‐2‐carboxylic acid. Include the structures of the retrosynthetic analysis of any organic starting material(s) from petrochemical or biochemical raw materials. List the pros and cons for both routes and select one route as the preferred route.

4‐Aminosalicylic Acid

Anti‐Infective Medicines/Antibacterials/Antituberculosis Medicines

A 2‐hydroxybenzoic acid is often formed by carboxylation of the phenol (Kolbe–Schmitt Reaction).

Discussion. 4‐Aminosalicylic acid is formed from 3‐aminophenol and carbon dioxide (Kolbe–Schmitt Reaction) (Draw the structure of one side product formed in this reaction. How is pure 4‐aminosalicylic acid isolated from the product mixture?).

Extended Discussion

A preferred route to 3‐aminophenol is from benzene via resorcinol. Draw the structures of a retrosynthetic analysis of one alternative route to 3‐aminophenol. Include the structures of the retrosynthetic analysis of any organic starting material(s) from petrochemical or biochemical raw materials. List pros and cons for the two routes and select one route as the preferred route.

Amiodarone

Cardiovascular Medicines/Antihypertensive Medicines

An aromatic ketone is often formed by Friedel–Crafts Acylation.

Discussion. The ether is formed in the final step by displacement of the chloride of 2‐chloro‐N,N‐diethylethanamine by the phenol (Williamson Ether Synthesis).

The phenol is iodinated in both ortho positions. The phenol is formed by demethylation of the ether. The ketone is formed by acylation of 2‐butyl‐2,3‐benzofuran with 4‐methoxybenzoyl chloride (Friedel–Crafts Acylation). 4‐Methoxybenzoyl chloride is formed from para‐anisic acid.

2‐Butylbenzofuran is formed by rearrangement of the chlorohydrin. The tertiary alcohol of the chlorohydrin is formed by addition of butylmagnesium chloride to the ketone (Grignard Reaction). Butylmagnesium chloride is formed from 1‐chlorobutane. 2‐Chloro‐2′‐hydroxyacetophenone is formed from phenol and chloroacetonitrile (Sugasawa Reaction).

Extended Discussion

Draw the structures of the retrosynthetic analysis of one alternative route to 2‐butylbenzofuran. Include the structures of the retrosynthetic analysis of any organic starting material(s) from petrochemical or biochemical raw materials. List the pros and cons for both routes and select one route as the preferred route.

Amitriptyline

Medicines for Pain and Palliative Care/Medicines for Other Common Symptoms in Palliative Care

Medicines for Mental and Behavioral Disorders/Medicines Used in Mood Disorders/Medicines Used in Depressive Disorders

An alkene conjugated to two aromatic rings is often formed by dehydration of an alcohol.

Discussion. The alkene is formed in the final step by dehydration of the tertiary alcohol. The tertiary alcohol is formed by addition of the alkylmagnesium chloride to dibenzosuberone (Grignard Reaction). The alkylmagnesium chloride is formed from 3‐chloro‐N,N‐dimethylpropan‐1‐amine. Dibenzosuberone is formed by cyclization of 2‐phenethylbenzoic acid (Friedel–Crafts Acylation). 2‐Phenethylbenzoic acid is formed by reduction of benzalphthalide. Benzalphthalide is formed from phthalic anhydride and phenylacetic acid.

Extended Discussion

Dibenzosuberone is also formed from 2‐bromobenzyl bromide and carbon dioxide (Parham Cyclization). List the pros and cons for the two dibenzosuberone routes and select one route as the preferred route.

Amlodipine

Cardiovascular Medicines/Antihypertensive Medicines

A dihydropyridine is often formed by Hantzsch Synthesis. The key step in the Hantzsch Synthesis is formation of a C3─C4 bond of the ring by Michael Addition of an enamine to an α,β‐unsaturated ketone or ester.

Discussion. While the (S)‐enantiomer is a thousand times more active than the (R)‐enantiomer, amlodipine is sold as the racemate. Racemic amlodipine is constructed in just four steps! The primary amine is formed using a Gabriel Synthesis. The final step is release of the primary amine from the phthalimide. The 1,4‐dihydropyridine is formed from methyl 3‐aminocrotonate and an enone by C─C bond formation (Michael Addition) followed by C─N bond formation to close the ring (Hantzsch Dihydropyridine Synthesis). The enone is formed by condensation of a β‐ketoester with 2‐chlorobenzaldehyde (Knoevenagel Condensation). The ether on C4 of the β‐ketoester is formed by chloride displacement from ethyl 4‐chloro‐3‐oxobutanoate by the alcohol of N‐(2‐hydroxyethyl)phthalimide (Williamson Ether Synthesis).

Extended Discussion

List the amine protecting groups that have been used in alternative syntheses of amlodipine. List the conditions used and amlodipine yields obtained in deprotection of each group in the final step. Why is the phthalimide group preferred?

Amodiaquine

Anti‐Infective Medicines/Antiprotozoal Medicines/Antimalarial Medicines/For Curative Treatment

A nitrogen substituent at C2 or C4 on a quinoline ring is often introduced by displacement of chloride. The substitution is facilitated by the quinoline ring nitrogen and can be further facilitated by an electron‐withdrawing group (NO2, SO2R, COOR, CN) on C3.

Discussion. A C─N bond is formed by displacement of a chloride at the quinoline 4‐position by nitrogen of the 4‐aminophenol.

4,7‐Dichloroquinoline is formed from 7‐chloro‐ 4‐hydroxyquinoline (7‐chloroquinolin‐4‐one). 7‐Chloro‐ 4‐hydroxyquinoline is formed by thermolysis/decarboxylation of the 4‐hydroxyquinoline‐3‐carboxylic acid. The carboxylic acid is formed by ester hydrolysis. The quinoline ring is formed by an intramolecular acylation at C6 of the 3‐chloroaniline. An enamine is formed by reaction of the enol ether of ethyl ethoxymethylenemalonate with 3‐chloroaniline (The four‐step sequence from 3‐chloroaniline to 7‐chloro‐4‐hydroxyquinoline is an example of the Gould–Jacobs Reaction).

The 4‐aminophenol is formed by hydrolysis of the acetanilide. Another essential medicine, 4‐acetamidophenol (para‐acetamol or acetaminophen) is alkylated by reaction with formaldehyde and N,N‐diethylamine (Betti Reaction).

Extended Discussion

Draw the structures of the retrosynthetic analysis of an alternative route from 3‐chloroaniline to 7‐chloro‐4‐hydroxyquinoline utilizing a Conrad–Limpach Reaction. Include the structures of the retrosynthetic analysis of any organic starting material(s) from petrochemical or biochemical raw materials. List pros and cons for the two routes and select one route as the preferred route.

Amoxicillin

Anti‐Infective Medicines/Antibacterials/Beta‐Lactam Medicines

Penicillins are produced by fermentation or are semisynthetic. A semisynthetic penicillin is often formed by acylation of the amine of 6‐aminopenicillanic acid (6‐APA). 6‐APA is produced from penicillin G (benzylpenicillin) by enzyme‐mediated hydrolysis of the side‐chain amide.

Discussion. Amoxicillin is a semisynthetic penicillin. The final step is enzyme‐mediated formation of the side‐chain amide by reaction of an amine with an ester. The amine, 6‐aminopenicillanic acid (6‐APA), is formed by enzyme‐mediated hydrolysis of the side‐chain amide of penicillin G. Penicillin G (benzylpenicillin) is produced by the fungus Penicillium chrysogenum.

The ester is formed from the carboxylic acid (Fischer Esterification). The α‐amino acid, (R)‐α‐(4‐hydroxyphenyl)glycine, is formed by enzyme‐mediated hydrolysis of the N‐carbamoyl α‐amino acid. The (R)‐N‐carbamoyl α‐amino acid is formed by enzyme‐mediated hydrolysis of the (R)‐hydantoin in a mixture of the (R)‐ and (S)‐hydantoins. Since the (R)‐ and (S)‐hydantoins interconvert under the hydrolysis conditions, the (S)‐hydantoin is also converted to the (R)‐N‐carbamoyl α‐amino acid. The mixture of (R)‐ and (S)‐hydantoins is formed from phenol, glyoxylic acid, and urea.

Extended Discussion

Draw the structures of the retrosynthetic analysis of an alternative route to amoxicillin from (R)‐α‐(4‐hydroxyphenyl)glycine and 6‐APA which does not utilize an enzyme to mediate the formation of the side‐chain amide bond.

Ampicillin

Anti‐Infective Medicines/Antibacterials/Beta‐Lactam Medicines

Penicillins are produced by fermentation or are semisynthetic. A semisynthetic penicillin is often formed by acylation of the amine of 6‐aminopenicillanic acid (6‐APA). 6‐APA is produced from penicillin G (benzylpenicillin) by enzyme‐mediated hydrolysis of the side‐chain amide.

Discussion. Ampicillin is a semisynthetic penicillin. The final step is release of the amine by hydrolysis of an enamine. The side‐chain amide is formed by enzyme‐mediated formation of the reaction of 6‐aminopenicillanic acid (6‐APA) with a mixed anhydride. 6‐Aminopenicillanic acid is formed by enzyme‐mediated hydrolysis of the side‐chain amide of penicillin G. Penicillin G (benzylpenicillin) is produced by the fungus P. chrysogenum.

The mixed anhydride is formed from the potassium carboxylate salt and pivaloyl chloride. The N‐protected potassium carboxylate salt of the amino acid (known as a Dane Salt) is formed from (R)‐α‐phenylglycine and ethyl acetoacetate.

Extended Discussion

Ampicillin is also manufactured from 6‐APA and the acid chloride, (R)‐α‐phenylglycine chloride hydrochloride. List the pros and cons for both routes and select one route as the preferred route.

Anastrozole

Antineoplastics and Immunosuppressives/Hormones and Antihormones

A phenylacetonitrile is often formed by displacement of a benzyl chloride or bromide by cyanide.

Discussion. Each substituent on the central ring of anastrozole has a functional group (cyanide or 1,2,4‐triazole) which is likely introduced as a nucleophile. These features suggest disconnection strategies which have statistical product distribution problems. In a preferred strategy, the most significant problem is addressed in the preparation of the starting material.

Bromide is displaced by 1,2,4‐triazole in the final step. The bromomethyl group is formed by bromination of the methyl group.

Four methyl groups are added by α‐alkylation of the nitriles with iodomethane. The nitriles are formed by bromide displacement by sodium cyanide. The dibromide is formed by bromination of mesitylene.

Extended Discussion

Final product purity is critical when manufacturing a drug substance. To ensure high purity of the product, no side products which are difficult to separate from the product should form in the final step. This is not the case for the anastrozole process. Explain. List the process details which ensure that anastrozole meets high purity specifications.

Artemether

Anti‐Infective Medicines/Antiprotozoal Medicines/Antimalarial Medicines/For Curative Treatment

A single‐enantiomer molecule with multiple chiral carbons is often formed by modification of a natural product which has most or all of the chiral carbons already in place.

Discussion. Artemether (β‐artemether) is semisynthetic, it is manufactured in two steps from artemisinin. The methyl acetal of β‐artemether is formed by the acid‐catalyzed reaction of the hemiacetal (dihydroartemisinin) with methanol. The hemiacetal of dihydroartemisinin is formed by reduction of the ester of artemisinin. Artemisinin is a natural product isolated from the plant Artemisia annua or sweet wormwood.

Artemisinin can also be manufactured in four steps from artemisinic acid. In the last step, a hydroperoxide is formed by α‐oxidation of an aldehyde with triplet oxygen. The aldehyde, hydroperoxide, ketone, and carboxylic acid then assemble to form artemisinin. The aldehyde and ketone are formed by cleavage of an allylic hydroperoxide (Hock Rearrangement). The allylic hydroperoxide is formed from dihydroartemisinic acid (Ene Reaction). Dihydroartemisinic acid is formed by reduction of artemisinic acid. Artemisinic acid is a natural product also isolated from the plant A. annua or sweet wormwood. Artemisinic acid is also produced by fermentation.

Extended Discussion

Draw the structures of four impurities which are likely to form in the conversion of dihydroartemisinin to artemether.

Artesunate

Anti‐Infective Medicines/Antiprotozoal Medicines/Antimalarial Medicines/For Curative Treatment

A single‐enantiomer molecule with multiple chiral carbons is often formed by modification of a natural product which has most or all of the chiral carbons already in place.

Discussion. Artesunate is semisynthetic, and it is manufactured in two steps from artemisinin. The ester is formed by reaction of the hemiacetal (dihydroartemisinin) with succinic anhydride. The hemiacetal of dihydroartemisinin is formed by reduction of the ester of artemisinin. Artemisinin is a natural product isolated from the plant A. annua or sweet wormwood.

Artemisinin is also manufactured in four steps from artemisinic acid. In the last step, a hydroperoxide is formed by α‐oxidation of an aldehyde with triplet oxygen. The aldehyde, hydroperoxide, ketone, and carboxylic acid then assemble to form artemisinin. The aldehyde and ketone are formed by cleavage of an allylic hydroperoxide (Hock Rearrangement). The allylic hydroperoxide is formed from the alkene (Ene Reaction). The alkene, dihydroartemisinic acid, is formed by reduction of artemisinic acid. Artemisinic acid is a natural product also isolated from the plant A. annua or sweet wormwood. Artemisinic acid is also produced by fermentation.

Extended Discussion

β‐Artemether and α‐artesunate are both formed from dihydroartemisinin. Draw the structures of a retrosynthetic analysis of β‐artesunate.

Ascorbic Acid

Vitamins and Minerals

A single‐enantiomer molecule with multiple chiral carbons is often formed by modification of a natural product which has most or all of the chiral carbons already in place.

Discussion. Ascorbic acid (vitamin C) is semisynthetic. Ascorbic acid is formed from 2‐keto‐L‐gulonic acid. 2‐Keto‐L‐gulonic acid is produced by fermentation from L‐sorbose. L‐Sorbose is produced by fermentation from D‐sorbitol.

Extended Discussion

Draw the structures of the retrosynthetic analysis of an alternative non‐fermentation route to 2‐keto‐L‐gulonic acid from L‐sorbose.

Atazanavir

Anti‐Infective Medicines/Antiviral Medicines/Antiretrovirals/Protease Inhibitors

A β‐amino alcohol with a primary β‐C is often formed by ring‐opening of an epoxide by an amine.

Discussion. Two amides are formed with expensive N‐(methoxycarbonyl)‐L‐tertleucine (Moc‐L‐tertleucine) in the final step. The amine and hydrazine needed to form the amides are released by hydrolysis of tert‐butoxycarbonyl (Boc) protecting groups. A key C─N bond near the center of the molecule is formed by ring‐opening of an epoxide with a Boc‐protected hydrazine.

Moc‐L‐Tertleucine is formed from L‐tertleucine and methyl chloroformate. L‐Tertleucine is formed by an enzyme‐mediated reductive amination of trimethylpyruvic acid. The pyruvic acid is formed by oxidation of the α‐hydroxyacid. The α‐hydroxyacid is formed from 1,1‐dichloropinacolone by rearrangement and hydrolysis. 1,1‐Dichloropinacolone is formed by α–chlorination of pinacolone.

The epoxide is formed from the chlorohydrin by nucleophilic displacement of chloride by oxygen. The chlorohydrin is formed by reduction of the α‐chloroketone, N‐(tert‐butoxycarbonyl)‐3(S)‐amino‐1‐chloro‐4‐phenyl‐2‐butanone. The α‐chloroketone is formed by reduction of the α,α‐dichloroketone. The α,α‐dichloroketone is formed from N