BI 186908 (11g) was shown to have low metabolic stability in
hepatocytes from rats and dogs and moderate stability in
hepatocytes from monkeys and humans (Table 4). A good
correlation was found between in vitro metabolic stability and in
vivo clearance in the animal species investigated. The low
bioavailability observed in dog is most likely caused by first pass
elimination (in accordance with the high plasma clearance) and
not by poor absorption. Plasma protein binding is comparable
across species with a slightly lower value observed in dogs.
There is no indication that transporters significantly influence
absorption or brain penetration (efflux in the Caco-2 model 1.0;
concentrations in cerebrospinal fluid were comparable to
unbound plasma concentrations). BI 186908 (11g) causes a
moderate inhibition of CYP 3A4 and exhibits a moderate CYP
induction potential (only at 30 µM, PXR screening assay). BI
186908 (11g) tested negative in the AMES screening assay, and
the phospholipidogenic potential was considered to be low as no
effects were observed at 100 µM in the screening assay. The
crystalline hydrochloride salt of BI 186908 (11g) exhibted
favorable aqueous solubility (Table 4).
parameters employing property-based design yielded BI 186908
(11g), a potent and selective antagonist of the MCH-R1 with
favorable DMPK, CMC and pharmacological properties. Based
on its favorable safety profile, BI 186908 was advanced to pre-
clinical development.
Acknowledgements
We thank Fabian Aich, Kathi Beller, Vanessa Hiller, Siegfried
Kolb, Nicole Maier and Stefanie Rausenberger for their skillful
syntheses of the MCH-R1 antagonists described in this
manuscript.
References and notes
1. Johannson, A. Expert Opin. Ther. Pat. 2011, 21,905.
2. Reasor, M. J.; Hastings, K. L.; Ulrich, R. G. Expert Opin. Drug.
Saf. 2006, 5, 567.
3. Méndez-Andino, J. L.; Wos, J. A. Drug Disc. Today 2007, 12,
972.
4. Högberg, T.; Frimurer, T. M.; Sasmal, P. K. Bioorg. Med. Chem.
Lett. 2012, 22, 6039.
5. Roth, G. J.; Heckel, A.; Kley, J. T.; Lehmann, T.; Müller, S. G.;
Oost, T.; Rudolf, K.; Arndt, K.; Budzinski, R.; Lenter, M.; Lotz,
R. R. H.; Schindler, M.; Thomas, L.; Stenkamp, D.; preceding
paper.
<FIGURE 2>
6. Müller, S. G.; Heckel, A.; Kley, J. T.; Lehmann, T.; Lustenberger,
P.; Oost, T.; Roth, G. J.; Rudolf, K.; Arndt, K.; Lenter, M.; Lotz,
R. R. H.; Maier, G.-M.; Markert, M.; Schindler, M.; Thomas, L.;
Stenkamp, D.; preceding paper.
Pharmacological efficacy of BI 186908 (11g) was assessed in
a 4-week study in diet-induced obese female Wistar rats made
obese by feeding a simplified cafeteria diet (high-fat chow,
chocolate and peanuts) for four months (baseline body weight
440-450 g). In this study, a twice daily oral dosing regimen of 3,
6 and 10 mg/kg BI 186908 (11g) was chosen in comparison to
the marketed oral anorexiant sibutramine (5 mg/kg once daily).
The dose chosen for sibutramine is the maximally tolerated dose
in rat. Whereas sibutramine showed a rapid onset of efficacy, all
other treatments resulted in a more gradual weight loss which
was sustained after 4 weeks of dosing (Figure 2). Placebo-
corrected body weight reduction was 7.7% (3 mg/kg bid BI
186908), 10.1% (6 mg/kg bid BI 186908), 10.2% (10 mg/kg bid
BI 186908), and 10.9% (5 mg/kg qd sibutramine). This can be
attributed exclusively to a decrease in body fat content. The
content of water and protein was unchanged. All treatments were
well tolerated. The efficacious human dose was conservatively
estimated (data not shown) based on the exposure observed in the
fully efficacious 6 mg/kg bid dosing regimen (AUC0-24h ~ 2,600
nM·h).
7. Ando, M.; Sekino, E.; Haga, Y.; Moriya, M.; Ito, M.; Ito, J.;
Iwaasa, H.; Ishihara, A.; Kanatani, A.; Ohtake, N. Bioorg. Med.
Chem. Lett. 2009, 19, 5186.
8. Oost, T.; Lotz, R.; Stenkamp, D. WO13131935, 2013; Stenkamp,
D. et al.WO09103478, 2009; Stenkamp, D. et al. WO08022979,
2008; MCH-R1 binding assay: Membranes from CHO/Galpha16
cells stably transfected with human MCH-R1 are re-suspended
using a syringe (needle 0.6 x 25 mm) and diluted in test buffer (50
mM HEPES, 10 mM MgCl2, 2 mM EGTA, pH 7.00; 0.1 % bovine
serum albumin (protease-free), 0.021 % bacitracin, 1 µg/ml
aprotinin, 1 µg/ml leupeptin and 1 µM phosphoramidone) to a
concentration of 5 to 15 µg/ml. 200 µL of this membrane fraction
(contains 1 to 3 µg of protein) are incubated for 60 minutes at
ambient temperature with 100 pM of 125I-tyrosyl melanin
concentrating hormone (125I-MCH commercially obtainable from
NEN) and increasing concentrations of the test compound in a
final volume of 250 µL. After the incubation the reaction is
filtered using a cell harvester through 0.5% PEI treated fibreglass
filters (GF/B, Unifilter Packard). The membrane-bound
radioactivity retained on the filter is then determined after the
addition of scintillator substance (Packard Microscint 20) in a
measuring device (TopCount of Packard). The non-specific
binding is defined as bound radioactivity in the presence of 1 µM
MCH during the incubation period. The analysis of the
concentration binding curve is carried out on the assumption of
one receptor binding site. IC50 values are the mean of at least two
separately performed experiments. Standard: Non-labelled MCH
competes with labelled 125I-MCH for the receptor binding with an
IC50 value of 0.06 - 0.15 nM. The KD value of the radioligand is
0.16 nM; HPLC-based logP determinations according to:
Donovan, S. F.; Pescatore, M. C. J. Chromatogr. A 2002, 952, 47.
9. Phospholipidosis assay according to: (a) Xia, Z.; Appelkvist, E.-
L.; DePierre, J. W.; Nässberger, L. Biochem. Pharm. 1997, 53,
1521. (b) Casartelli, A.; Bonato, M.; Cristofori, P.; Crivellente, F.;
Dal Negro, G.; Masotto, I.; Mutinelli, C.; Valko, K.; Bonfante, V.
Cell Biol. Tox. 2003, 19, 161.
Cardiovascular effects of BI 186908 (11g) were assessed in
the conscious cynomolgus monkey after oral administration of 3,
10 and 30 mg/kg (corresponding to 2.4, 8 and 24-fold estimated
human Cmax, respectively). In summary, BI 186908 exhibited a
favorable cardiovascular safety profile (data not shown); no
effects on systolic and diastolic blood pressure, left ventricular
pressure, or myocardial contractility were observed at any dose.
For the 30 mg/kg dose, there was a significant slight decrease in
heart rate, a trend towards increase in the PR interval and a trend
towards reduction in body temperature. When corrected for heart
rate and body temperature, there was no significant increase in
the QTc-interval.10
10. Markert, M.; Shen, R.; Trautmann, T.; Guth, B. J. Pharmacol.
Toxicol. 2011, 64, 25.
In conclusion, optimization of metabolic stability employing
steric shielding of a labile keto moiety and in vitro safety