Journal of Medicinal Chemistry
Article
mediated mechanism independently of cholesteryl ester transfer
protein inhibition. Endocrinology 2009, 150, 2211−2219.
(11) Johns, D. G.; Duffy, J.; Fisher, T.; Hubbard, B. K.; Forrest, M. J.
On- and off-target pharmacology of torcetrapib: current understanding
and implications for the structure activity relationships (SAR),
discovery and development of cholesteryl ester-transfer protein
(CETP) inhibitors. Drugs 2012, 72, 491−507.
(12) Schwartz, G. G.; Olsson, A. G.; Abt, M.; Ballantyne, C. M.;
Barter, P. J.; Brumm, J.; Chaitman, B. R.; Holme, I. M.; Kallend, D.;
Leiter, L. A.; Leitersdorf, E.; McMurray, J. J.; Mundl, H.; Nicholls, S. J.;
Shah, P. K.; Tardif, J. C.; Wright, R. S.; dal-OUTCOMES
Investigators. Effects of dalcetrapib in patients with a recent acute
coronary syndrome. N. Engl. J. Med. 2012, 367, 2089−2099.
(13) Nicholls, S. J.; Lincoff, A. M.; Barter, P. J.; Brewer, H. B.; Fox, K.
A.; Gibson, C. M.; Grainger, C.; Menon, V.; Montalescot, G.; Rader,
D.; Tall, A. R.; McErlean, E.; Riesmeyer, J.; Vangerow, B.; Ruotolo, G.;
Weerakkody, G. J.; Nissen, S. E. Assessment of the clinical effects of
cholesteryl ester transfer protein inhibition with evacetrapib in patients
at high-risk for vascular outcomes: Rationale and design of the
ACCELERATE trial. Am. Heart J. 2015, 170, 1061−1069.
(14) Barter, P. J.; Rye, K. A. Cholesteryl ester transfer protein
inhibition is not yet dead − Pro. Arterioscler., Thromb., Vasc. Biol. 2016,
36, 439−441.
(15) HPS3/TIMI55-REVEAL Collaborative Group. Effects of
anacetrapib in patients with atherosclerotic vascular disease. N. Engl.
J. Med. 2017, 377, 1217−1227.
(16) Liu, S.; Mistry, A.; Reynolds, J. M.; Lloyd, D. B.; Griffor, M. C.;
Perry, D. A.; Ruggeri, R. B.; Clark, R. W.; Qiu, X. Crystal structures of
cholesteryl ester transfer protein in complex with inhibitors. J. Biol.
Chem. 2012, 287, 37321−37329.
(17) Krishna, R.; Garg, A.; Panebianco, D.; Cote, J.; Bergman, A. J.;
Van Hoydonck, P.; Laethem, T.; Van Dyck, K.; Chen, J.; Chavez-Eng,
C.; Archer, L.; Lutz, R.; Hilliard, D.; Snyder, K.; Jin, B.; Van Bortel, L.;
Lasseter, K. C.; Al-Huniti, N.; Dykstra, K.; Gottesdiener, K.; Wagner, J.
A. Single-dose pharmacokinetics and pharmacodynamics of anace-
trapib, a potent cholesteryl ester transfer protein (CETP) inhibitor, in
healthy subjects. Br. J. Clin. Pharmacol. 2009, 68, 535−545.
(18) Leeson, P. D.; Springthorpe, B. The influence of drug-like
concepts on decision-making in medicinal chemistry. Nat. Rev. Drug
Discovery 2007, 6, 881−890.
crystallography of compound 16, and Dr. S. Skolnik and L.
Yang for determining experimental Log D values. We also
acknowledge Drs. G. Iwasaki and A. B. Jones for their guidance
on medicinal chemistry strategy.
ABBREVIATIONS USED
■
CETP, cholesteryl ester transfer protein; LDL, low density
lipoprotein; HDL, high density lipoprotein; CYP, cytochrome
P450; CHD, coronary heart disease; HMGCoA, 3-hydroxy-3-
methylglutaryl-coenzyme A; TG, triglyceride; VLDL, very low
density lipoprotein; TG, triglycerides; LipE, lipophilic effi-
ciency; LPDS, lipoprotein deficient serum; TRL, triglyceride
rich lipoproteins; SD rats, Sprague−Dawley rats; H295R cells,
human adrenal corticocarcinoma cells
REFERENCES
■
(1) Collins, R.; Reith, C.; Emberson, J.; Armitage, J.; Baigent, C.;
Blackwell, L.; Blumenthal, R.; Danesh, J.; Smith, G. D.; DeMets, D.;
Evans, S.; Law, M.; MacMahon, S.; Martin, S.; Neal, B.; Poulter, N.;
Preiss, D.; Ridker, P.; Roberts, I.; Rodgers, A.; Sandercock, P.; Schulz,
K.; Sever, P.; Simes, J.; Smeeth, L.; Wald, N.; Yusuf, S.; Peto, R.
Interpretation of the evidence for the efficacy and safety of statin
therapy. Lancet 2016, 388, 2532−2561.
(2) Gordon, T.; Castelli, W. P.; Hjortland, M. C.; Kannel, W. B.;
Dawber, T. R. High density lipoprotein as a protective factor against
coronary heart disease. The Framingham Study. Am. J. Med. 1977, 62,
707−714.
(3) Gordon, D. J.; Probstfield, J. L.; Garrison, R. J.; Neaton, J. D.;
Castelli, W. P.; Knoke, J. D.; Jacobs, D. R., Jr.; Bangdiwala, S.; Tyroler,
H. A. High-density lipoprotein cholesterol and cardiovascular disease.
Four prospective American studies. Circulation 1989, 79, 8−15.
(4) Barter, P. J.; Brewer, H. B., Jr.; Chapman, M. J.; Hennekens, C.
H.; Rader, D. J.; Tall, A. R. Cholesteryl ester transfer protein: a novel
target for raising HDL and inhibiting atherosclerosis. Arterioscler.,
Thromb., Vasc. Biol. 2003, 23, 160−167.
(5) Thompson, A.; Di Angelantonio, E.; Sarwar, N.; Erqou, S.;
Saleheen, D.; Dullaart, R. P.; Keavney, B.; Ye, Z.; Danesh, J.
Association of cholesteryl ester transfer protein genotypes with
CETP mass and activity, lipid levels, and coronary risk. JAMA 2008,
299, 2777−2788.
(6) Johannsen, T. H.; Frikke-Schmidt, R.; Schou, J.; Nordestgaard, B.
G.; Tybjaerg-Hansen, A. Genetic inhibition of CETP, ischemic
vascular disease and mortality, and possible adverse effects. J. Am.
Coll. Cardiol. 2012, 60, 2041−2048.
(7) Barter, P. J.; Caulfield, M.; Eriksson, M.; Grundy, S. M.;
Kastelein, J. J.; Komajda, M.; Lopez-Sendon, J.; Mosca, L.; Tardif, J.
C.; Waters, D. D.; Shear, C. L.; Revkin, J. H.; Buhr, K. A.; Fisher, M.
R.; Tall, A. R.; Brewer, B. Investigators, I. Effects of torcetrapib in
patients at high risk for coronary events. N. Engl. J. Med. 2007, 357,
2109−2122.
(8) Forrest, M. J.; Bloomfield, D.; Briscoe, R. J.; Brown, P. N.;
Cumiskey, A. M.; Ehrhart, J.; Hershey, J. C.; Keller, W. J.; Ma, X.;
McPherson, H. E.; Messina, E.; Peterson, L. B.; Sharif-Rodriguez, W.;
Siegl, P. K.; Sinclair, P. J.; Sparrow, C. P.; Stevenson, A. S.; Sun, S. Y.;
Tsai, C.; Vargas, H.; Walker, M., 3rd; West, S. H.; White, V.;
Woltmann, R. F. Torcetrapib-induced blood pressure elevation is
independent of CETP inhibition and is accompanied by increased
circulating levels of aldosterone. Br. J. Pharmacol. 2008, 154, 1465−
1473.
(9) Stroes, E. S.; Kastelein, J. J.; Benardeau, A.; Kuhlmann, O.; Blum,
D.; Campos, L. A.; Clerc, R. G.; Niesor, E. J. Dalcetrapib: no off-target
toxicity on blood pressure or on genes related to the renin-
angiotensin-aldosterone system in rats. Br. J. Pharmacol. 2009, 158,
1763−1770.
(10) Hu, X.; Dietz, J. D.; Xia, C.; Knight, D. R.; Loging, W. T.; Smith,
A. H.; Yuan, H.; Perry, D. A.; Keiser, J. Torcetrapib induces
aldosterone and cortisol production by an intracellular calcium-
(19) Hopkins, A. L.; Keseru, G. M.; Leeson, P. D.; Rees, D. C.;
Reynolds, C. H. The role of ligand efficiency metrics in drug discovery.
Nat. Rev. Drug Discovery 2014, 13, 105−121.
(20) Kah, M.; Brown, C. D. LogD: lipophilicity for ionisable
compounds. Chemosphere 2008, 72, 1401−1408.
(21) Hirota, T.; Ieiri, I. Drug-drug interactions that interfere with
statin metabolism. Expert Opin. Drug Metab. Toxicol. 2015, 11, 1435−
1447.
(22) Lewis, D. F.; Lake, B. G.; Dickins, M. Quantitative structure-
activity relationships (QSars) in CYP3A4 inhibitors: the importance of
lipophilic character and hydrogen bonding. J. Enzyme Inhib. Med.
Chem. 2006, 21, 127−132.
(23) Mogi, M.; Yamada, K.; Yasoshima, K.; Kawanami, T.; Umemura,
I.; Iwaki, Y.; Qin, H.; Imase, H. 4-Benzylamino-1-carboxyacyl-
piperidine Derivatives as CETP Inhibitors Useful for the Treatment
of Diseases Such as Hyperlipidemia or Arteriosclerosis. WIPO PCT
WO 2009/059943A1, 2009.
(24) Trieselmann, T.; Wagner, H.; Fuchs, K.; Hamprecht, D.; Berta,
D.; Cremonesi, P.; Streicher, R.; Luippold, G.; Volz, A.; Markert, M.;
Nar, H. Potent cholesteryl ester transfer protein inhibitors of reduced
lipophilicity: 1,1′-spiro-substituted hexahydrofuroquinoline derivatives.
J. Med. Chem. 2014, 57, 8766−8776.
(25) Gotto, A. M., Jr.; Cannon, C. P.; Li, X. S.; Vaidya, S.; Kher, U.;
Brinton, E. A.; Davidson, M.; Moon, J. E.; Shah, S.; Dansky, H. M.;
Mitchel, Y.; Barter, P.; DEFINE Investigators. Evaluation of lipids,
drug concentration, and safety parameters following cessation of
treatment with the cholesteryl ester transfer protein inhibitor
anacetrapib in patients with or at high risk for coronary heart disease.
Am. J. Cardiol. 2014, 113, 76−83.
O
J. Med. Chem. XXXX, XXX, XXX−XXX