Identification of Mineralocorticoid Receptor Modulators with Low Impact on Electrolyte Homeostasis but Maintained Organ Protection
摘要:
The mechanism-based risk for hyperkalemia has limited the use of mineralocorticoid receptor antagonists (MRAs) like eplerenone in cardio-renal diseases. Here, we describe the structure and property-driven lead generation and optimization, which resulted in identification of MR modulators (S)-1 and (S)-33. Both compounds were partial MRAs but still demonstrated equally efficacious organ protection as eplerenone after 4 weeks of treatment in uni-nephrectomized rats on high-salt diet and aldosterone infusion. Importantly, and in sharp contrast to eplerenone, this was achieved without substantial changes to the urine Na+/K+ ratio after acute treatment in rat, which predicts a reduced risk for hyperkalemia. This work led to selection of (S)-1 (AZD9977) as the clinical candidate for treating MR-mediated cardio-renal diseases, including chronic kidney disease and heart failure. On the basis of our findings, we propose an empirical model for prediction of compounds with low risk of affecting the urinary Na+/K+ ratio in vivo.
[EN] INHIBITORS OF CBL-B AND METHODS OF USE THEREOF<br/>[FR] INHIBITEURS DE CBL-B ET LEURS PROCÉDÉS D'UTILISATION
申请人:NURIX THERAPEUTICS INC
公开号:WO2019148005A1
公开(公告)日:2019-08-01
Compounds, compositions, and methods for use in inhibiting the E3 enzyme Cbl-b in the ubiquitin proteasome pathway are disclosed. The compounds, compositions, and methods can be used to modulate the immune system, to treat diseases amenable to immune system modulation, and for treatment of cells in vivo, in vitro, or ex vivo.
This invention provides compounds represented by formula (X): (X), wherein all variable groups are as defined in the specification, compounds, or their stereoisomers, tautomers, or pharmaceutically acceptable salts. These compounds are selective factor XIa inhibitors or dual inhibitors of factor XIa and plasma kallikrein. The invention also relates to pharmaceutical compositions containing these compounds and methods for treating thrombotic and/or inflammatory disorders using them.
[EN] PYRAZOLE SUBSTITUTED IMIDAZOPYRAZINES AS CASEIN KINASE 1 D/E INHIBITORS<br/>[FR] UTILISATION D'IMIDAZOPYRAZINES À SUBSTITUTION PYRAZOLE COMME INHIBITEURS DE CASÉINE KINASE 1 D/E
申请人:BRISTOL MYERS SQUIBB CO
公开号:WO2014100540A1
公开(公告)日:2014-06-26
The invention provides compounds of Formula (I) and pharmaceutically acceptable salts thereof. The compounds of Formula (I) inhibit protein kinase activity thereby making them useful as anticancer agents.
Novel Fluorene Derivatives, Composition Containing Said Derivatives and the Use Thereof
申请人:MAILLIET Patrick
公开号:US20080153837A1
公开(公告)日:2008-06-26
This invention relates to derivatives of 4-(benzimidazol-2-yl)fluorene and 4-(azabenzimidazol-2-yl)fluorene, to pharmaceutical compositions comprising such derivatives, and to methods of treatment of disorders related to Hsp90 protein activity, comprising administering such derivatives.
2-Hydroxy-mutilin carbamate derivatives for antibacterial use
申请人:——
公开号:US20030114674A1
公开(公告)日:2003-06-19
1
2-(S)-hydroxymutilin carbamate derivatives of formula (I), in which R
1
is a 5- or 6-membered optionally substituted heteroaryl group; and R
2
is vinyl or ethyl, are useful in the treatment of bacterial infections.