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benzoate 14 with acetonitrile using sodium hydride as base
yielded the -cyano ketone 15. Ring closure to the corresponding
a
Cl
N
O
N
N
N
amino pyrazole 16 was achieved with methyl hydrazine in metha-
nol in moderate yield. For derivatives with other substituents at
the 3-position of the pyrazolopyridine core, the sequence was
started with the corresponding aryl/heteroaryl ester analogs of
14. Microwave-assisted reaction of 16 with ethyl 4,4,4-trifluoro-
3-oxobutanoate in acetic acid gave compound 17. The alkylation
of 17 with ethyl 2-bromoacetate using sodium hydride in DMF
selectively gave the O-alkylation product 18. Compound 18 was
subsequently subjected to ester hydrolysis yielding compound
19, which was the precursor for the last amide coupling step. If
available, enantiomeric pure amines with known absolute configu-
ration were used for the amide formation, otherwise chiral separa-
tions were performed after the final step (e.g., for compound (S)-3).
In such cases the absolute configuration was assigned based on the
biological activity.
N
N
N
O
O
O
N
N
N
F
Filorexant
(MK-6096)
Suvorexant
(MK-4305)
CF3
H
N
O
N
O
O
N
NH
O
N
O
O
S
F
The overall in vitro profiles of compounds (S)-2 and (S)-3 are
illustrated in Table 2. Both compounds are potent dual orexin
receptor antagonists as measured in the functional Calcium as well
as radioligand binding assays. Although high potencies were
achieved, the physicochemical properties were less than optimal.
Both (S)-2 and (S)-3 have high lipophilicity (HT-log P of 4.60 and
4.20) resulting in low solubility measured in a high throughput for-
mat at pH 6.8. Permeation measured in a PAMPA assay was high,
indicting they are class II compounds based on the Biopharmaceu-
tics Classification System (BCS).16 The CYP inhibition profile of
compound (S)-3 was better than that of compound (S)-2, for which
SB-649868
Almorexant
(ACT-078573)
Figure 1. DORAs that have achieved positive clinical proof of concept.
such as the pyridine analogs rac-6 and rac-7 were less favored. The
highly potent hOX2R antagonists rac-2 and rac-3 were subjected to
chiral separation yielding compounds (S)-2/(R)-2 and (S)-3/(R)-3. In
parallel, compounds (S)-2 and (R)-2 were synthesized using com-
mercially available enantiomerically pure (S) and (R)-1-(4-methox-
yphenyl)ethanamine. Compound (S)-2 was found to be the active
enantiomer whereas compound (R)-2 lost activity on both orexin
receptors. Likely, the (R)-configuration of the methyl group forced
the compounds into a conformation that is unfavorable for binding
to the orexin receptors. Compound 8 was more than one order of
magnitude less potent than (S)-2 on both receptors, further sup-
porting the importance of the properly configured methyl group.
By analogy, the absolute configuration in compounds (S)-3 and
(R)-3 obtained by chiral separation of the enantiomers were
assigned based on their potency on hOX1R and hOX2R. Removal
of the core N–Me in (S)-9 gave compound (S)-10 which was
equipotent on both hOX1R and hOX2R suggesting that the N–H
cannot engage in a hydrogen bond interaction with the orexin
receptors. Interestingly, replacing the ether oxygen in the side
chain by NH was detrimental for potency on the hOX2R (10-fold
loss) whereas for hOX1R only a marginal shift was observed,
resulting in an hOX1R preferring antagonist (see compound (S)-
11 vs (S)-9). Methylation of the pyrazole of (S)-3 resulted in com-
pound (S)-12 where dual potency could be maintained in a desired
range and an active transport mechanism as the most likely reason
for unfavorable brain penetration of (S)-3 was significantly
suppressed (see also paragraph in vivo characterization and PK
properties). More drastic changes at the core to reduce lipophilicity
as exemplified by compound (S)-13 led to loss of potency on both
receptors compared to (S)-2 and (S)-3.
CYP3A4 and CYP2C9 were inhibited with IC50’s of 8 and 5 lM,
respectively. Both compounds had high in vitro clearances in rat,
human and mouse liver microsomes and high plasma protein
binding, leading to plasma free-fractions of less than 1% in mouse.
Compounds (S)-2 and (S)-3 had no hERG flag and an excellent
in vitro selectivity and off-target profile.
With highly potent compounds in hand, in vivo characterization
was initiated. The blood pharmacokinetic (PK) and brain penetra-
tion properties of compounds (S)-2 and (S)-3 were tested in the
mouse (Table 3) in a cassette dosing setup; i.e., five experimental
compounds and
a reference compound were administered
together intravenously at 1 mg/kg and per os at 3 mg/kg. Com-
pound (S)-2 exhibited a medium blood clearance, a moderate vol-
ume of distribution and a relatively short terminal half-life. The
absolute oral bioavailability was very low (F = 3%) but the brain/
blood concentration ratio (br/bl = 1.15) indicated favorable brain
penetration. For compound (S)-3 the blood clearance was low
and, in contrast to compound (S)-2, the oral bioavailability was
moderate (F = 21%), and as such the AUC of (S)-3 after oral dosing
was higher than that of compound (S)-2. The brain/blood concen-
tration ratio of 0.02 for compound (S)-3 indicated a very low brain
penetration (if at all). A possible reason might be P-glycoprotein
(P-gp) activity as measured in the MDCK assay. Compound (S)-3
showed a BA/AB efflux ratio of 23 in human MDCK cells stably
expressing MDR1 and is therefore
a human P-glycoprotein
The synthesis of compound (S)-3 as a representative example
substrate, which is likely to also be the case in mice. The efflux
of compound (S)-3 could be considerably reduced for compound
(S)-12 (Table 1) with an efflux ratio of 3.
for this class is shown in Scheme 1.14 Ester condensation of methyl
Compound (S)-3 showed a limited correlation between in vitro
and in vivo clearance (high in vitro, low in vivo). A potential
hypothesis for this disconnect is a restrictive binding to plasma
proteins (very high plasma protein binding of >99% in mice), which
might protect the compound from metabolism in vivo.
The next round of optimization aimed to improve the physico-
chemical properties, in particular reducing lipophilicity and
improving solubility, with the goal of generating compounds with
improved PK properties. In order to achieve this, we initially
focused on the optimization and profiling of compound (S)-9.
CF3
N
FLIPR: hOX1R Ki = 120 nM
hOX2R Ki = 78 nM
H
N
N
binding: hOX1R Ki = 88 nM
hOX2R Ki = 168 nM
N
O
O
1
rac-
Figure 2.