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S. Napier et al. / Bioorg. Med. Chem. Lett. 21 (2011) 3163–3167
O
O
O
O
H
N
H
N
H
a
b
c
R2
O
H2N
R2
R4
R2
O
N
OH
S
N
N
R1 R3
8,14
N
R1 R3
O
O
R1
R1 R3
O
O
6
7
5,9-13,15,16,19-22
O
H
R5
N
R2
d
N
R1
O
R3
17,18,23-48
Scheme 1. Reagents and conditions: (a) R2R3NH, HBTU, DIPEA, DCM, rt; (b) 20% TFA in DCM, rt; (c) R4SO2Cl, Et3N, DMF, rt; (d) R5COOH, HBTU, DIPEA, DCM, rt.
pre-clinical in vivo models. The potential for species differences
N
N
a
N
NH2
between human and rodent V1A receptors for particular V1A recep-
tor antagonists has been described in the literature. Site directed
mutagenesis experiments have revealed several key amino acids
that contribute to the species difference, in particular a GLY337
(human) to ALA342 (rat) difference in transmembrane helix 7.9,10
A final optimisation cycle was undertaken in an effort to in-
crease rat V1A affinity while maintaining reasonable microsomal
stabilities (Table 5). The secondary amine 40 showed decreased
human V1A affinity. This was accompanied by a greater than
10-fold increase in rat V1A affinity compared to 38 resulting in sim-
ilar affinities at the human and rat receptors whilst maintaining
microsomal stability. Modifying the N-benzyl amide 4-position
failed to make any major impact upon rat V1A receptor affinity with
compounds 41–44 all showing relatively low rat affinity upon
comparison to the human receptor data. Maintaining a 4-chloro
N-benzyl amide, substitution of the benzylic carbon was explored.
Dimethyl analogue 45 maintained a similar profile to 41 whereas
the cyclopropyl compound 46 demonstrated increased rat V1A
affinity. Combination of the 4-chloro benzyl amide and secondary
amine to give compound 47 showed high human V1A receptor
affinity, good rat V1A receptor affinity and reasonable microsomal
intrinsic clearances. Compound 48 incorporating the cyclopropyl
motif also showed high human and rat V1A receptor affinity and
moderate microsomal intrinsic clearance.
Compounds 47 and 48 were selected for further profiling. In
selectivity screening versus human V1B, V2 and OT receptors both
compounds showed low affinities across all three receptors
(pKi 6 5.0). Functional antagonism in CHO cells expressing the hu-
man V1A receptor was determined in a calcium flux assay. Both 47
(pIC50 = 7.26) and 48 (pIC50 = 7.43) acted as potent V1A antagonists
inhibiting the release of intracellular calcium induced by the vaso-
pressin receptor agonist AVP. Furthermore 47 (pKi = 5.38) and 48
(pKi = 5.80) show relatively low affinity for the hERG channel in a
[3H]dofetilide binding assay.11
In vivo activity was assessed by the reversal of V1A mediated
AVP induced diastolic blood pressure increases in conscious rats
as described in the literature.3,12 Compound 47 (4 mg/kg, iv) de-
creased the AVP pressor response by 77.4 12% and 58 3% at
15 and 30 min post-drug, respectively (n = 2). Whereas 48 (4 mg/
kg, iv) decreased the AVP pressor response for at least 60 min
post-drug, with a maximal decrease of 50 14% at 60 min (n = 3).13
Pharmacokinetic studies were performed in male Wistar rats at
doses of 1 mg/kg iv and 10 mg/kg orally (Table 6). Plasma clear-
ances were low to moderate for both compounds, reflecting
improvements made in microsomal stability. Extensive distribu-
tion was also observed, resulting in promising half-lives (8–12 h).
However, the oral Cmax was very low for 47 and 48 and both
showed disappointingly low oral bioavailability, suggesting poor
absorption and/or extensive extra-hepatic first pass metabolism.
Improving oral bioavailability would be a significant aspect of sub-
sequent optimisation for the series.
H
N
N
49
50
Scheme 2. Reagents and conditions: (a) benzaldehyde, NaBH4, MeOH, rt.
the 4-chloro benzyl and 4-methoxy-2,3,6-trimethylphenylsulfonyl
groups in place, variation of the amide substituent was investi-
gated in detail. Selected key analogues are shown in Table 3. Re-
moval of the amine sidechain of 19 to give N-methyl amide 23
gave a 3.5-fold decrease in V1A affinity whereas N-benzyl amide
24 showed a 17-fold increase in affinity. It was clear from the
SAR that a basic moiety is not a requirement for high V1A receptor
affinity however it does positively contribute to physico-chemical
properties such as solubility. The chain shortened piperazine ana-
logue of 19, compound 25 showed increased V1A affinity although
the dimethylamine equivalent 26 was of similar affinity to 19.
N-Methyl piperazine amide 27 and compound 28 also exhibited
similar affinity to 19. Amino tropane stereoisomers 29 and 30 both
showed good V1A affinity with the highest affinity residing with the
endo isomer.
In order to further improve physico-chemical properties it was
desirable to replace the sulfonamide moiety completely. Combina-
tion of 4-methoxy-2,3,6-trimethylphenyl sulfonamide replace-
ments with different amide substituents (data not shown) led to
the identification of compound 31 (Table 4), where the endo amino
tropane amide substituent is combined with an N-benzyl amide
sulfonamide replacement. Compound 31 shows good V1A receptor
affinity and importantly low intrinsic clearance in human and rat
in vitro microsomal stability assays. This is perhaps consistent with
the significantly lower lipophilicity of 31 (c log P = 2.87) upon com-
parison to the starting compound 5 (c log P = 6.20). In an effort to
increase V1A affinity yet maintain reasonable microsomal stability
simple substitution around the N-benzyl amide was pursued
(Table 4). 3-Chloro racemate 33 showed similar affinity to 31,
whereas the 2-chloro analogue 32 afforded a threefold decrease.
The 4-chloro compound 34 resulted in a fourfold increase in V1A
affinity. Dichloro compounds 35 and 37 showed no further advan-
tage over the 4-chloro derivative 34. The 3,4-dichloro analogue 36
gave a 4.5-fold increase in affinity over 34. However this was
accompanied by high intrinsic clearances. Synthesis of the enanti-
omers of 31 yielded a surprising outcome. REnantiomer 38 showed
high V1A affinity whereas the S enantiomer 39 was effectively inac-
tive. It is speculated that the introduction of the amino tropane and
benzyl amide moieties may lead to a slightly different binding
mode to the sulfonamides. Human microsomal intrinsic clearance
for compound 38 was similar to that of its racemate 31 but rat
microsomal clearance was higher. In vivo pharmacokinetic studies
in male Wistar rats for compound 38 (2 mg/kg iv and 10 mg/kg or-
ally, 10% dimethylacetamide in water) showed 12% oral bioavail-
ability. However, 38 (pKi 6 5.5) showed significantly lower rat
V1A receptor affinity which would compromise its use in
In summary compounds 47 and 48 have been identified as
novel selective vasopressin V1A receptor antagonists. Both