Decreasing the Rate of Metabolic Ketone Reduction in the Discovery of a Clinical Acetyl-CoA Carboxylase Inhibitor for the Treatment of Diabetes
作者:David A. Griffith、Daniel W. Kung、William P. Esler、Paul A. Amor、Scott W. Bagley、Carine Beysen、Santos Carvajal-Gonzalez、Shawn D. Doran、Chris Limberakis、Alan M. Mathiowetz、Kirk McPherson、David A. Price、Eric Ravussin、Gabriele E. Sonnenberg、James A. Southers、Laurel J. Sweet、Scott M. Turner、Felix F. Vajdos
DOI:10.1021/jm5016022
日期:2014.12.26
2 diabetes mellitus (T2DM), hepatic steatosis, and cancer. However, the identification of tool compounds suitable to test the hypothesis in human trials has been challenging. An advanced series of spirocyclic ketone-containing ACC inhibitors recently reported by Pfizer were metabolized in vivo by ketone reduction, which complicated human pharmacology projections. We disclose that this metabolic reduction
乙酰辅酶A羧化酶(ACC)抑制剂为2型糖尿病(T2DM),肝脂肪变性和癌症的治疗提供了巨大的潜力。然而,鉴定适于在人体试验中测试该假设的工具化合物一直具有挑战性。辉瑞公司最近报道的一系列先进的含螺环酮的ACC抑制剂在体内通过酮还原代谢,这使人的药理学预测复杂化。我们公开了通过与酮羰基相邻引入空间位阻,可以大大减轻这种代谢减少。弱碱性功能的引入改善了溶解度并导致鉴定出9作为治疗T2DM的临床候选药物。I期临床研究表明,暴露量与剂量成比例增加,新生脂肪生成(DNL)的单剂量抑制作用以及间接量热法的变化与全身脂肪酸氧化增加一致。靶标参与的这一证明验证了化合物9在评估DNL在人类疾病中的作用的使用。