M. H. Abdi et al. / Bioorg. Med. Chem. Lett. 20 (2010) 5080–5084
5083
Table 4
Summary of the pharmacokinetic profile (n = 3) of compound 31
30
Dosing period
Vehicle (CCI)
Vehicle (sham)
20mg/kg
Route of administration Dose
Property
Measured value
20
10
0
IVa
1 mg/kg
CLb (mL/min/kg)
T1/2 (h)
9
Gabapentin (30mg/kg)
1.5
1.1
1.0
2.45
VDss (L/kg)
Tmax (h)
Cmax (lM)
POb
3 mg/
mg
AUC/dose (min kg/L) 73
Fpo 65%
0
20 24 26 28 30 32 34 36 38
Days (post-surgery)
a
Compound 31 was dissolved in 0.9% (w/v) saline containing 10% (w/v)
hydroxypropyl-b-cyclodextrins (HPB) and 2% (v/v) DMSO at a target concentration
of 0.2 mg/mL. It was administered as a 1 h intravenous infusion to achieve a target
dose of 1 mg/kg.
Figure 6. Effect of oral dose of 31 in the chronic constriction injury model in the rat
at oral doses of 20 mg/kg b.i.d. for 8 days. The effect of 8 days oral dosing of 30 mg/
kg b.i.d. gabapentin is included for comparison.
b
Compound 31 was dissolved in 1% (w/v) methylcellulose in water at a con-
centration of 0.6 mg/mL and dosed by oral gavage at a target dose of 3 mg/kg.
in vitro potency, selectivity, and pharmacokinetic properties, and
which do not time-dependently inhibit the CYP450 3A4 enzyme.
Compound 31 was shown to have good efficacy in both the chronic
joint pain model of inflammatory pain and the CCI model of neuro-
pathic pain. Compound 31 was thus identified as having clear po-
tential as a therapeutic agent for the treatment of pain and
addressed the developability concerns highlighted earlier for com-
pounds such as 2. Compound 31 was subsequently selected for
progression into early phase clinical studies. Details of these stud-
ies will be disclosed in a future publication.
steady-state volume of distribution of 1.1 L/kg; and a half-life of
1.5 h. Compound 31 was rapidly absorbed (Cmax achieved within
1 h) following a 3 mg/kg oral dose and had a bioavailability of 65%.
Compound 31 is a selective antagonist of the P2X7 receptor,
showing no appreciable off-target activities (>90 targets, both in-
house and CEREP28 selectivity panels). Whilst the rat receptor
affinity of 31 is relatively modest we were confident that the selec-
tivity for the P2X7 receptor along with the high exposures obtained
on oral dosing in rats, excellent solubility (0.97 mg/mL in FeSSIF29),
and low protein binding (60% in rat plasma) would allow us to reli-
ably evaluate the efficacy of this compound in animal models of
pain.30
Indeed, compound 31 produced (Fig. 5) a highly significant and
dose-related reversal of FCA-induced hypersensitivity in the knee
joint model of chronic inflammatory pain.20 Twice daily doses of
20 and 50 mg/kg produced a maximal reversal of hypersensitivity
which was not statistically different to that obtained with the stan-
dard, celecoxib. Average blood and brain concentrations of 31 at
References and notes
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50 mg/kg, 1.5 h post-dose, were 26.7 and 12.9 lM, respectively.
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The efficacy of 31 in the rat chronic constriction injury (CCI)31
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(Fig. 6). In this model compound 31 (20 mg/kg, po, b.i.d. for 8 days)
significantly reversed mechanical allodynia 1 h post dose on day 1
and this effect was maintained for the duration of the dosing per-
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8 days) at any time during the dosing period. Blood and brain con-
centrations taken after testing on the final day of dosing were 5.91
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and 3.36 lM, respectively (i.e., efficacy confirmed at free exposures
higher than the rat pIC50 in the periphery and CNS in both in vivo
studies).
In summary, we developed a simple P2X7 pharmacophore and
used this in combination with fingerprint-based similarity search-
ing to identify a new series of drug-like P2X7 antagonists with good
12. ClinicalTrial.gov Identifier: NCT00628095.
13. (a) Chambers, L. J.; Stevens, A. J.; Moses, A. P.; Michel, A. D.; Slingsby, B.; Walter,
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Theobald, P. J.; Beswick, P. J.; Gleave, R. J.; Roman, S. A.; Senger, S.; Roomans, S.
Bioorg. Med. Chem. Lett. 2010, 20, 3161; (b) Beswick, P. J.; Billinton, A.;
Chambers, L. J.; Dean, D. K.; Fonfria, E.; Gleave, R. J.; Medhurst, S. J.; Michel, A.
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14. Potencies are measured using a competition experiment using the natural
ligand ATP. ATP activation leads to formation of a large opening in the cell wall
and accumulation of ethidium bromide dye within the cell, levels of which are
measured using fluorescence. All test compounds had Imax values of 100%. Full
details of the assay protocol can be found in patent application WO 2007
141267 A1.
Vehicle
5mg/kg
20mg/kg
50mg/kg
Dosing period
100
75
Celecoxib (30mg/kg)
50
25
0
0
5 10
13 14 15 16 17 18
Days post FCA (intra-articular)
15. Clarke, S. E.; Jeffrey, P. Xenobiotica 2001, 31, 591.
16. Calculated log D values were obtained using ACD Labs software v8.0.
17. Abad-Zapatero, C. Expert Opin. Drug Discovery 2007, 2, 469.
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concept was independently proposed by researchers at Pfizer and termed lipE.
(b) Ryckmans, T.; Edwards, M. P.; Horne, V. A.; Monica Correia, A.; Owen, D. R.;
Figure 5. Effect of oral dose of 31 in the chronic joint pain model in the rat at oral
doses of 5, 20 and 50 mg/kg b.i.d. for 5 days. The effect of 5 days oral dosing of
30 mg/kg b.i.d. celecoxib is included for comparison.