Selective Nonsteroidal Glucocorticoid Receptor Modulators for the Inhaled Treatment of Pulmonary Diseases
作者:Martin Hemmerling、Stinabritt Nilsson、Karl Edman、Stefan Eirefelt、Wayne Russell、Ramon Hendrickx、Eskil Johnsson、Carina Kärrman Mårdh、Markus Berger、Hartmut Rehwinkel、Anna Abrahamsson、Jan Dahmén、Anders R. Eriksson、Balint Gabos、Krister Henriksson、Nafizal Hossain、Svetlana Ivanova、Anne-Helene Jansson、Tina J. Jensen、Anders Jerre、Henrik Johansson、Tomas Klingstedt、Matti Lepistö、Martin Lindsjö、Irene Mile、Grigorios Nikitidis、John Steele、Ulrika Tehler、Lisa Wissler、Thomas Hansson
DOI:10.1021/acs.jmedchem.7b01215
日期:2017.10.26
A class of potent, nonsteroidal, selective indazole ether-based glucocorticoid receptor modulators (SGRMs) was developed for the inhaled treatment of respiratory diseases. Starting from an orally available compound with demonstrated anti-inflammatory activity in rat, a soft-drug strategy was implemented to ensure rapid elimination of drug candidates to minimize systemic GR activation. The first clinical
一类有效的,非甾体的,选择性的基于吲唑醚的糖皮质激素受体调节剂(SGRMs)被开发用于呼吸系统疾病的吸入治疗。从在大鼠中已证明具有抗炎活性的口服可用化合物开始,实施了软禁药策略,以确保快速消除候选药物以最大程度地减少全身性GR激活。第一种临床候选药物1b(AZD5423)在吸入干粉并伴有中度全身性GR效应(评估为胸腺退化)后的过敏性气道炎症大鼠模型中显示出对肺水肿的有效抑制作用。吸入药物特性的进一步优化提供了第二个同样有效的候选药物15m(AZD7594)证明了比基准吸入皮质类固醇3(丙酸氟替卡松)更高的治疗率,并延长了对肺水肿的抑制作用,表明每天进行一次治疗的潜力。