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7-Substituted 2-Nitro-5,6-dihydroimidazo[2,1-b][1,3]oxazines: Novel Antitubercular Agents Lead to a New Preclinical Candidate for Visceral Leishmaniasis.

Abstract
Within a backup program for the clinical investigational agent pretomanid (PA-824), scaffold hopping from delamanid inspired the discovery of a novel class of potent antitubercular agents that unexpectedly possessed notable utility against the kinetoplastid disease visceral leishmaniasis (VL). Following the identification of delamanid analogue DNDI-VL-2098 as a VL preclinical candidate, this structurally related 7-substituted 2-nitro-5,6-dihydroimidazo[2,1-b][1,3]oxazine class was further explored, seeking efficacious backup compounds with improved solubility and safety. Commencing with a biphenyl lead, bioisosteres formed by replacing one phenyl by pyridine or pyrimidine showed improved solubility and potency, whereas more hydrophilic side chains reduced VL activity. In a Leishmania donovani mouse model, two racemic phenylpyridines (71 and 93) were superior, with the former providing >99% inhibition at 12.5 mg/kg (b.i.d., orally) in the Leishmania infantum hamster model. Overall, the 7R enantiomer of 71 (79) displayed more optimal efficacy, pharmacokinetics, and safety, leading to its selection as the preferred development candidate.
AuthorsAndrew M Thompson, Patrick D O'Connor, Andrew J Marshall, Vanessa Yardley, Louis Maes, Suman Gupta, Delphine Launay, Stephanie Braillard, Eric Chatelain, Scott G Franzblau, Baojie Wan, Yuehong Wang, Zhenkun Ma, Christopher B Cooper, William A Denny
JournalJournal of medicinal chemistry (J Med Chem) Vol. 60 Issue 10 Pg. 4212-4233 (05 25 2017) ISSN: 1520-4804 [Electronic] United States
PMID28459575 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antiprotozoal Agents
  • Antitubercular Agents
  • Nitroimidazoles
  • Oxazines
Topics
  • Animals
  • Antiprotozoal Agents (chemistry, pharmacokinetics, pharmacology, therapeutic use)
  • Antitubercular Agents (chemistry, pharmacokinetics, pharmacology, therapeutic use)
  • Cricetinae
  • Drug Discovery
  • Female
  • Humans
  • Leishmania donovani (drug effects)
  • Leishmania infantum (drug effects)
  • Leishmaniasis, Visceral (drug therapy)
  • Male
  • Mesocricetus
  • Mice
  • Mice, Inbred BALB C
  • Nitroimidazoles (chemistry, pharmacokinetics, pharmacology, therapeutic use)
  • Oxazines (chemistry, pharmacology, therapeutic use)
  • Rats, Sprague-Dawley

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