T. Bouyssou et al. / Bioorg. Med. Chem. Lett. 20 (2010) 1410–1414
1413
or lactate at all doses tested. In contrast, formoterol showed at
an equally effective dose a decrease in serum potassium level
and a tachycardia (heart rate increase) was more pronounced
and longer lasting than for (R)-4p. None of the other 6-hydroxy-
4H-benzo[1,4]oxazin-3-ones from this study exhibited a compara-
ble profile in these tests (data not shown).
O
O
OH
O
O
O
c
b
HN
HN
Cl
R
OBn
OBn
In further studies, bronchodilatory efficacy over 24 h was dem-
onstrated in two species (dog and guinea pig) and similar experi-
mental settings for (R)-4p but not for formoterol.16 The results
from these experiments in connection with a measured log D value
of 1.2 (at pH 7.4) for compound (R)-4p are a clear disprove of the
hypothesis that lipophilicity is a prerequisite for an inhalatively
applied LABA exerting a long duration of action.
R = H
R = Cl
9
19
a
18
O
O
O
O
OH
d, e
H
O
HN
N
HN
The low systemic availability of (R)-4p suggested by the ab-
sence of undesired systemic pharmacodynamic effects was sup-
ported by data from pharmacokinetic studies. A low permeability
was determined for (R)-4p in an in vitro assay measuring the apical
to basolateral flux across a monolayer of CaCo-2 cells (Papp ap >
bas = 3.5 Â 10À7 cm/s, Papp bas > ap = 9.0 Â 10À6 cm/s). Further, a
medium metabolism was observed in hepatocytes from humans
(CL = 13 mL/min/kg) and rats (CL = 45 mL/min/kg). Consequently,
a low oral bioavailability of the swallowed fraction was concluded
from these in vitro data. This prediction was confirmed in vivo
where an oral bioavailability of 3 2% was found for (R)-4p after
po administration in rats.
A key requirement for the development of a q. d. LABA was the
identification of a salt form suitable for an inhalative application.
Fortunately, a crystalline hydrochloride salt of (R)-4p was identi-
fied with physico-chemical properties consistent with a formula-
tion in a dry power inhalation (DPI) device and as an aqueous
solution in the RespimatÒ soft mist inhaler. Based on these charac-
teristics, (R)-4p was selected to be the first clinical candidate from
our program aiming to identify a q. d. LABA. This compound desig-
nated BI 1744 CL or olodaterol is currently undergoing clinical
studies in man. The manuscript represents the first disclosure of
the name and structure of this compound (olodaterol).
R
OBn
OH
20
(R)-4
Scheme 3. Reagents and conditions: (a) Benzyltrimethylammonium-chloroiodate,
1,2-dichloroethane, acetic acid, H2O, 65 °C, 86%; (b) 1 mol % Cp RhCl[(S,S)-TsDPEN],
*
formic acid/triethylamine (5:2), DMF, À15 °C, 76%, 95.4% ee; (c) 2 M aqueous NaOH,
DMF, 0 °C, 96%; (d) amine 12, i-PrOH, 140 °C, microwave; (e) Pd/C, H2, MeOH.
although its occurence in this organ is less prevalent than that of
the b1-receptor.
All 6-hydroxy-4H-benzo[1,4]oxazin-3-ones 4 tested in the gui-
nea pig model showed a dose-dependent bronchodilation. A com-
plete reversal of the induced bronchospasms (=100%
bronchoprotection) was always observed with the exception of
4i, j and m, which already caused a significant increase in heart
rate (>10%) at a sub-maximal dose. Cardiovascular effects were
also accounted for compounds 4a and 4l at the first dose reaching
100% bronchoprotection resulting in a therapeutic index of 1, only.
In contrast, a therapeutic index of 10 was determined for the
examples 4p and 4q which is as good as for formoterol in this set-
ting (Fig. 2). All compounds producing a maximal bronchoprotec-
tion of 100% and with a therapeutic index >1 were moved to the
next stage in our screening cascade, a dog model of acetylcho-
line-induced bronchodilation.
In this model, only the eutomers ((R)-enantiomers) were stud-
ied to exclude pharmacodynamic effects associated with the dis-
tomer (including off-target effects). For this purpose, an
enantioselective route towards the 6-hydroxy-4H-benzo[1,4]oxa-
zin-3-ones 4 was developed (Scheme 3). The key step of the syn-
thesis is a transfer hydrogenation of the 2-chlororacetophenone
18. The reaction is catalyzed by a recently described rhodium com-
plex and provided the chlorohydrine 19 in good yield and excellent
enantiomeric excess.13 Conversion of the chlorohydrine 19 into the
styrene oxide 20, followed by coupling with the phenethylamines
12 and subsequent removal of the benzyl group delivered the
enantiomerically pure (R)-form of 4. This method gave ready ac-
cess towards the eutomers and was used to generate the amounts
required for the profiling of the compounds from this study.14
The bronchoprotective effect of the selected examples ((R)-4c,
(R)-4h, (R)-4p, (R)-4q) was studied in anaesthetized beagle dogs
over a time period of 3 h. Again, the test compound was adminis-
tered by inhalation using the RespimatÒ soft mist inhaler and bron-
choconstriction was induced by iv injections of acetylcholine. Since
beagle dogs are very sensitive to cardiovascular and metabolic ef-
fects (decrease in serum potassium, increase in serum glucose and
lactate) mediated by the stimulation of b-adrenoceptors,15 these
parameters were assessed during the experiment to monitor the
systemic availability of the test compound. Example (R)-4p dem-
onstrated a dose-dependent bronchoprotection in this model in
the absence of any changes in serum levels of potassium, glucose
In conclusion, several potent and selective b2-agonists have
been identified from a series of 6-hydroxy-4H-benzo[1,4]oxazin-
3-ones. One compound, (R)-4p demonstrated a duration of action
over 24 h in two preclinical in vivo models of bronchoprotection
and a superior safety margin compared to the marketed formoter-
ol. The encouraging pharmacodynamic profile and CMC character-
istics are supporting further clinical development of this
compound.
Supplementary data
Supplementary data associated with this article can be found, in
References and notes
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