4-((R)-2-{[6-((S)-3-Methoxypyrrolidin-1-yl)-2-phenylpyrimidine-4-carbonyl]amino}-3-phosphonopropionyl)piperazine-1-carboxylic Acid Butyl Ester (ACT-246475) and Its Prodrug (ACT-281959), a Novel P2Y12 Receptor Antagonist with a Wider Therapeutic Window in the Rat Than Clopidogrel
摘要:
Recent post hoc analyses of several clinical trials with P2Y(12) antagonists showed the need for new molecules being fully efficacious as antiplatelet agents and having a reduced propensity to cause major bleeding. We have previously reported the discovery of the 2-phenylpyrimidine-4-carboxamide analogs as P2Y(12) antagonists with nanomolar potency in the disease-relevant platelet aggregation assay in human plasma. Herein we present the optimization steps that led to the discovery of clinical candidate ACT-246475 (30d). The key step was the replacement of the carboxylic acid functionality by a phosphonic acid group which delivered the most potent molecules of the program. In addition, low in vivo clearance in rat and dog was achieved for the first time. Since the bioavailability of 30d was low in rat and dog, we developed the bis((isopropoxycarbonyl)oxy)methyl ester prodrug (ACT-281959, 45). Compound 30d showed efficacy in the rat ferric chloride thrombosis model when administered intravenously as parent or orally as its prodrug 45. Moreover, 30d displays a wider therapeutic window as compared to clopidogrel in the rat surgical blood loss model.
2-PHENYL-6-AMINOCARBONYL-PYRIMIDINE DERIVATIVES AND THEIR USE AS P2Y12 RECEPTOR ANTAGONISTS
申请人:Actelion Pharmaceuticals Ltd.
公开号:EP2079711A2
公开(公告)日:2009-07-22
US8044055B2
申请人:——
公开号:US8044055B2
公开(公告)日:2011-10-25
[EN] 2-PHENYL-6-AMINOCARBONYL-PYRIMIDINE DERIVATIVES<br/>[FR] DÉRIVÉS DE 2-PHÉNYL-6-AMINOCARBONYL-PYRIMIDINE
申请人:ACTELION PHARMACEUTICALS LTD
公开号:WO2008050301A2
公开(公告)日:2008-05-02
[EN] The invention relates to 2-phenyl-6-aminocarbonyl-pyrimidine derivatives and their use as P2Y12 receptor antagonists in the treatment and/or prevention and/or treatment of peripheral vascular, of visceral-, hepatic- and renal-vascular, of cardiovascular and of cerebrovascular diseases or conditions associated with platelet aggregation, including thrombosis in humans and other mammals. [FR] La présente invention concerne des dérivés de 2-phényl-6-aminocarbonyl-pyrimidine et leur utilisation en tant qu'antagonistes de récepteur P2Y12 dans le traitement et/ou la prévention et/ou le traitement de maladies et états vasculaires périphériques, viscéro-, hépato- et rénovasculaires, cardiovasculaires et cérébrovasculaires associés à l'agrégation plaquettaire, tels que la thrombose chez les êtres humains et autres mammifères.