Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist
作者:Daniel D. Long、Scott R. Armstrong、David T. Beattie、Christina B. Campbell、Timothy J. Church、Pierre-Jean Colson、Sean M. Dalziel、John R. Jacobsen、Lan Jiang、Glenmar P. Obedencio、Miroslav Rapta、Daisuke Saito、Ioanna Stergiades、Pamela R. Tsuruda、Priscilla M. Van Dyke、Ross G. Vickery
DOI:10.1021/acsmedchemlett.9b00406
日期:2019.12.12
effects of opioids in the central nervous system (CNS) provide significant benefit in the treatment of pain but can also lead to physical dependence and addiction, which has contributed to a growing opioid epidemic in the United States. Gastrointestinal dysfunction is an additional serious consequence of opioid use, and this can be treated with a localized drug distribution of a non-CNS penetrant, peripherally
阿片类药物在中枢神经系统(CNS)中的作用在治疗疼痛方面提供了显着的益处,但也可能导致身体上的依赖性和成瘾性,这在美国加剧了阿片类药物的流行。胃肠功能障碍是使用阿片类药物的另一个严重后果,可以通过非CNS渗透剂,外周限制性阿片受体拮抗剂的局部药物分布来治疗。在这里,我们描述了Theravance的多价方法在药物发现中的应用以及理化性质设计策略,该策略通过N-取代的-endo-3-(8-氮杂-双环[3.2.1] oct-3-yl)-苯基对羧酰胺系列的μ阿片受体拮抗剂进行了优化,以提供口服吸收的非CNS渗透剂,