Mini-Reviews in Medicinal Chemistry, 2004, 4, 207-233 207
1389-5575/04 $45.00+.00 © 2004 Bentham Science Publishers Ltd.
Synthetic Approaches to the 2002 New Drugs
Jin Li* and Kevin K.-C. Liu*
Pfizer Global Research and Development, Pfizer Inc., Groton CT 06340, USA
Abstract: New drugs are introduced to the market every year and each individual drug represents a privileged
structure for its biological target. In addition, these new chemical entities (NCEs) not only provide insights
into molecular recognition, but also serve as drug-like leads for designing future new drugs. Therefore, it is
important to be acquainted with these new structures as well as their syntheses. To these ends, this review
covers the syntheses of 28 NCEs marketed in 2002.
Keywords: Synthesis, New Drug, New Chemical Entities, Medicine, Therapeutic Agents.
INTRODUCTION
Dozens of new drugs are registered and launched every
year around the world. Although thousands of drugs have
been marketed historically, the structure similarity among
some drugs is obvious and even more so for drugs targeting
in the same gene family. Furthermore, it has been
demonstrated that molecules which share the same or similar
chemical template can be further modified for different
therapeutic indications against the similar gene family.
Therefore, medicinal chemists, being aware of these new
drug structures, can strike and adopt ideas for their own
innovations. In addition, preparation of these drug molecules
has been studied extensively to make it concise due to the
cost of goods consideration and to ensure environment-
friendliness. Having such robust and reliable synthetic
methods in hand to access these core structures will steer
synthetic efforts more effectively toward the most promising
compounds and help focus the optimization toward other
challenging properties such as ADME.
In 2002 alone, 33 NCEs including biological drugs, and
two diagnostic agents reached the market [1-5]. This review
article will focus on the syntheses of the 28 new drugs
marketed last year (Figure 1), but excludes new indications
for known drugs, new combinations and new formulations.
The syntheses of these new drugs were published
sporadically in different journals and patents. It is our
intention to compile the syntheses of new drugs yearly into
an annual review for the readers’ advantage. The synthetic
routes cited here represent the most scalable methods
according to the best of the authors’ knowledge and appear
in alphabetical order by generic name.
Adefovir Dipivoxil (HepseraTM)
Adefovir dipivoxil (1), discovered by Gilead, became the
first nucleoside analogue to gain FDA approval for the
treatment of chronic hepatitis B infection [6]. Adefovir
works by blocking viral replication [6]. The synthesis [7,8]
of adefovir dipivoxil (1) involves a four-step process [9,10]
as depicted in Scheme 1. Adenine (29) was condensed with
ethylene carbonate (30) in hot DMF to afford intermediate 9-
*Address correspondence to these authors at the Pfizer, Groton, CT
06340, USA; Tel: 1-860-7153552; E-mail: jin_li@groton.pfizer.com;
kevin_k_liu@groton.pfizer.com
(2-hydroxyethyl)-adenine 31 in 83-95% yield. Alkylation of
31 was carried out using diethyl-p-toluenesulfonyloxy-
methanephosphonate (32) and sodium t-butoxide in DMF.
Phosphonate ester 33 was then cleaved with
bromotrimethylsilane to furnish 34 and esterification of the
phosphoric acid to append the pivaloyloxymethyl group
provided adefovir dipivoxil (1).
Amrubicin Hydrochloride (Calsed)
This drug is the first anthracycline anticancer antibiotic
produced by purely synthetic methods. It was discovered by
Sumitomo Pharmaceuticals, and is for the treatment of non-
small cell lung cancer and small cell lung cancer [11].
Tetralone 35 was treated with ammonium carbonate and
potassium cyanide (Strecker reaction) to give the
corresponding aminonitrile intermediate, which was
hydrolyzed under basic conditions to afford amino acid 36 in
excellent yield [12]. The carboxylic acid in 36 was esterified
with HCl in methanol to the corresponding methyl ester,
which was treated with D-(-)-mandelic acid in toluene to
give optically pure levorotatory ester 37 in 33% yield.
Sodium methylsulfinylmethide treatment of 37 followed by
reduction with zinc yielded amino ketone 38, which was
acylated to give amido ketone 39 in 81 % yield from 37.
Compound 39 was converted to tetracyclic amido ketone 40
in one step (90% yield) by heating with phthalic anhydride
in the presence of AlCl3-NaCl at 170°C. Ketone 40 was
protected as its ketal 41 in order to provide for subsequent
regiospecific bromination. Treatment of 41 with 1,3-
dibromo-5,5-dimethylhydantoin (DDH) under illumination
in refluxing benzene formed oxazine 42 in 89% yield.
Hydrolysis of the oxazine ring and deketalization were
simultaneously affected by heating 42 with 3N sulfuric acid
to give cis-amino alcohol 43 in 82% yield. Modified
Arcamone conditions (AgOSO2CF3 in ether/tetramethylurea
/DCM) were employed for the stereoselective glycosidation
of 43 with 2-deoxy-3,4-di-O-acetyl-D-erythro-pentopyranosyl
bromide (44) [13] to give the protected β-glycoside in 86%
yield. Basic hydrolysis of the protected coupling product
followed by HCl salt formation gave amrubicin
hydrochloride (2) in 90% yield.
Aripiprazole (AbilifyTM)
This atypical antipsychotic agent was originally
discovered by Otsuka and was co-developed and co-marketed
208 Mini-Reviews in Medicinal Chemistry, 2004, Vol. 4, No. 2 Li and Liu
N
H
OH
O
OH
O
S
NH
N
H
O
O
O Na
H
O N
NC
F
CO2H
CO2H
O
O
O
H
O
O
S OO
O
N
S
O
O
O
OH
O O-
O
OH
O
O
H
O
O
S OO
O
N
S
OH
O
O
O
S
O O
O
O O-
O
OH
O
H
HO
O
O
S OO
O
N
S
OH
O O-
O
H
O
S
OO
O
Na+
Na+
Na+
Na+
Na+
Na+
Na+
Na+
Na+
Na+
HO
H
OH
H H
S
O
F
F
F
F
F
F
NH
Cl
N
N
OMe
O
N
O
N
O
OH
F
OH
F
N
N N
N
NH2
O P
O O
O
O
O
O
O
O
O O
O
OH
HO
OH
O OH
NH2 HCl
Cl
Cl
N
N
O N
H
O
O
O
NH HCl
N
H
O
NH
F
F
F
F
F
F
H
HH
H
O
N
N
S
OO
Cl
N
H
NH2
H
N
O
7
Fulvestrant (12)
Gefitinib (13)
Adefovir dipivox il (1) Amrubicin hydrochloride (2) Aripiprazole (3)
Dexmethylphenidate HCl (4) Dutasteride (5) Ertapenem sodium (6)
Escitalopram oxalate (7) Etoricoxib (8) Ezetimibe (9)
Fondaparinux sodium (10)
Frovatriptan (11)
Synthetic Approaches to the 2002 New Drugs Mini-Reviews in Medicinal Chemistry, 2004, Vol. 4, No. 2 209
(Fig. 1). contd.....
N
F
O
O H
O
O
H 2N CH 3S O3H
Paz ufloxacin me silate (20)
Cl
O
O
O O
O
N
O
O
O
OH
O
OH
Pimecrolimus (21)
O
O N
H
H
N N
O
O
OH
O
O
O
O
HO
S
NaO
OO
N
H
N
O
OH
HN
O
HN
HN
ON
OH
OH
OH
H
N
HO
O
H2 N
O
HO
O
N
O
O
OH
OH
OH
O
H2N
OH
P
P
OH
O OH
O
OH
OH
O
O O NO2
F
F
F
N
N
O
O
O
O
N NH
N N
O
OH
N
O
S
O O
N
O
Na
N
O
F
N
OH
O
S
N
O
O
O
Landiolol (14)
Micafungin sodium (15)
Neridronate (16)
Nitisinone (17) Olmesartan medoxomil (18) Parecoxib sodium (19)
Prulifloxacin (22)
O
210 Mini-Reviews in Medicinal Chemistry, 2004, Vol. 4, No. 2 Li and Liu
(Fig. 1). contd.....
N
H
S
O
O
O
O
HN
O
O O
Na
4H2O
N N
OH
HO O
O
N
S
O O
F
Ca2+
S
O
O
O
N
S
HO
Br
OH
OH
O
O
Na O
N
O
S
H2N
OO
N NF
NN
N
F
F
HO
Sivelestat sodium hydrate (24)2
Rosuvastatin calcium (23)
Treprostinil (26)
Valdecoxib (27) Voriconazole (28)
Tiotropium bromide (25)
Fig. (1). Structures of 28 new drugs marketed in 2002.
N
N NH
N
NH2
O
O
O
N
N N
N
NH2
OH
N
N N
N
NH2
O P
OEt
OEt
O
P
OEt
EtO
OTs
O
N
N N
N
NH2
O P
OH
OH
O
TMSBr
Cl O
O
N
N N
N
NH2
O P
O O
OO
NaOH, DMF
CH3 CN, Δ
29
30
120o C
83-95%
31 33
32
NaOBut, DMF
35-48%
34
80-90%
TEA, NMP
40%
1
2
Scheme 1. Synthesis of adefovir dipivoxil.
by Bristol-Myers Squibb. The compound is a partial agonist
at dopamine D2 and 5HT1a and an antagonist at 5-HT2a
receptors [14]. It is indicated for the treatment of
schizophrenia. Hydroxyl quinolinone 45 was alkylated with
1,4-dibromobutane in the presence of potassium carbonate in
DMF to give 46 in 78% yield [15]. Bromide 46 was
condensed with 1-(2,3-dichlorophenyl)piperazine [16] (47) in
the presence of NaI and TEA to give aripiprazole (3) in 87%
yield.
Dexmethylphenidate Hydrochloride (FocalinTM)
Dexmethylphenidate (4) is the more pharmacologically
active d-threo-enantiomer of methylphenidate which was
marketed for the treatment of attention deficit/hyperactivity
disorder (ADHD) in 1954 [17]. In addition, it has been
shown that there are significant metabolic differences
between the two enantiomers. This drug was discovered by
Cangene and is marketed by Novartis. To date, several
methods have been disclosed in the literature for preparing
Synthetic Approaches to the 2002 New Drugs Mini-Reviews in Medicinal Chemistry, 2004, Vol. 4, No. 2 211
OCH3
OCH3
O
OCH3
OCH3
NH2
CH3
O
OH
OH
NHAc
CH3
OO
O
O Br
OAc
AcO
OH
OH
N
CH3
O
O
OO
O CH3
OCH3
OCH3
NH2
CO2H
OH
OH
NH2
CH3
O
O
O
OO
HO
OH
OH
OH
NHAc
CH3
O
O
OO
OH
OH
NH2
CH3
O
O
O
OH
HCl
OCH3
OCH3
NHAc
CH3
O O
O
O
OCH3
OCH3
CO2 CH3
NH2
35
1) KCN, (NH4)2CO3, 50% EtOH, Δ, 99%
2) Ba(OH)2 , H2O, Δ, 92%
36
1) HCl, MeOH, 95%
2) D-(-)-mandelic acid
toluene, IPA, 33%
37
1) NaH, DMSO, THF
2) Zn, NaOH/H2O, toluene
38
Ac2O, pyridine, toluene
80% from 37
39
AlCl3, NaCl, 170
oC
90%
40
ethylene glycol
TsOH, toluene, Δ
88%
DDH, benzene, hv
Δ, 89%
42
41
3N H2 SO4, Δ
82%
43
44
2) HCl, MeOH, 90%AgOSO2CF3, ether
tetramethylurea, CH2 Cl2
86%
1) KOH, CH2Cl2
MeOH,
2
Scheme 2. Synthesis of amrubicin hydrochloride.
the d-threo-enantiomer of methylphenidate, most involving
with enzymatic resolution [18], or crystallization/
recrystallization methods [19,20]. An asymmetric synthesis
[21] route is depicted in Scheme 4. R-Pipecolic acid (48)
was reacted with (Boc)2O to afford N-Boc pipecolic acid 49.
Treatment of 49 with N,O-dimethylhydroxylamine in DCM
provided the Weinreb amide 50 in 93% yield. Reaction of
amide 50 with phenyllithium at –23°C in Et2O furnished
enantiopure ketone 51 in 73% yield. Ketone 51 was
converted to chiral aromatic alkene 5 2 using
methylenetriphenylphosphorium ylide in THF at rt. The
transformation of olefin 52 to diastereomeric alcohols 53 and
54 was achieved using BH3-THF complex in 89% overall
yield. Diastereomerically pure alcohol 53 was subjected to
PDC-mediated oxidation in DMF followed by treatment
with excess ethereal diazomethane. The resulting N-Boc-
methylphenidate was deprotected with 3N methanolic HCl
to give dexmethylphenidate (4) as a white solid in 67%
yield.
212 Mini-Reviews in Medicinal Chemistry, 2004, Vol. 4, No. 2 Li and Liu
N
H
OHO
ClCl
N N
O N
H
O
N
H
OBr(CH2)4O
ClCl
N NH
45
Br(CH2)4Br, K2CO3
DMF, 60oC, 78%
46
47
Nal, TEA
CH3CN, 87%
3
Scheme 3. Synthesis of aripiprazole.
N
H
OH
O
N
Boc
OH
N
OH
OBoc
N
Boc
N
H
OMeO
N
N
OBoc
O
N
Boc
OH
N
Boc
OH
N
OBoc
(Boc)2O, TEA
MeOH, rt, 97%
49
N, O-dimethylhydroxylamine
BOP, TEA, DCM, rt , 93%
50
PhLi, Et2O
-23oC, 73%
51
methyltriphenylphosphorium bromide
KOBut, THF, rt , 93%
52
1) BH3 THF, THF
2) NaOH , H2O2, rt
53 64% 54 25%
1) PDC/DMF
2) CH2N2
3) HCl/MeOH
67%
4
48
53
Scheme 4. Synthesis of dexmethylphenidate.
Dutasteride (AvodartTM)
This steroid 5α-reductase type 1 and 2 inhibitor was
patented by GlaxoSmithKline. It is used for the treatment of
symptomatic benign prostatic hyperplasia in men with an
enlarged prostate to improve urinary symptoms, reduce the
risk of acute urinary retention and BPH-related surgery [22].
Steroidal dutasteride (5) was synthesized from 3-oxo-4-
androstene-17β−carboxylic acid (55) [23]. Oxidation of 55
with potassium permanganate, sodium periodate and sodium
carbonate in refluxing t-butyl alcohol and water gave seco-
steroid 56 which was cyclized with ammonium acetate in
acetic acid to give 4-aza-steroid 57 in good yield. Stereo-
selective hydrogenation of 57 with H2 over PtO2 in hot
acetic acid and in the presence of ammonium acetate yielded
saturated azasteroid 58, which was dehydrogenated with
DDQ in the presence of bis(trimethylsilyl)trifluoroacetamide
(BSTFA) 59 in refluxing dioxane to give 60. Treatment of
60 with thionyl chloride gave the corresponding acyl
chloride intermediate, which was then condensed with 2,5-
bis(trifluoromethyl)aniline (61) by means of DMAP in
heated toluene to give dutasteride (5) in 57% yield from
intermediate 60.
Ertapenem Sodium (InvanzTM)
Ertapenem sodium (6) was introduced in the U.S. and
Europe by Merck & Co. as a once daily injectable
carbapenum antibiotic drug. Ertapenem (6) is indicated for
the treatment of moderate to severe infections in adults
caused by susceptible strains of a range of Gram-positive and
Gram-negative aerobic and anaerobic bacteria [24].
Following a conventional carbapenem synthetic strategy,
ertapenem sodium (6) can be assembled from 4-nitrobenzyl-
protected β-methyl carbapenemenolphosphate 71 and 2-
aminocarbonylpyrrolidine-4-ylthio-containing side chain 70.
Many efficient approaches to 71 have been reported in the
literature [25], and this compound is now commercially
available on a large scale [26]. The synthesis of 70 is
outlined in Scheme 6 [27,28]. Protection of the amino group
in trans-4-hydroxy-L -proline (62 ) with diisopropyl
phosphite followed by NaClO oxidation gave N-DIPP
protected hydroxyl proline 63 in 80% yield. The carboxyl
group in 6 3 was activated v i a reaction with
diphenylphosphinic chloride (DPPC) in the presence of
diisopropylethylamine (DIPEA). This intermediate 64 was
directly reacted with methanesulfonyl chloride in the
Synthetic Approaches to the 2002 New Drugs Mini-Reviews in Medicinal Chemistry, 2004, Vol. 4, No. 2 213
N
H
CO2H
O
H
CO2H
O
NSiMe3
Me3SiO
F3C
N
H
CO2H
O
H
HO2C
O
CO2H
F3 C
NH2
CF3
N
H
CO2H
O
N
H
O
H
O H
N
CF3
CF3
KMnO4, NaIO4, Na 2 CO3
t-BuOH, H2O, 100
oC
58-66%
NH4OAc, HOAc
56
55
120oC, 85-95%
PtO2 , H2
HOAc, 60o C
NH4OAc, 75-85%
57
DDQ, 59
dioxane, 100o C, 70-85%
58 60
1) SOCl2, toluene, pyridine, DMF
61
toluene, DMAP, 100oC, 57%
5
HH HH
HH
H
H H
H
H
H
HH
H
HH
H
Scheme 5. Synthesis of dutasteride.
presence of pyridine to furnish mesylate 65. Mesylate 65
was then quenched with aqueous sodium sulfide yielding 66
instantaneously, which then slowly cyclized to 6 7 .
Aminolysis of 67 with m -aminobenzoic acid (68) and
subsequent deprotection of the DIPP group with
concentrated HCl provided 70 in 90-95% yield in a one-pot
process. The coupling reaction between 70 and 71 followed
by deprotection of PNB group was completed in one
reaction vessel to furnish ertapenem sodium (6) (yield was
not disclosed) [28].
Escitalopram Oxalate (Cipralex®)
Escitalopram (7) is a selective serotonin reuptake
inhibitor (SSRI) and was launched first in Switzerland. It is
the more active S-enantiomer of citalopram which is a well-
known antidepressant drug that has been on the market for
some years [29]. It is for the treatment of major depressive
episodes and panic disorder with or without agoraphobia.
The synthesis of escitalopram was carried out in several
different routes [30-33]. 5-Cyanophthalide (72) was treated
with Grignard reagent 73 at 0°C to provide intermediate 75
which was reacted in situ with another Grignard reagent 76
to afford the diol in a one-pot process. Racemic diol 77 was
resolved using (+)-p-toluoyltartaric acid to afford desired S
isomer 78 in 55% yield. The ring closure reaction was
carried out at 0°C using methanesulfonyl chloride in toluene
to furnish escitalopram (7) in 60% yield.
Etoricoxib (ArcoxiaTM)
Merck & Co.’s etoricoxib (8) was launched for the first
time in the U.K. last May as a new COX-2 inhibitor.
Etoricoxib (8) is indicated for the symptomatic relief of
osteoarthritis and rheumatoid arthritis, treatment of acute
gouty arthritis, relief of chronic musculoskeletal pain
including low back pain, relief of acute pain associated with
dental surgery and treatment of primary dysmenorrhea [34].
The synthesis of etoricoxib (8) was explored extensively by
the Merck process research group [35]. Key intermediate 85
was synthesized through at least three different routes. In the
Horner-Wittig approach, 6-methyl methylnicotinate (79) was
converted into Weinreb amide 80 in 95% yield. Amide 80
was then converted to aldehyde 81 via a DIBAL-H mediated
reduction. Subsequent treatment of a solution of aldehyde 81
in isopropyl acetate with aniline and diphenyl phosphite
provided N,P-acetal 82 in 87% yield. The Horner-Wittig
reaction of N,P -acetal 82 with 4-methanesulfonyl-
benzaldehyde (83) furnished enamine 84 , which was
hydrolyzed to ketosulfone 85. A Grignard approach was also
developed in the preparation of ketosulfone 85. Addition of
Grignard reagent 86 to Weinreb amide 80 in toluene/THF
provided ketosulfide 85 in 80% yield. Tungstate-catalyzed
oxidation of ketosulfide 87 using hydrogen peroxide
provided ketosulfone 85 in 89% yield by simple filtration.
Ketosulfone 85 was prepared through Claisen condensation
protocol as well. Thus, reaction of 4-methanesulfonyl phenyl
acetic acid (88) with methyl nicotinate 79 under Ivanoff
condition, i.e., the magnesium dianion in THF, resulted
58% yield of ketosulfone 85. Treatment of ketosulfone 85
with a three-carbon electrophile, 2-chloro-N , N -
dimethylaminotrimethinium hexafluorophos-phate (89) in
the presence of potassium t-butoxide at ambient temperature
resulted adduct 90. Inverse quench of adduct 90 into a
mixture of HOAc /TFA led to the putative intermediate 91.
Ring closure of the pyridine ring occurred upon heating at
214 Mini-Reviews in Medicinal Chemistry, 2004, Vol. 4, No. 2 Li and Liu
CO2H
H2N
O
S
O
Cl
N
H
HO
COOH
H
O
P
O O
N
HS
H
N
O
DIPP
CO2 H
N
MsO
O
P
OO
DIPP
N
HO
COOH
DIPP
O
P
OiPr
OiPr
N
HO H H
O
O
S
OH
NH
O
N
H
ONa
O
Cl
N
HS
H
N
O
CO2H
H H
N
MsO
O
S
DIPP
P
OCl
N
HO
O
P
OO
DIPP
N
HO H H
O
O P
O
OPh
OPh
O
OPNB
N
DIPP
S
O
62
1)
2) NaClO
0-5 o C, PH=9
80%
63
2) DIPEA
-20oC, DCM
64
one pot process , 90-95% from 63 to 67.
Pyridine
-20 oC
65
aq. Na2S
DIPP =
66
25oC, 2h
67
AcOH, rt
69
HCl conc, rt
70
one pot process, 90-95% from 67 to 70
71
1) Pd/C, NaOH, NEP, TMG
2) H2
6
68
1)
_
_
Scheme 6. Synthesis of ertapenem sodium.
reflux in the presence of an excess of aqueous ammonium
hydroxide to give desired etoricoxib (8) in 97% yield in a
one-pot process from 85.
Ezetimibe (Zetia)
Ezetimibe (9) was approved as the first hypolipidemic
drug to act by blocking the absorption of dietary cholesterol.
This drug was discovered by Schering-Plough and is co-
developed and co-marketed by Merck and Schering-Plough
for the treatment of hypercholesterolemia and also two less
common forms of hyperlipidemia: homozygous familial
hypercholesterolemia and homozygous sitosterolemia [36].
The synthesis of ezetimibe (9) begins with the one-step
diastereoselective and practical synthesis [37] of the trans β-
lactam from commercially available (S)-3-hydroxy-γ-lactone
(92). Lactam 95 was obtained by generation of a dianion of
lactone 92 with LDA in THF followed by addition of the
imine and N,N’-dimethylpropyleneurea (DMPU) to give
predominately adduct 93 (93 :94 = 79:21). However,
intermediate 93 and 94 did not cyclize to their respective
lactams due to formation of stable lithium aggregates.
Addition of lithium chloride/DMF was employed to cyclize
the intermediates into trans-lactam 95 as the major product
(trans:cis = 95:5) in a one-pot process from 92 in 64%
yield. The 95:5 ratio of compound 95 was oxidatively
cleaved with NaIO4 to give aldehyde 96. Mukaiyama aldol
condensation was a