A.X. Wang et al. / Bioorganic & Medicinal Chemistry Letters xxx (2016) xxx–xxx
7
the hydrophobic pocket beyond the S2 region, while the distal phe-
nyl ring packs optimally against the side chain of Arg155, estab-
lishing both hydrophobic and electrostatic contacts. It is
interesting to note that replacement of the distal phenyl ring with
5- or 6-membered heterocycles (5xa, 5xb, 5xc) maintained the
inhibitory potency toward NS3 protease in the biochemical
enzyme assay, although this effect deteriorated somewhat in the
cell-based replicon assay, perhaps due to permeability issues asso-
ciated with these more polar elements.
The activity of 5v warranted an exploration of its pharmacoki-
netic profile with compound 3 used as a point of reference. Upon
intraduodenal (ID) dosing to rats, 5v showed a 10-fold lower
plasma exposure and 5-fold lower liver levels when compared to
3 (Table 2). With a need to enhance the absorption properties of
this biphenyl series, we considered structural modifications to
reduce polarity and thereby potentially increase permeability. As
noted above, in its bound conformation, the tertiary hydroxyl moi-
ety in 5v is predicted to be devoid of any direct or water-bridged
indirect interactions with the protein but instead projects into sol-
vent. Hence, capping this hydrogen bond donor with a hydropho-
bic moiety, specifically a methyl group, was considered as a
means of reducing the polarity of this chemical series and poten-
tially improving permeability.16
To this end, the C4-biphenyl-C4-methoxy analogue 5z was syn-
thesized with characterization revealing it to be a key compound in
the series. The C4-methoxy group of 5z improved activity over its
hydroxyl counterpart 5v in both the biochemical and replicon
assays (Table 1). The activity gains in the biochemical assay
observed with 5z might be explained by a lowering of the desolva-
tion penalty associated with ligand binding to the enzyme, while
the increase in cell-based replicon activity may be a consequence
of the enhanced permeability of this compound, a notion sup-
ported by the enhanced permeability of 5z compared to 5v in the
parallel artificial membrane permeability assay (PAMPA) assay
(Table 2).
the 20 min perfusion period (Table 3). A similarly favorable CV pro-
file with respect to HR and SNRT was also observed with the C4-
hydroxy analogue 5v. These data suggested that the CV signal
observed with BMS-605339 (3), was mitigated by the structural
changes incorporated into the P2 motif found in 5v and 5z. How-
ever, 5z produced changes to coronary flow that while modest,
were not observed with BMS-605339 (3) or asunaprevir (4). More-
over, given the observation that humans appeared to be more sen-
sitive to the CV effects of 3 than were preclinical species, the
cardiovascular effects of 5z, although mild in the Langendorff rab-
bit preparation, were a cause for some concern. Hence, while 5z
provided to be a compelling compound with respect to its potency
and PK properties, further study of this compound was halted due
to the potential concern around the preclinical CV profile. As a con-
sequence, more detailed preclinical profiling of asunaprevir (4)
became the focus of the program.
In summary, a series of potent, tripeptidic NS3 protease inhibi-
tors incorporating an aryl moiety at C-4 of the P2 proline residue is
described. Structure-activity relationships established in the P2⁄
region of the molecules defined a linear biaryl system as optimal
for potency. Modeling studies assessing plausible binding modes
suggested that the para-biphenyl orients into the hydrophobic
pocket beyond the S2 region, while the distal phenyl ring packs
optimally against the side chain of Arg155, establishing both
hydrophobic and electrostatic contacts. The pharmacokinetic pro-
file of the C4-biaryl, C4 hydroxy lead, 5v, was relatively poor, how-
ever methylation of this hydroxy moiety provided 5z, which had an
enhanced PK profile and likewise improved antiviral activity. This
lead was tested in the isolated heart model, where a slight increase
in coronary flow was observed. Although this finding was modest,
it nonetheless provided a point of differentiation from the program
lead, asunaprevir (4), which was proven free of a CF effect in this
ex vivo assay. While the biaryl series described herein did not pro-
gress to the clinical stage, these findings provide further insight
into potential applications of the C4 proline biaryl series as a P2
functionality when targeting proteases and as a general motif in
considering drug-like functionality.
The simplicity of the optimized P2⁄ functionality in 5z was
attractive and the PK properties of this biphenyl analogue were
assessed. Upon intra-duodenal (ID) dosing of 5z to rats the
observed plasma and liver levels were respectively 3- and 15-fold
higher than that found with 5v (Table 2). The enhanced systemic
exposure of 5z compared to 5v can be attributed to the methoxy
group in the former which distinguishes this matched pair of struc-
tures and is consistent with the in vitro PAMPA permeability pro-
files of these compounds. In a 24 h PK study, administration of 5z
to rats at a dose of 15 mg/kg resulted in good oral bioavailability
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at 58%, with plasma exposure of 14.1
lM-h and liver levels of
795 g/g at the 24 h time point. Intravenous dosing of 5z at
l
5 mg/kg resulted in modest clearance of 17.8 mL/min/kg and a
half-life of 4.6 h. The pharmacokinetic profile of 5z is similar to that
observed for BMS-605339 (3) with respect to t1/2 in plasma and
concentration of drug in the liver at 24 h (Table 2), while the oral
bioavailability of 5z was greater than that observed for BMS-
605339 (3).
Compound 5z was next evaluated in the isolated rabbit heart
model where it was perfused at a fixed and protein-free concentra-
tion of 10 lM with key cardiovascular parameters monitored as a
function of time. Of importance were effects on heart rate (HR)
and sinoatrial node recovery time (SNRT) since these findings
had been significant for 3 and ex post facto were found to correlate
with clinical findings. Infusion of 5z to isolated hearts produced
changes in HR and SNRT that were comparable to vehicle over