Discovery of (<i>R</i>)-9-Ethyl-1,3,4,10b-tetrahydro-7-trifluoromethylpyrazino[2,1-<i>a</i>]isoindol- 6(2<i>H</i>)-one, a Selective, Orally Active Agonist of the 5-HT<sub>2C</sub> Receptor
作者:Dean A. Wacker、Jeffrey G. Varnes、Sarah E. Malmstrom、Xueying Cao、Chen-Pin Hung、Thao Ung、Ginger Wu、Ge Zhang、Eva Zuvich、Michael A. Thomas、William J. Keim、Mary Jane Cullen、Kenneth W. Rohrbach、Qinling Qu、Rangaraj Narayanan、Karen Rossi、Evan Janovitz、Lois Lehman-McKeeman、Mary F. Malley、James Devenny、Mary Ann Pelleymounter、Keith J. Miller、Jeffrey A. Robl
DOI:10.1021/jm0612968
日期:2007.3.1
Robust pharmaceutical treatment of obesity has been limited by the undesirable side-effect profile of currently marketed therapies. This paper describes the synthesis and optimization of a new class of pyrazinoisoindolone-containing, selective 5-HT2C agonists as antiobesity agents. Key to optimization of the pyrazinoisoindolone core was the identification of the appropriate substitution pattern and functional groups which led to the discovery of (R)-9-ethyl-1,3,4,10b-tetrahydro-7-trifluoromethylpyrazino[2,1-a]isoindol-6(2H)-one (58), a 5-HT2C agonist with > 300-fold functional selectivity over 5-HT2B and > 70-fold functional selectivity over 5-HT2A. Oral dosing of 58 reduced food intake in an acute rat feeding model, which could be completely reversed by a selective 5-HT2C antagonist and caused a reduction in body weight gain in a 4-day rat model.