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MS Drug RPC1063 Discovered at TSRI Is Safe and Effective in Phase II Study

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RPC1063

(S)-5-(3-(5-hydroxy-5,6,7,8-tetrahydronaphthalen-l-yl) -l,2,4-oxadiazol-5-yl) -2- isopropoxybenzonitrile ……..any error report amcrasto@gmail.com

Figure imgf000005_0001

COMPD IS  I-S

X=-OH AND Y = CN  ………any error report amcrasto@gmail.com

(S)-5-(3-(5-hydroxy-5,6,7,8-tetrahydronaphthalen-l-yl) -l,2,4-oxadiazol-5-yl) -2- isopropoxybenzonitrile

Receptos, Inc. INNOVATOR

WO 2011060389

Figure imgf000132_0001

THIS IS COMPD RPC1063  as above.ignore rest

RPC1063 is a novel, differentiated sphingosine 1-phosphate 1 receptor (S1P1) selective modulator exhibiting picomolar potency that is effective in rodent models of both multiple sclerosis (MS) and inflammatory bowel disease (IBD), and possesses an excellent safety profile in non-clinical toxicology studies. Receptos has completed a Phase 1 study with RPC1063 which tested single ascending doses, multiple ascending doses and dose titration regimens in healthy volunteers. The Phase 1 results confirmed optimal pharmacokinetic, pharmacodynamic and safety features, which provide supportive data for the differentiation strategy for RPC1063 as a potential best-in-class second generation S1P1 receptor modulator.

A Phase 2/3 study has been initiated to study RPC1063 in the indication of relapsing multiple sclerosis (RMS). RPC01-201, designed to demonstrate the clinical efficacy of RPC1063 in patients suffering from RMS, is a Phase 2/3 placebo-controlled (Phase 2) and active comparator-controlled (Phase 3) trial, and is the first of two planned pivotal studies for RPC1063 in RMS. Receptos anticipates initiating a second Phase 2 study with RPC1063 in ulcerative colitis in 2012.

A compound discovered and synthesized in The Scripps Research Institute (TSRI) labs of Professors Hugh Rosen and Edward Roberts has provided positive results for safety and efficacy in Phase 2 clinical trials for relapsing multiple sclerosis, according to Receptos, the biopharmaceutical company developing the drug for approval by the US Food and Drug Administration.

“The Rosen and Roberts laboratories are very gratified to see these direct improvements in the lives of patients and families dealing with this debilitating illness,” said Rosen. “These data support our labs’ approach at TSRI—that discovery of fundamental mechanisms in chemical biology provides the foundation for intelligent intervention in disease processes. Meeting the needs of patients and their families is our high calling in biomedical science.”

The drug candidate, RPC1063, was first discovered at TSRI from work in the National Institutes of Health (NIH) Molecular Libraries Initiative. The randomized, double-blind Phase 2 study assessed the efficacy, safety and tolerability of two orally administered doses of RPC1063 against placebo in 258 patients with relapsing multiple sclerosis across 77 sites in 13 countries. There was a highly statistically significant 86 percent reduction in MRI measures of disease activity.

A Phase 3 trial—a randomized, double-blind study involving 1,200 patients with relapsing multiple sclerosis—was launched in December 2013.

 

 

On June 9th, 2014 Receptos announced that a portion of its Phase 2 results in relapsing multiple sclerosis (RMS) met the primary endpoint of reducing MRI brain lesion activity. News of being a potential best in class profile has caused RCPT shares to shoot up 50% in a matter of two days. Detailed results of the RADIANCE trial are expected to be presented in coming months.
The MS market is valued at around $16B, but faces competition from existing products (below). Positioning a successful therapy will prove to be difficult even if FDA approval is attained. With Phase 3 initiation just announced, RPC1063 is years away from the market.

Multiple Sclerosis Drugs

Given the competitive landscape and Receptos’ top line results, the company may be seen as a potential takeover target by the investing community. For example, Teva’s Copaxone lost US market exclusivity May 2014 and has patents expiring in May 2015 in most of the rest of the world. As a result of generics, Teva expects to take a $550M hit during 2014. A therapy such as RPC1063 could minimize these losses in the upcoming future.

 

 

 

 

 

SYNTHESIS

http://www.google.com/patents/WO2011060389A1?cl=en

 

Scheme 1:

 

Figure imgf000046_0001

Reagents: (i) Zn(CN)2, Pd(PPh3)4, NMP; (ii) RuCl(p-cymene)[(R,R)-Ts-DPEN], HC02H- TEA complex; (iii) NH2OH*HCl, Na2C03 or TEA, EtOH; (iv) HOBt, EDC, benzoic acid, DMF.

 

 

Scheme 2:

 

Figure imgf000047_0001

Reagents: (i) DPPA, DBU, toluene; (ii) PG = protecting group e.g. Boc: Pd/C, H2, Boc20, TEA, MeOH; (iii) NH2OH*HCl, NaHC03, EtOH; (iv) HOBt, EDC, benzoic acid, DMF (v) deprotection e.g. 4M HC1 in dioxane; (vi) (a) R’-LG or R”-LG, where LG represents a leaving group, K2C03, CH3CN; (b) R’-C02H or R2-C02H, HOBt, EDC, DMF or Rl-COCl or R2-COCl, TEA, DCM; (c) R -S02C1 or R3-S02C1, TEA, DCM (d) R2-CHO, HOAc, NaB¾ or NaCNBH3 or Na(OAc)3BH, MeOH; (e) R1– OCOC1 or R2-OCOCl, DIEA, DMF; (f) HN(R5R5), CDI, TEA, DCM; (g) ¾NS02NH2, Δ, dioxane; (h) dimethyloxirane, Δ, EtOH; (vii) (a) If R’ or R” = H, then reactions (vi)(a-d) can be performed; (b) If R’ or R” contains an ester then (i) hydrolysis NaOH, EtOH or (ii) reduction NaBFL,, MeOH can be performed; (c) If R’ or R” contains an acid then couplings HN(R5R5), HOBt, EDC, DMF can be performed; (d) If R’ or R” contains an appropriate activated alkene then Michael additions HN(R5R5), DMF can be performed.

 

 

The (R)-enantiomer was prepared in the same manner outlined in Scheme 2 starting from (5)-5-hydroxy-5,6,7,8-tetrahydronaphthalene-l-carbonitrile.

Scheme 3:

Figure imgf000048_0001

Reagents: (i) Sodium borohydride, ethanol, silica gel; (ii) PG = protecting group e.g. TBDMS chloride, imidazole; (iii) 4,4,4′,4′,5,5,5′,5′-octamethyl-2,2′-bi( 1,3,2- dioxaborolane), PdCl2(dppf).CH2Cl2, potassium acetate, dioxane.

Scheme 4:

 

Figure imgf000048_0002

Reagents: (i) Zn(CN)2, Pd(PPh3)4, NMP; (ii) For racemic material: Sodium borohydride, ethanol, silica gel; For (/?)-indanol: 0S)-(-)-2-methyl-CBS- oxazaborolidine, BH3-DMS, toluene; For (5)-indanol: (R)-(+)-2-methyl-CBS- oxazaborolidine, BH3-DMS, toluene; (iii) NH2OH*HCl, Na2C03 or TEA, EtOH.

Scheme 5:

 

Figure imgf000049_0001

 

Figure imgf000049_0002

 

Figure imgf000049_0003

Reagents: (i) Oxalylchloride, DCM; (ii) Ethanolamine, Et3N, DCM; (iii) SOCl2, DCM, KOH, MeOH (iv) N-Bromosuccinimide, azoisobutyronitrile, DCM; (v) Protected (e.g. TBDMS) 4-(4,4,5,5-tetramethyl-l,3,2-dioxaborolan-2-yl)-2,3-dihydro- lH-inden-l-ol, K2C03, Pd(PPh3)4, DME, H20; (vi) deprotection e.g. TBAF, THF; (vii) SOCl2, DCM; (viii) R’-NH2 or R”-NH2, DLPEA, DMA.

Scheme 6:

W

 

Figure imgf000050_0001

Reagents: (i) (R)-2-methylpropane-2-sulfinamide, Ti(OEt)4, toluene; (ii) NaB¾, THF; (iii) 4N HC1 in dioxane, MeOH; (iv) Boc20, TEA, DCM; (v) 4,4,4′,4′,5,5,5′,5′- octamethyl-2,2′-bi(l,3,2-dioxaborolane), PdCl2(dppf).CH2Cl2> potassium acetate, dioxane; (vi) 5-(5-bromooxazol-2-yl)-2-isopropoxybenzonitrile, K2C03, Pd(PPh3)4, DME, H20; (vii) 4N HC1 in dioxane; (viii) (a) R’-LG or R”-LG, where LG represents a leaving group, K2C03, CH3CN; (b) R1-C02H or R2-C02H, HOBt, EDC, DMF or R’-COCl or R2-COCl, TEA, DCM; (c) R’-SOaCl or R3-S02C1, TEA, DCM (d) R2– CHO, HOAc, NaB¾ or NaCNBH3 or Na(OAc)3BH, MeOH; (e) R’-OCOCl or R2– OCOC1, DIEA, DMF; (f) HN(R5R5), CDI, TEA, DCM; (g) H2NS02NH2, Δ, dioxane; (h) dimethyloxirane, Δ, EtOH; (ix) (a) If R’ or R” = H, then reactions (viii)(a-d) can be performed; (b) If R’ or R” contains an ester then (i) hydrolysis NaOH, EtOH or (ii) reduction NaBFLt, MeOH can be performed; (c) If R’ or R” contains an acid then couplings HN(R5R5), HOBt, EDC, DMF can be performed; (d) If R’ or R” contains an appropriate activated alkene then Michael additions HN(R5R5), DMF can be performed. [0255] The (5)-enantiomer can be prepared using (5)-2-methylpropane-2-sulfinamide in step (i).

[0256] Scheme 7:

 

Figure imgf000051_0001

Reagents: (i) HOBt, EDC, 2-(3,4-diethoxyphenyl)acetic acid, DMF; (ii) S0C12, DCM; (iii) R’-NH2, DIPEA, DMA.

[0257] Scheme 8:

 

Figure imgf000051_0002

Reagents: (i) Zn(CN)2, Pd(PPh3)4, NMP; (ii) (R)-2-methylpropane-2-sulfinamide, Ti(OEt)4, toluene; (iii) NaB¾, THF; (iv) 4M HC1 in dioxane, MeOH; (v) PG = protecting group e.g. Boc20, TEA, DCM; (vi) NH2OH*HCl, TEA, EtOH; (vii) R’- halide, NaH, DMF.

 

Figure imgf000052_0001

Reagents: (i) (a) HOBt, EDC, 2-(3,4-diethoxyphenyl)acetic acid, DMF (b) deprotection e.g. 4N HCl in dioxane; (ii) (a) R’-LG, where LG represents a leaving group, K2C03, CH3CN; (b) if R’ contains an ester then (a) followed by NaOH, EtOH; (c) R’-C02H, HOBt, EDC, DMF or R’-COCl, TEA, DCM; (d) R’-S02C1, TEA, DCM (e) R’-CHO, HOAc, NaBFL or NaCNBH3 or Na(OAc)3BH, MeOH.

[0259] The (5)-enantiomer can be prepared using protected (/?)-l-amino-N-hydroxy-2,3 dihydro-lH-indene-4-carboximidamide in step (i).

Scheme 10:

 

Figure imgf000052_0002

Reagents: (i) HOBt, EDC, 4-phenyl-5-(trifluoromethyl)thiophene-2-carboxylic acid, DMF; (ii) 2N HCL in ether, DCM.

[0261] Scheme 11:

 

Figure imgf000053_0001
Figure imgf000053_0002

Reagents: (i) PG = protecting group e.g. Boc20, DMAP, ACN; (ii) NH2OH*HCl, Na2C03, EtOH; (iii) HOBt, EDC, benzoic acid, DMF; (iv) deprotection e.g. 4N HCl in dioxane.

Scheme 12:

 

Figure imgf000053_0003

Reagents: (i) NH2OH*HCl, Na2C03, EtOH; (ii) HOBt, EDC, benzoic acid, DMF. [0263] Scheme 13:

 

Figure imgf000053_0004

Reagents: (i) NH2OH*HCl, Na2C03, EtOH; (ii) HOBt, EDC, 3-cyano-4- isopropoxybenzoic acid, DMF.

[0264] Scheme 14:

Figure imgf000054_0001

Reagents: (i) PG= protecting group e.g. tert-butylchlorodimethylsilane, TEA, DCM; (ii) Zn(CN)2, Pd(PPh3)4, NMP; (iii) NH2OH*HCl, Na2C03, EtOH; (iv) HOBt, EDC, benzoic acid, DMF.

 

Selected compounds and their corresponding analytical data is shown in Table 1, where the LCMS data was collected using Method 2 (see General Methods). The enantiomeric purity was determined for key intermediates and selected final compounds and is presumed from the synthesis for the remaining compounds. TABLE 1

see compd 2

Figure imgf000106_0001

TABLE 2

 

Figure imgf000122_0001

Experimental Procedures

[0266] 5-oxo-5, 6, 7, 8-tetrahydronaphthalene-l-carbonitrile (INT-1)

Figure imgf000055_0001

[0267] To a stirred solution of 5-bromo-3,4-dihydronaphthalen-l(2H)-one (9.95g, 44.2 mmol) in NMP (50 mL) was added Zn(CN)2 (10.38 g, 88.4 mmol). The mixture was degassed twice by bubbling N2 through the solution for 30 min then evacuated. Pd(Ph3)4 (0.5g, 0.44 mmol) was added and the mixture was heated to 110°C under N2. After 5h, the mixture was cooled to room temperature and poured onto ice (600 mL), using water (300 mL) to complete the transfer. After the ice had melted, the solution was filtered and the resulting solid was collected, suspended in DCM, and filtered again. The solid was collected, washed with water, and purified by column chromatography (EA/ hex) to provide 6.9 g (91%) of 5-oxo-5,6,7,8-tetrahydronaphthalene-l-carbonitrile INT-1 as a white solid. LCMS- ESI (m/z) calculated for CnH9NO: 171.2; found 172.1 [M+H]+, tR = 2.95 min. Ή NMR (400 MHz, CDCI3) 6 8.26 (dd, J = 7.9, 1.4 Hz, 1H), 7.82 (dd, J = 7.6, 1.4 Hz, 1H), 7.44 (t, J = 7.8 Hz, 1H), 3.20 (t, J = 6.1 Hz, 2H), 2.72 (dd, J = 7.2, 6.1 Hz, 2H), 2.30 – 2.17 (m, 2H). I3C NMR (101 MHz, CDC13) δ 196.22, 147.39, 137.18, 133.39, 131.59, 127.19, 116.93, 112.94, 38.48, 28.05, 22.28.

[0268] (R)-5-hydroxy-5, 6, 7, 8-tetrahydronaphthalene-l -carbonitrile (INT-2)

 

Figure imgf000056_0001

[0269] To a stirred solution of 5-oxo-5,6,7,8-tetrahydronaphthalene-l-carbonitrile INT-1 (3.0 g, 17.5 mmol) in 5:1 HC02:NEt3 (24 mL) was added RuCl(p-cymene)[(R,R)-Ts-DPEN] (0.13 g, 0.26 mmol). The mixture was stirred at 30°C for 15 h then partitioned between EA and H20. The combined organic layers were dried over Na2S04 and chromatographed (EA/ hex) to provide 2.99 g (99%) of (R)-5-hydroxy-5,6,7,8-tetrahydronaphthalene-l -carbonitrile INT-2 as a white solid. LCMS-ESI (m/z) calculated for CnHnNO: 173.2; found 174.1 [M+H]+, 156.1 [Μ-Ν¾]+, tR = 2.60 min. Ή NMR (400 MHz, CDC13) δ 7.71 (d, J = 7.8 Hz, 1H), 7.54 (dt, J = 8.7, 4.4 Hz, 1H), 7.34 – 7.26 (m,lH), 4.85 – 4.71 (m, 2H), 3.48 (s, 1H), 3.13 – 2.96 (m, lH), 2.90 (ddd, J = 17.7, 7.8, 5.6 Hz, 1H), 2.15 – 1.95 (m, 2H), 1.97 – 1.76 (m, 2H). Chiral HPLC: (R)-5-hydroxy-5,6,7,8-tetrahydronaphthalene-l-carbonitrile was eluted with 5% IPA / hexane: 99.1% ee, tR = 15.3 min.

[0270] (S)-5-hydroxy-5,6,7,8-tetrahydronaphthalene-l-carbonitrile INT-3 was prepared in an analogous fashion using INT-1 and RuCl(p-cymene)[(S,S)-Ts-DPEN]. Chiral HPLC: 99.4% ee, tR for the (S)-enantiomer = 17.99 min.

[0271] General Procedure 1. Preparation of Amide Oximes

[0272] To (R)- or (S)-cyanides (1 eq) in EtOH (0.56 M) was added hydroxylamine hydrochloride (3 eq) and either NaHC03 or TEA (3 eq) and the reaction mixture heated at 85°C for 1-2 h. The organic soluble amide oximes were isolated by removal of the solvent and partitioning between water and DCM. The water soluble amide oximes were chromatographed or used directly in the cyclization. Pure amide oximes can be obtained by recrystallization from alcoholic solvents.

[0273] (R)-N,5-dihydroxy-5,6, 7,8-tetrahydronaphthalene-l-carboximidamide (INT-4)

Figure imgf000057_0001

[0274] Prepared using General Procedure 1. To a stirring solution of (R)-5-hydroxy-5 ,6,7,8- tetrahydronaphthalene-l-carbonitrile INT-2 (79.1 mg, 0.46 mmol) in EtOH (2 mL) was added hydroxylamine hydrochloride (34.9 mg, 0.50 mmol) and sodium bicarbonate (42.2 mg, 0.50 mmol). The mixture was heated at 70°C for 18 h. The product was purified by chromatography (MeOHV DCM) to provide 27.3 mg (29%) (R)-N,5-dihydroxy-5,6,7,8- tetrahydronaphthalene-l-carboximidamide INT-4 as a white solid. LCMS-ESI (m/z) calculated for CuHnNO: 173.2; found 174.1 [M+H]+, 156.1 [M-NH ]+, tR = 2.60 min.(S)- N,5-dihydroxy-5,6,7,8-tetrahydronaphthalene-l-carboximidamide ENT-5 was prepared in an analogous fashion from (S)-5-hydroxy-5,6,7,8-tetrahydronaphthalene-l-carbonitrile INT -3.

[0275] General Procedure 2. Cyclization to Oxadiazole Amines

[0276] A solution of the appropriate acid (1 eq), HOBt (1.3 eq), and EDC (1.3 eq) in DMF

(0.08 M in acid) was stirred at room temperature under an atmosphere of N2. After the complete formation of the HOBt- acid complex (1-3 h), the (R)- or (S)-amide oxime (1.1 eq) was added to the mixture. After complete formation of the coupled intermediate (ca. 0.5- 2 h), the mixture was heated to 75-95°C until the cyclization was complete (8-12 h). The reaction mixture was diluted with saturated NaHC03 and extracted with EA. The combined organic extracts were dried, concentrated, and could be purified by chromatography (EA/hexanes), preparative HPLC or recrystallization.

[0277] (R)-5-(3-(5-hydroxy-5, 6, 7,8-tetrahydronaphthalen-l-yl)-l,2,4-oxadiazol-5-yl)-2- isopropoxybenzonitnle (Compound 1)

 

Figure imgf000057_0002

[0278] Prepared using General Procedure 2. To a stirring solution of 3-cyano-4- isopropoxybenzoic acid (16.7 mg, 0.08 mmol) in DMF (1 mL) were added HOBt (14.3 mg, 0.11 mmol) and EDCI (20.3 mg, 0.11 mmol). After stirring for 30 min, (R)-N,5-dihydroxy- 5,6,7, 8-tetrahydronaphthalene-l-carboximidamide INT-4 (27.3 mg, 0.09 mmol) was added as a solution in DMF (1.5 mL). After stirring at room temperature for an additional 60 min, the mixture was heated to 90°C for 15 h. The mixture was diluted with EA and washed with NaHC03. The combined organic layers were dried, concentrated, chromatographed (EA/ hexanes) to provide 12.72 mg (42.4%) (R)-5-(3-(5-hydroxy-5,6,7,8-tetrahydronaphthalen-l- yl)-l,2,4-oxadiazol-5-yl)-2-isopropoxybenzonitrile 1 as a white solid. LCMS-ESI (m z) calculated for C22H21N303: 375.4; found 376.1 [M+H]+, tR = 3.73 min. 1H NMR (400 MHz, CDC13) δ 8.42 (d, J = 2.2 Hz, 1H), 8.33 (dd, J = 8.9, 2.2 Hz, 1H), 7.97 (dd, J = 7.7, 1.3 Hz, 1H), 7.66 (d, J = 7.2 Hz, 1H), 7.38 (t, J = 7.7 Hz, 1H), 7.12 (d, J = 9.0 Hz, 1H), 4.91 – 4.83 (m, 1H), 4.79 (dq, J = 12.0, 6.0 Hz, 1H), 3.20 (dt, J = 17.8, 5.4 Hz, 1H), 3.01 (dt, J = 13.3, 6.4 Hz, lH), 2.13 – 1.81 (m, 4H), 1.79 (d, J = 7.2 Hz, 1H), 1.47 (d, J = 5.6 Hz, 6H). 13C NMR (101 MHz, CDC13) δ 172.70, 169.48, 162.75, 140.10, 137.4, 134.13, 133.88, 131.68, 129.96, 126.18, 125.97, 116.82, 115.26, 113.54, 103.95, 72.73, 68.47, 31.62, 28.50, 21.73, 18.57. Chiral HPLC: (R)-5-(3-(5-hydroxy-5,6,7,8-tetrahydronaphthalen-l-yl)-l,2,4-oxadiazol-5-yl)- 2-isopropoxybenzonitrile was eluted with 10% IPA / hexane: 99.4% ee, tR = 40.85 min.

[0279] (S)-5-(3-(5-hydroxy-5,6,7,8-tetrahydronaphthalen-l-yl) -l,2,4-oxadiazol-5-yl) -2- isopropoxybenzonitrile 2 was prepared in an analogous fashion from (S)-5-hydroxy-5,6,7,8- tetrahydronaphthalene-l-carbonitrile INT-5. Chiral HPLC: 99.1% ee, tR for the (S)- enantiomer = 38.19 min.


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DR ANTHONY MELVIN CRASTO Ph.D

DR ANTHONY MELVIN CRASTO, Born in Mumbai in 1964 and graduated from Mumbai University, Completed his Ph.D from ICT, 1991,Matunga, Mumbai, India, in Organic Chemistry, The thesis topic was Synthesis of Novel Pyrethroid Analogues, Currently he is working with AFRICURE PHARMA, ROW2TECH, NIPER-G, Department of Pharmaceuticals, Ministry of Chemicals and Fertilizers, Govt. of India as ADVISOR, earlier assignment was with GLENMARK LIFE SCIENCES LTD, as CONSUlTANT, Retired from GLENMARK in Jan2022 Research Centre as Principal Scientist, Process Research (bulk actives) at Mahape, Navi Mumbai, India. Total Industry exp 32 plus yrs, Prior to joining Glenmark, he has worked with major multinationals like Hoechst Marion Roussel, now Sanofi, Searle India Ltd, now RPG lifesciences, etc. He has worked with notable scientists like Dr K Nagarajan, Dr Ralph Stapel, Prof S Seshadri, etc, He did custom synthesis for major multinationals in his career like BASF, Novartis, Sanofi, etc., He has worked in Discovery, Natural products, Bulk drugs, Generics, Intermediates, Fine chemicals, Neutraceuticals, GMP, Scaleups, etc, he is now helping millions, has 9 million plus hits on Google on all Organic chemistry websites. His friends call him Open superstar worlddrugtracker. His New Drug Approvals, Green Chemistry International, All about drugs, Eurekamoments, Organic spectroscopy international, etc in organic chemistry are some most read blogs He has hands on experience in initiation and developing novel routes for drug molecules and implementation them on commercial scale over a 32 PLUS year tenure till date Feb 2023, Around 35 plus products in his career. He has good knowledge of IPM, GMP, Regulatory aspects, he has several International patents published worldwide . He has good proficiency in Technology transfer, Spectroscopy, Stereochemistry, Synthesis, Polymorphism etc., He suffered a paralytic stroke/ Acute Transverse mylitis in Dec 2007 and is 90 %Paralysed, He is bound to a wheelchair, this seems to have injected feul in him to help chemists all around the world, he is more active than before and is pushing boundaries, He has 100 million plus hits on Google, 2.5 lakh plus connections on all networking sites, 100 Lakh plus views on dozen plus blogs, 227 countries, 7 continents, He makes himself available to all, contact him on +91 9323115463, email amcrasto@gmail.com, Twitter, @amcrasto , He lives and will die for his family, 90% paralysis cannot kill his soul., Notably he has 38 lakh plus views on New Drug Approvals Blog in 227 countries......https://newdrugapprovals.wordpress.com/ , He appreciates the help he gets from one and all, Friends, Family, Glenmark, Readers, Wellwishers, Doctors, Drug authorities, His Contacts, Physiotherapist, etc He has total of 32 International and Indian awards

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