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MEK inhibitors. Using PD325901 as a starting point, truncation of
its hydroxamic ester headgroup (known to be a metabolic liability)
was combined with incorporation of alkyl and aryl ethers at the
neighboring C6 ring position (Fig. 1). Whereas alkoxy side chains
did not yield inhibitors with sufficient levels of potency, specifi-
cally substituted aryloxy groups gave compounds which fulfilled
this goal. Sulfamide 1 was identified as a highly potent MEK
inhibitor with nanomolar cell potency against BRAF (V600E) as
well as Ras-mutated cell lines, high metabolic stability and result-
ing long half-lives in rodent and non-rodent species. Sulfamide 1
was efficacious in BRAF as well as K-Ras driven xenograft models
and, despite being orally bioavailable, displayed a much lower
brain/plasma exposure ratio than PD325901.
While fulfilling our target profile for a best-in-class next gener-
ation MEK inhibitor, in-depth in vivo profiling of sulfamide 1 in
non-rodent species identified a compound-inherent liability which
prevented us from further advancing this compound toward
clinical development. Additional data for sulfamide 1 and a rational
optimization program which culminated in the identification of
two new candidates which were devoid of this liability are
described in this communication.
Newly synthesized compounds were profiled in an enzymatic
COT–MEK cascade assay and in cell proliferation assays employing
A375 cells, harboring a BRAF (V600E) mutation, and HCT116 cells,
harboring a K-Ras G13D mutation.9 All presented data are average
values of at least two independent measurements. In line with pre-
vious publications, A375 cells were found to be significantly more
sensitive to MEK inhibition than HCT116 cells.10 In order not to
limit the scope of this program to BRAF-mutated tumor entities,
we set the goal of also achieving nanomolar potency in assays with
Ras-mutated tumor cell lines.
As reported previously, 6-phenoxy-substituted benzamides
with NH-linked functionalities at the 30-position of the phenoxy
side chain have been identified as highly potent MEK inhibitors.8
Employing a sulfamide capping group, as in compound 1 (Fig. 1,
Table 1), provided nanomolar potency even in the less sensitive
HCT116 proliferation assay.11 Sulfamide 1 showed moderate-to-
high bioavailabilities in all investigated species (62% in rats, 84%
in mice, 85% in dogs) and long half-lives (32 h in rats, 34 h in mice,
58 h in dogs). Most notably, an exceptionally low brain/plasma
exposure ratio after iv dosing to mice was found. We have corre-
lated brain/plasma exposure ratios qualitatively to total polar sur-
We were well aware of potential liabilities arising from incorpo-
rating an exposed and unsubstituted sulfamide group into our MEK
inhibitor lead series. Inhibition of human carbonic anhydrase (hCA)
by complexation of its active site Zn2+ ion with a SO2NH2 group has
been known for at least a decade.14 From a previous clinical
program within our company,15 we were alerted to the fact that
binding to hCA may lead to compound accumulation in red blood
cells and thereby to exposure variability in patients. Therefore,
inhibitory potency in an in vitro hCA assay and blood–plasma
ratios were closely monitored for all relevant sulfamide analogs.
Sulfamide 1 indeed possessed a submicromolar IC50 value in our
hCA2 assay;16 however, the blood–plasma ratio in mice (0.6) did
not give any initial hint of compound accumulation in red blood
cells. Surprisingly, we later learned that sulfamide 1 displayed
species-dependent blood–plasma ratios. For non-rodents (dogs,
humans), blood–plasma ratios >3 were measured. We did not
investigate causes for this species-dependence as we had no rodent
CA assay available at that time.
Compound accumulation in red blood cells does not manifest a
concern for clinical development per se. However, taking the high
potency and long half-life of our candidate into account, and
expecting a small therapeutic window for highly potent long-act-
ing MEK inhibitors, we considered the likelihood of interindividual
exposure variations in humans due to red blood cell accumulation
to be unacceptable for a next generation best-in-class MEK
inhibitor.17 We therefore decided to embark on a further optimiza-
tion program to remove the unwanted hCA potency while
retaining the beneficial characteristics of sulfamide 1 such as sub-
micromolar potency in HCT116 cells, long half-life and low brain
penetration potential.
Replacement of the sulfamide group was readily dismissed as a
path forward. Sulfamide 1 was originally identified as a metabolite
of the dimethylated analog 2 (Table 1).18 While substituted
sulfamides such as 2 (and several analogs with functionalized alkyl
substituents; data not shown) were found to be highly potent MEK
inhibitors, metabolic instability prevented us from advancing any
of these compounds. In general, dealkylation to the mono- or
unsubstituted sulfamide group was identified as the dominating
metabolic pathway. Thereby, metabolism to pharmacologically
active compounds would not only complicate the assessment of
PK/PD relationships but ultimately lead back to sulfamide 1 and
its hCA issue. Higher alkyl sulfonamides (e.g., compound 3, Table 1)
were found to be as potent as the sulfamide 1 and showed high
metabolic stability and long half-lives (e.g., 28 h in rats for ethyl
sulfonamide 3). The lower polarity of sulfonamides versus sul-
famides (e.g., TPSA 110.5 Å2 for 3 vs 136.5 Å2 for 1) led to measur-
able brain exposure levels after iv dosing to mice.
face area (TPSA) values (as
a measure of polarity-driven
permeability limitations) and P-glycoprotein (Pgp) recognition
(as one well-known mechanism for preventing brain penetration
by active efflux).12 We did not find any evidence of Pgp-mediated
efflux of sulfamide 1; however, analogs from our series with a TPSA
value of 130–140 Å2 consistently possessed low brain penetration
potential in mice while retaining sufficient bioavailability after oral
dosing.13
Therefore, we decided to retain the unsubstituted sulfamide
moiety of our previous candidate 1 and to tame its undesirable
hCA affinity. Initially, we focused our optimization efforts on
capping
group
headgroup right side
OH
O
OH
H2N
H2N
O
PD325901
F
S
O
H
N
HN
O
6
O
HN
Ref. 8
3’
O
F
4’
I
H
H
N
1
3
C6 side chain
F
6
core
I
F
4
Bayer MEK Inhibitor Lead
F
1
Figure 1. Structural evolution of 6-(aryloxy)benzamide MEK inhibitors.8