SAR studies focused on improving the pharmacokinetic (PK) properties of the previously reported potent and selective Btk inhibitor CGI-1746 (1) resulted in the clinical candidate GDC-0834 (2), which retained the potency and selectivity of CGI-1746, but with much improved PK in preclinical animal models. Structure based design efforts drove this work as modifications to 1 were investigated at both the
                                    SAR研究专注于改善先前报道的有效和选择性Btk
抑制剂CGI-1746(1)的药代动力学(PK)特性,从而产生了临床候选药物GDC-0834(2),该药物保留了CGI-1746的效力和选择性,但在临床前动物模型中改善了PK。基于结构的设计工作推动了这项工作,因为在溶剂暴露区域以及“ H3结合口袋”处都对1的修饰进行了研究。但是,体外代谢评价为2揭示了一种非CYP介导的代谢过程,在人类中比临床前物种(小鼠,大鼠,狗,猕猴)更普遍,从而导致在预测人类药代动力学方面存在高度不确定性。由于其有希望的效价,选择性和临床前功效,因此在健康志愿者中进行了单剂量IND并接受了2项单剂量I期试验,以快速评估人的药代动力学。在人类中,发现2在将四氢
苯并噻吩部分连接至中央
苯胺环的环外酰胺键上非常不稳定,从而导致母体药物暴露不足。该信息为备份计划和改进
抑制剂的发现提供了信息。