Lead Optimization and Avoidance of Reactive Metabolite Leading to PCO371, a Potent, Selective, and Orally Available Human Parathyroid Hormone Receptor 1 (hPTHR1) Agonist
作者:Yoshikazu Nishimura、Toru Esaki、Yoshiaki Isshiki、Yoshiyuki Furuta、Akemi Mizutani、Tomoya Kotake、Takashi Emura、Yoshiaki Watanabe、Masateru Ohta、Toshito Nakagawa、Kotaro Ogawa、Shinichi Arai、Hiroshi Noda、Hidetomo Kitamura、Masaru Shimizu、Tatsuya Tamura、Haruhiko Sato
DOI:10.1021/acs.jmedchem.9b01743
日期:2020.5.28
We have previously shown that the oral administration of the small molecule hPTHR1 agonist PCO371 and its lead compound, 1 (CH5447240) results in PTH-like calcemic and hypophostemic activity in thyroparathyroidectomized rats. However, 1 was converted to a reactive metabolite in a human liver microsome assay. In this article, we report on the modification path that led to an enhancement of PTHR1 agonistic activity and reduction in the formation of a reactive metabolite to result in a potent, selective, and orally active PTHR1 agonist 1-(3,5-dimethyl-4-(2-((4-oxo-2-(4-(trifluoromethoxy)phenyl)-1,3,8-triazaspiro [4.5] dec-1-en-8-yl)sulfonyl) - ethyl)phenyl)-5,5-dimethylimidazolidine-2,4-dione (PCO371, 16c). This compound is currently being evaluated in a phase 1 clinical study for the treatment of hypoparathyroidism.