Originator
Avage,Allergan
Uses
An acetylenic retinoid prodrug converted to the active metabolite, Tazarotenic acid, with selective affinity for retinoic acid receptors RAR?and RAR. Antiacne; antipsoriatic. Used in treatment of photodamaged skin
Uses
Tazarotene is a prescription topical retinoid sold as a cream or gel. This medication is approved for treatment of psoriasis, acne, and sun damaged skin (photodamage). It is commonly sold in two concentrations: 0.05% and 0.1%. In addition to tretinoin, wh
Uses
Used to treat psoriasis, acne and sun damaged skin.
Definition
ChEBI: The ethyl ester of tazarotenic acid. A prodrug for tazarotenic acid, it is used for the treatment of psoriasis, acne, and sun-damaged skin.
Indications
Like other retinoids, tazarotene (Tazorac) acts by binding
to RARs and altering gene expression. Tazarotene
appears to be particularly selective for the retinoid receptors
RAR-β and RAR-γ, but the clinical significance
of this observation is unknown.
Manufacturing Process
A mixture of 14.91 g (135.324 mmol) of thiophenol and 5.5 g (137.5 mmol)
of NaOH in 100 ml acetone was heated at reflux for 2.5 h and then treated
dropwise with a solution of 20 g (134.19 mmol) of 1-bromo-3-methyl-2-
butene in 20 ml acetone. This solution was refluxed for 40 h and then stirred
at room temperature for 24 h. Solvent was then removed in vacuo, the
residue taken up in water, and extracted with 3 times 50 ml ether. Ether
extracts were combined and washed with 3 times 30 ml of 5% NaOH solution,
then water, saturated NaCl solution and dried. Solvent was then removed in
vacuo and the residue further purified by kugelrohr distillation (80°C, 0.75
mm) to give the phenyl-3-methylbut-2-enylsulfide as a pale yellow oil.
To a solution of 15.48 g (86.824 mmol) of phenyl-3-methylbut-2-enylsulfide in
160 ml benzene were added successively 12.6 g (88.767 mmol) of
phosphorus pentoxide and 11 ml of 85% phosphoric acid. This solution was
refluxed with vigorous stirring under argon for 20 h, then cooled to room
temperature. The supernatant organic layer was decanted and the syrupy
residue extracted with 3 times 50 ml ether. Organic fractions were combined
and washed with water, saturated NaHCO3 and saturated NaCl solution and
then dried. Solvent was removed in vacuo and the residue purified by
kugelrohr distillation (80°C, 0.5 mm) to give the 4,4-dimethylthiochroman as
a pale yellow oil.
A solution of 14.3 g (80.21 mmol) of 4,4-dimethyl thiochroman and 6.76 g
(86.12 mmol) of acetyl chloride in 65 ml benzene was cooled in an ice bath
and treated dropwise with 26.712 g (102.54 mmol) of stannic chloride. The
mixture was stirred at room temperature for 12 h, then treated with 65 ml
water and 33 ml conc. hydrogen chloride and heated at reflux for 0.5 h. After
being cooled to room temperature, the organic layer was separated and the
aqueous layer extracted with 5 times 50 ml benzene. The recovered organic
fractions were combined and washed with 5% sodium carbonate solution,
water, saturated NaCl solution and then dried. The solvent was removed in
vacuo and the residue purified by flash chromatography (silica; 5% ethyl
acetate in hexanes) followed by kugelrohr distillation (150°C, 0.7 mm) to give
the 4,4-dimethyl-6-acetylthiochroman as a pale yellow oil.
To a solution of 1.441 g (14.2405 mmol) of diisopropylamine in 30 ml dry
tetrahydrofuran under argon at -78°C was added dropwise 9 ml of 1.6 M
(14.4 mmol) n-butyl lithium in hexane. After stirring this solution at -78°C for
1 h, it was treated dropwise with a solution of 2.95 g (13.389 mmol) of 4,4-
dimethyl-6-acetylthiochroman in 5 ml of dry tetrahydrofuran. After another
hour of stirring at -78°C, the solution was treated with 2.507 g (14.53 mmol)
of diethyl chlorophosphate and brought to room temperature, where it was
stirred for 3.75 h. This solution was then transferred using a double ended
needle to a solution of lithium diisopropylamide (prepared as above using
2.882 g (28.481 mmol) of diisopropylamine and 18 ml of 1.6 M (28.8 mmol)
n-butyl lithium in hexane) in 60 ml dry tetrahydrofuran at -78°C. The cooling
bath was removed and the solution stirred at room temperature for 15 h, then
quenched with water and acidified to pH 1 with 3 N hydrogen chloride. The
mixture was stirred at room temperature for 12 h, then treated with 65 ml
water and 33 ml conc. hydrogen chloride and heated at reflux for 0.5 h. After
being cooled to room temperature, the organic layer was separated and the
aqueous layer extracted with 5 times 50 ml benzene. The recovered organic
fractions were combined and washed with 5% sodium carbonate solution,
water, saturated NaCl solution and then dried. The solvent was removed in
vacuo and the residue purified by flash chromatography (silica; 5% ethyl
acetate in hexanes) followed by kugelrohr distillation (150°C, 0.7 mm) to give
the 4,4-dimethyl-6-ethynylthiochroman as a pale yellow oil.
A mixture of 15.75 g (0.1 mol) 6-chloronicotinic acid, 6.9 g (0.15 mol)
ethanol, 22.7 g (0.11 mol) dicyclohexylcarbodiimide and 3.7 g
dimethylaminopyridine in 200 ml methylene chloride was heated at reflux for
2 h. The mixture was allowed to cool, solvent removed in vacuo and residue
subjected to flash chromatography to give the ethyl 6-chloronicotinate as a
low-melting white solid.
2 Methods of preparation of the ethyl 6-[2-(4,4-dimethylthiochroman-6-
yl)ethynyl]nicotinate.
1. Reaction vessels used in this procedure were flame dried under vacuum
and all operations carried out in an oxygen-free, argon or nitrogen
atmosphere. To a solution of 465.7 mg (2.3019 mmol) of 4,4-dimethyl-6-
ethynyl-thiochroman in 4 ml of dry tetrahydrofuran at 0°C was added
dropwise 1.5 ml of 1.6 M (2.4 mmol) n-butyl lithium in hexane. This was
stirred at 0°C for 10 min and at room temperature for 10 min, cooled again to
0°C and then treated with a solution of 330 mg (2.4215 mmol) of fused ZnCl2
in 4 ml dry tetrahydrofuran using a double ended needle. Thereafter the solution was stirred at 0°C for 30 min, then at room temperature for 10 min.
A solution of 426.3 mg (2.2967 mmol) of ethyl 6-chloronicotinoate in 4 ml dry
tetrahydrofuran was transferred by double ended needle into a suspension of
430 mg (0.37 mmol) of tetrakistriphenylphosphine palladium in 4 ml dry
tetrahydrofuran and stirred at room temperature for 10 min, then treated by
double ended needle with the solution of the alkynylzinc prepared above. This
mixture was stirred at room temperature for 18 h, then quenched with 100 ml
water. Product was recovered by extraction with 3 times 75 ml ether. Ether
fractions were combined and washed with saturated NaCl solutions and dried.
Solvent was removed in vacuo and the residue purified by flash
chromatography (silica; 5% ethyl acetate in hexane) followed by HPLC
(Whatman Partisil M-9 10/50; 4% ethyl acetate in hexane) to give the ethyl
6-[2-(4,4-dimethylthiochroman-6-yl)ethynyl]nicotinate.
2. A solution of 15.4 g (76.2 mmol) of 4,4-dimethyl-6-ethynylthiochroman
and 14.0 g (75.5 mmol) of ethyl-6-chloronicotinate in 35 ml of freshly distilled
triethylamine was degassed and then treated under nitrogen with a finely
powdered mixture of 1 g (5.25 mmol) of high purity cuprous iodide and 2 g
(2.85 mmol) of bis(triphenylphosphine) palladium (II) chloride. The mixture
was heated under nitrogen at 55°C for 20 h and then cooled to room
temperature. The triethylamine was then removed under vacuum and the
residue was diluted with 200 ml of a 1:4 mixture of ethyl acetate and
hexanes. This mixture was filtered through silica and the filtrate concentrated
in vacuo. The resultant residue was purified by flash chromatography (silica
gel; 15% ethyl acetate in hexanes) and recrystallized from a mixture of ethyl
acetate and hexanes to give the ethyl 6-[2-(4,4-dimethylthiochroman-6-
yl)ethynyl]nicotinate as a pale yellow solid.
Brand name
Avage (Allergan); Tazorac (Allergan).
Therapeutic Function
Keratolytic
Biochem/physiol Actions
Tazarotene induces the expression of tazarotene-induced gene 3 (TIG3), a tumor suppressor gene. It is a prodrug of tazarotenic acid, which specifically activates RARb and RARg, only weakly activates RARa, and is inactive at retinoid X receptors (RXRs). In psoriasis, tazarotene normalizes abnormal keratinocyte differentiation and reduces their hyperproliferation.
Clinical Use
In the United States, tazarotene has been approved
for topical treatment of psoriasis (involving up to 20%
body surface area) and mild to moderate facial acne.
Application site burning, stinging, and desquamation are
common side effects, especially with acne. Tazarotene is
contraindicated in women who are pregnant.
Side effects
Tazorac is a category X drug and must be avoided in pregnancy. This drug
can be irritating and should be avoided in patients with sensitive skin or
seborrheic dermatitis.
Structure and conformation
Retinoid prodrug, converted to active form, the carboxylic acid of
tazarotene by rapid de-esterification. This drug binds to all three retinoic acid
receptors with some increased affinity for the β and γ receptors.