The Discovery of <i>N</i>-(1-Methyl-5-(trifluoromethyl)-1<i>H</i>-pyrazol-3-yl)-5-((6- ((methylamino)methyl)pyrimidin-4-yl)oxy)-1<i>H</i>-indole-1-carboxamide (Acrizanib), a VEGFR-2 Inhibitor Specifically Designed for Topical Ocular Delivery, as a Therapy for Neovascular Age-Related Macular Degeneration
作者:Christopher M. Adams、Karen Anderson、Gerald Artman、Jean-Claude Bizec、Rosemarie Cepeda、Jason Elliott、Elizabeth Fassbender、Malay Ghosh、Shawn Hanks、Leo A. Hardegger、Vinayak P. Hosagrahara、Bruce Jaffee、Keith Jendza、Nan Ji、Leland Johnson、Wendy Lee、Donglei Liu、Fang Liu、Debby Long、Fupeng Ma、Nello Mainolfi、Erik L. Meredith、Karl Miranda、Yao Peng、Stephen Poor、James Powers、Yubin Qiu、Chang Rao、Siyuan Shen、Jeremy M. Sivak、Catherine Solovay、Peter Tarsa、Amber Woolfenden、Chun Zhang、Yiqin Zhang
DOI:10.1021/acs.jmedchem.7b01731
日期:2018.2.22
A noninvasive topical ocular therapy for the treatment of neovascular or "wet" age-related macular degeneration would provide a patient administered alternative to the current standard of care, which requires physician administered intravitreal injections. This manuscript describes a novel strategy for the use of in vivo models of choroidal neovascularization (CNV) as the primary means of developing SAP. related to efficacy from topical administration. Ultimately, this effort led to the discovery of acrizanib (LHA510), a small molecule VEGFR-2 inhibitor with potency and efficacy in rodent CNV models, limited systemic exposure after topical ocular administration, multiple formulation options, and an acceptable rabbit ocular PK profile.