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Advances in the stereoselective synthesis of antifungal agents and ...

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Chapter 1 11piperaz<strong>in</strong>e) is also <strong>the</strong> most extensively documented <strong>antifungal</strong>imidazole 25,26 .ClOOR'RCl4 a-d4a R= ImidazoleR'=O N N OAc4b R= 1,2,4 Triazole R'= O N N4c R= Imidazole R'= S NH 24d R= BrR'= O OFigure 1.9: Structures <strong>of</strong> Ketoconazole 4a <strong>and</strong> its analogues 4b-c, <strong>and</strong> toge<strong>the</strong>r with <strong>the</strong> key<strong>in</strong>termediate for <strong>the</strong> enantioselective syn<strong>the</strong>sis 4d.Ketoconazole 4a has been shown to have <strong>in</strong> vitro activity aga<strong>in</strong>st abroad spectrum <strong>of</strong> fungi <strong>in</strong>clud<strong>in</strong>g <strong>the</strong> three genera <strong>of</strong> dermatophytes,yeasts, dymorphic fungi <strong>and</strong> a variety <strong>of</strong> o<strong>the</strong>rs. In vivo studies withseveral animal species demonstrated a broad spectrum <strong>of</strong> activities aga<strong>in</strong>stsuperficial as well as systemic fungal <strong>in</strong>fections.The United States Food <strong>and</strong> Drug Adm<strong>in</strong>istration approved 4a <strong>in</strong>1981 for <strong>the</strong> treatment <strong>of</strong> c<strong>and</strong>idias, chronic mucocutaneous c<strong>and</strong>idias,oral c<strong>and</strong>idias, c<strong>and</strong>iduria, coccidiomycosis, histoplasmosis, chromomycosis<strong>and</strong> paracoccidiomycosis 27-29 . One <strong>of</strong> <strong>the</strong> salient characteristics <strong>of</strong>

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