Inhalation by Design: Novel Tertiary Amine Muscarinic M<sub>3</sub> Receptor Antagonists with Slow Off-Rate Binding Kinetics for Inhaled Once-Daily Treatment of Chronic Obstructive Pulmonary Disease
作者:Paul A. Glossop、Christine A. L. Watson、David A. Price、Mark E. Bunnage、Donald S. Middleton、Anthony Wood、Kim James、Dannielle Roberts、Ross S. Strang、Michael Yeadon、Christelle Perros-Huguet、Nicholas P. Clarke、Michael A. Trevethick、Ian Machin、Emilio F. Stuart、Steven M. Evans、Anthony C. Harrison、David A. Fairman、Balaji Agoram、Jane L. Burrows、Neil Feeder、Craig K. Fulton、Barry R. Dillon、David A. Entwistle、Fiona J. Spence
DOI:10.1021/jm200884j
日期:2011.10.13
A novel tertiary amine series of potent muscarinic M-3 receptor antagonists are described that exhibit potential as inhaled long-acting bronchodilators for the treatment of chronic obstructive pulmonary disease. Geminal dimethyl functionality present in this series of compounds confers very long dissociative half-life (slow off-rate) from the M-3 receptor that mediates very long-lasting smooth muscle relaxation in guinea pig tracheal strips. Optimization of pharmacokinetic properties was achieved by combining rapid oxidative clearance with targeted introduction of a phenolic moiety to secure rapid glucuronidation. Together, these attributes minimize systemic exposure following inhalation, mitigate potential drug-drug interactions, and reduce systemically mediated adverse events. Compound 47 (PP-3635659) is identified as a Phase II clinical candidate from this series with in vivo duration of action studies confirming its potential for once-daily use in humans.