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Discovery of trans-4-[1-[[2,5-Dichloro-4-(1-methyl-3-indolylcarboxamido)phenyl]acetyl]-(4S)-methoxy-(2S)-pyrrolidinylmethoxy]cyclohexanecarboxylic acid: an orally active, selective very late antigen-4 antagonist.

Abstract
We have focused on optimization of the inadequate pharmacokinetic profile of trans-4-substituted cyclohexanecarboxylic acid 5, which is commonly observed in many small molecule very late antigen-4 (VLA-4) antagonists. We modified the lipophilic moiety in 5 and found that reducing the polar surface area of this moiety results in improvement of the PK profile. Consequently, our efforts have led to the discovery of trans-4-[1-[[2,5-dichloro-4-(1-methyl-3-indolylcarboxamido)phenyl]acetyl]-(4S)-methoxy-(2S)-pyrrolidinylmethoxy]cyclohexanecarboxylic acid (14e) with potent activity (IC(50) = 5.4 nM) and significantly improved bioavailability in rats, dogs, and monkeys (100%, 91%, 68%), which demonstrated excellent oral efficacy in murine and guinea pig models of asthma. Based on its overall profile, compound 14e was progressed into clinical trails. In a single ascending-dose phase I clinical study, compound 14e exhibited favorable oral exposure as expected and had no serious adverse events.
AuthorsFumihito Muro, Shin Iimura, Yuuichi Sugimoto, Yoshiyuki Yoneda, Jun Chiba, Toshiyuki Watanabe, Masaki Setoguchi, Yutaka Iigou, Keiko Matsumoto, Atsushi Satoh, Gensuke Takayama, Tomoe Taira, Mika Yokoyama, Tohru Takashi, Atsushi Nakayama, Nobuo Machinaga
JournalJournal of medicinal chemistry (J Med Chem) Vol. 52 Issue 24 Pg. 7974-92 (Dec 24 2009) ISSN: 1520-4804 [Electronic] United States
PMID19891440 (Publication Type: Journal Article)
Chemical References
  • Cyclohexanecarboxylic Acids
  • Indoles
  • Integrin alpha4beta1
  • Pyrrolidines
Topics
  • Administration, Oral
  • Animals
  • Biological Availability
  • CHO Cells
  • Cricetinae
  • Cricetulus
  • Cyclohexanecarboxylic Acids (chemical synthesis, chemistry, pharmacokinetics, pharmacology)
  • Dogs
  • Guinea Pigs
  • Haplorhini
  • Humans
  • Indoles (chemical synthesis, chemistry, pharmacokinetics, pharmacology)
  • Integrin alpha4beta1 (antagonists & inhibitors)
  • Mice
  • Pyrrolidines (chemical synthesis, chemistry, pharmacokinetics, pharmacology)
  • Rats
  • Rats, Sprague-Dawley
  • Structure-Activity Relationship

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