5894
N. Griebenow et al. / Bioorg. Med. Chem. Lett. 20 (2010) 5891–5894
models after iv application up to 30 mg/kg.14 On the other hand,
***
12.5
10.0
7.5
compound 26, exhibited a significant higher selectivity versus
the A2b receptor compared with tonapophylline (A2b/A1 IC50 ratio:
26 >83.000, BG-9928 = 80, in-house data). One question in A2b
receptor antagonism is whether there are house-keeping pathways
driven by A2b receptor agonism whose disruption may lead to
unexpected toxicities.15
***
*
Beyond acute heart failure, other potential targets of adenosine
A1 blockade include drug-induced renal injury (e.g., due to antibi-
otics [gentamicin], immunosuppressive agents [cyclosporine], or
chemotherapy [cisplatin])4 and acute kidney injury after cardio-
pulmonary bypass. Furthermore A1 receptor antagonists may be
useful in minimizing or preventing endotoxin-induced organ
(e.g., lung) damage associated with sepsis as well as in the treat-
ment of osteoporosis, prosthetic joint loosening.16
5.0
2.5
0.0
V
0.1
0.3
1.0
3.0
compound 26 [mg/kg]
References and notes
Figure 2. Diuretic activity of 26 in Wistar rats.
1. Francis, G. C. Clin. J. Med. 2006, 73, S8.
2. Forman, D. E.; Butler, J.; Wang, Y.; Abraham, W. T.; O’Connor, C. M.; Gottlieb, S.
S.; Loh, E.; Massie, B. M.; Rich, M. W.; Stevenson, L. W.; Young, J. B.; Krumholz,
H. M. J. Am. Coll. Cardiol. 2004, 43, 61.
3. Fredholm, B. B.; Ijzerman, A. P.; Jacobson, K. A.; Klotz, K.-N.; Linden, J.
Pharmacol. Rev. 2001, 53, 527.
4. Dohadwala, M. M.; Givertz, M. M. Cardiovasc. Ther. 2008, 26, 276.
5. Rudolph, J.; Cantin, L.-D.; Magnuson, S.; Bullock, W.; Bullion, A.-M.; Chen, L.;
Chuang, C.-Y.; Liang, S.; Majumdar, D.; Ogutu, H.; Olague, A.; Qi, N.; Wickens, P.
L. PCT Int. Appl., WO 2004050650, 2004.
6. (a) Hobbs, R. E. Current Advances in Heart Disease, Proceedings of the World
Congress on Heart Disease, 14th International Academy of Cardiology Annual
Scientific Sessions, Toronto, ON, Canada, July 26–29, 2008, 273–276.; (b)
Doggrell, S. A. Curr. Opin. Invest. Drugs 2005, 6, 962.
7. (a) For experimental details and characterization of the compounds see: (a)
Baerfacker, L.; Kast, R.; Griebenow, N.; Meier, H.; Kolkhof, P.; Albrecht-Kuepper,
B.; Nitsche, A., Stasch, J.-P.; Schneider, D.; Teusch, N.; Rudolph, J.; Whelan, J.;
Bullock, W.; Pleasic-Williams, S. PCT Int. Appl., WO 2010020363, 2010.; (b)
Baerfacker, L.; Kast, R.; Griebenow, N.; Meier, H.; Kolkhof, P.; Albrecht-Kuepper,
B.; Nitsche, A.; Stasch, J.-P.; Schneider, D.; Teusch, N. PCT Int. Appl., WO
2010020366, 2010.; (c) Baerfacker, L.; Kast, R.; Griebenow, N.; Meier, H.;
Kolkhof, P.; Albrecht-Kuepper, B.; Nitsche, A.; Stasch, J.-P.; Schneider, D.;
Teusch, N. Ger. Offen. DE 102008039083, 2010.; (d) Baerfacker, L.; Kast, R.;
Griebenow, N.; Meier, H.; Kolkhof, P.; Albrecht-Kuepper, B.; Nitsche, A., Stasch,
J.-P.; Schneider, D.; Teusch, N. Ger. Offen. DE 102008039082, 2010.
8. Chen, W.; Koenigs, L. L.; Thompson, S. J.; Peter, R. M.; Rettie, A. E.; Trager, W. F.;
Nelson, S. D. Chem. Res. Toxicol. 1998, 11, 295.
9. After seven days of acclimatization, male Wistar rats (body mass 200–350 g,
Charles River Breeding or Harlan) were placed in metabolic cages (Tecniplast
Deutschland GmbH, Hohenpeißenberg, Germany) on water ad libitum. The test
compounds were administered either orally or intravenously in 1 ml/kg vehicle
solution (40% PEG400 and 60% Tris buffer) to 6–8 animals per dosage group.
The urine of the animals was collected at the bottom of the cages in special
collecting tubes. The usual duration of urine collection was 4 h. The urine
samples were analyzed for volume as well as sodium and potassium on a flame
photometer.
0.40
0.35
0.30
0.25
0.20
0.15
0.10
0.05
0.00
***
***
***
*
V
0.1
0.3
1.0
3.0
compound 26 [mg/kg]
Figure 3. Natriuretic activity of 26 in Wistar rats.
(Fig. 2) as well as a significant increase in natriuresis at 0.1 mg/kg
(Fig. 3).
In conclusion, we have identified a novel series of substituted 5-
aminopyrazoles as potent and selective adenosine A1 receptor
antagonists. Lead optimization resulted in the identification of 26
with favorable PK properties suitable for in vivo studies. Lead 26
showed the expected profile of an A1 receptor antagonist regarding
diuresis and natriuresis. However, the recent failure of rolofylline
(KW-3902) in the PROTECT trial10 and the adjustment of tonap-
ophylline (BG-9928) from phase III to phase II11 have raised some
concerns about the use of A1 antagonists for the treatment of acute
heart failure. Since these compounds are xanthine derivatives in
contrast to our discovered class of 5-aminopyrazoles, it will be
interesting to see whether non-xanthine-like A1 antagonists will
have a future in the treatment of acute heart failure.
10. (a) Weatherley, B. D.; Cotter, G.; Dittrich, H. C.; DeLucca, P.; Mansoor, G. A.;
Bloomfield, D. M.; Ponikowski, P.; O’Connor, C. M.; Metra, M.; Massie, B. M. J.
Card. Fail. 2010, 16, 25; (b) Details on the design of PROTECT are available at
11. A global phase III trial began in August 2008; the trial was closed in December
2009. By March 2010, the drug was no longer listed on Biogen’s pipeline and
the program was presumed to have been discontinued.
12. Pronounced blood–brain-barrier penetration of KW-3902 has been found in rat
(in house data).
13. Observations from clinical trials suggest that KW-3902 might lower the seizure
threshold. See: (a) Givertz, M. M.; Massie, B. M.; Fields, T. K.; Pearson, L. L.;
Dittrich, H. C. J. Am. Coll. Cardiol. 2007, 50, 1551; (b) Givertz, M. M. Circ. Heart
Fail. 2009, 2, 519.
Furthermore compound 26 may have a potentially superior
safety profile compared to rolofylline and tonapophylline. On the
one hand, rolofylline is able to cross the blood–brain barrier,12
a
14. Inhouse data from MES and PTZ models. MES: maximal electroshock. PTZ:
pentylenetetrazol.
15. Zablocki, J.; Elzein, E.; Kalla, R. Expert Opin. Ther. Patents 2006, 16, 1347.
16. Giorgi, I.; Nieri, P. Expert Opin. Ther. Patents 2008, 18, 677.
fact that might be associated with pro-convulsive effects via inhi-
bition of A1 receptors in the central nervous system.13 Whereas,
compound 26 showed no pro-convulsive effects in relevant mouse