Discovery of 5-Chloro-4-((1-(5-chloropyrimidin-2-yl)piperidin-4-yl)oxy)-1-(2-fluoro-4-(methylsulfonyl)phenyl)pyridin-2(1<i>H</i>)-one (BMS-903452), an Antidiabetic Clinical Candidate Targeting GPR119
作者:Dean A. Wacker、Ying Wang、Matthias Broekema、Karen Rossi、Steven O’Connor、Zhenqiu Hong、Ginger Wu、Sarah E. Malmstrom、Chen-Pin Hung、Linda LaMarre、Anjaneya Chimalakonda、Lisa Zhang、Li Xin、Hong Cai、Cuixia Chu、Stephanie Boehm、Jacob Zalaznick、Randolph Ponticiello、Larisa Sereda、Song-Ping Han、Rachel Zebo、Bradley Zinker、Chiuwa Emily Luk、Richard Wong、Gerry Everlof、Yi-Xin Li、Chunyu K. Wu、Michelle Lee、Steven Griffen、Keith J. Miller、John Krupinski、Jeffrey A. Robl
DOI:10.1021/jm501175v
日期:2014.9.25
G-protein-coupled receptor 119 (GPR119) is expressed predominantly in pancreatic beta-cells and in enteroendocrine cells in the gastrointestinal tract. GPR119 agonists have been shown to stimulate glucose-dependent insulin release by direct action in the pancreas and to promote secretion of the incretin GLP-1 by action in the gastrointestinal tract. This dual mechanism of action has generated significant interest in the discovery of small molecule GPR119 agonists as a potential new treatment for type 2 diabetes. Herein, we describe the discovery and optimization of a new class of pyridone containing GPR119 agonists. The potent and selective BMS-903452 (42) was efficacious in both acute and chronic in vivo rodent models of diabetes. Dosing of 42 in a single ascending dose study in normal healthy humans showed a dose dependent increase in exposure and a trend toward increased total GLP-1 plasma levels.