6
D. Barnes-Seeman et al. / Bioorg. Med. Chem. Lett. xxx (2014) xxx–xxx
Table 3
concentration, compounds 6a–6c activated PXR by 87–145% relative
to rifampicin (Table 2). Morpholinone 6b had slightly lower PXR acti-
vation than piperidinone 6a. Adding two methyl groups at the
Comparison of pharmacokinetic parameters of 18a, 20a and 22a in rats and dogs
Compound
18a
20a
22a
a
-position regained PXR activation. The potential for 6b to induce
Rat IV (1 mg/kg)
AUC [nmol h/L]
Cl [mL/min/kg]
Vss [L/kg]
T1/2 (h)
AUC [nmol h/L]
F%
AUC [nmol h/L]
Cl [ml/min/kg]
Vss [L/kg]
T1/2 (h)
AUC [nmol h/L]
F%
1420
27
2.1
2
3374
48
2077
5.6
0.3
3.8
5684
27
984
38
1.2
1.1
2108
43
2343
5.4
0.1
2.4
2924
12
2758
14
3.0
5.2
10580
77
1452
7.7
0.7
5
6302
43
CYP3A4 was further confirmed by measuring testosterone metabo-
lism (a CYP3A4 substrate) and CYP3A4 mRNA expression in human
hepatocytes. Pretreatment of hepatocytes with 10 lM of 6b
increased CYP3A4-mediated testosterone metabolism by 61% and
increased CYP3A4 mRNA expression level by 66% as compared to
treatment with 10 lM rifampicin.
From a regulatory perspective, a negative in vitro result for
CYP3A4 induction in the PXR assay eliminates the need for addi-
tional in vitro or in vivo induction studies for CYP3A4.32 In early
drug discovery, PXR data, as expressed in the percentage of activa-
tion compared with a positive control such as rifampicin at a par-
Rat PO (5 mg/kg)
Dog IV (0.3 mg/kg)
Dog PO (3.0 mg/kg)
ticular concentration (e.g., 10 lM), have been widely used to rank
and 2% increases, respectively, as compared to treatment with
10 M rifampicin. These compounds are therefore anticipated to
have a low risk of CYP3A4 induction.
order of the CYP3A4 induction potential of test compounds. Miti-
gating the risk of CYP3A4 induction early in drug discovery can
help streamline the development process, and maximize the ability
to combine our NS5B inhibitors with other important HCV thera-
pies. Thus, we sought to reduce PXR activation in the reporter gene
l
Based on their potency in the NS5B enzymatic and replicon
assays, low PXR and CYP3A4 induction liability, and limited off-
target liabilities, the pharmacokinetic profiles of 18a, 20a and
22a were characterized. The in vivo pharmacokinetic parameters
in Sprague–Dawley rats and beagle dogs are summarized in Table 3.
In both rats and dogs, all three compounds showed low to moder-
ate plasma clearance relative to hepatic blood. Following oral dose
studies, plasma exposures of 22a were found to be higher than 18a
and 20a in both rats and dogs. The oral bioavailability of 22a was
adequate to support further pharmacokinetic and toxicology stud-
ies in both species. Finally, in a further antiviral activity profiling,
22a had a modest shift in replicon potency (EC50, 44 nM) in the
presence of 40% human serum and was also active against HCV
G1a replicon (EC50, 11 nM).
assay to less than 25% of that induced by 10 lM rifampicin for this
series. For promising compounds that met this criteria, follow up
studies in human hepatocytes were used to confirm a lack of
CYP3A4 induction.
Several crystal structures of the human PXR ligand-binding
domain (hPXR LBD) complexed with xenobiotic ligands have been
reported.35–38 The human PXR ligand binding site is unusually
large and flexible. A pharmacophore containing one H-bond accep-
tor and three hydrophobic groups for binding to the PXR protein
has been described.39,40 Compounds 6a–6c contain a carboxylic
acid and several hydrophobic groups and therefore contain func-
tionality consistent with this pharmacophore model. One strategy
to reduce PXR activation is to introduce polar groups to the activa-
tor in order to destabilize interactions in the hydrophobic areas of
the PXR ligand-binding pocket (Fig. 5a).40 In compound 6, the t-
butyl group and cyclohexyl group form hydrophobic interactions
In summary, we have successfully incorporated lactams as
amide replacements in the design of HCV NS5B Site II thiophene
carboxylic acid inhibitors. In contrast to the amide scaffold, in
which a 4-trans-cyclohexyl group was important for replicon
potency, a cyclohexyl group on the lactam was an optimal substi-
with NS5B, and are required for binding. The position
a to the car-
tuent. Appending a tethered hydroxyl group off the
a position of
bonyl is located near the solvent opening of the binding pocket and
appears to be the ideal position to append polar groups (Fig. 5b).
Based on this hypothesis, morpholinones 18–21 with alcohols
the morpholinone lactam ring mitigated the risk of CYP3A4 induc-
tion with the lead compounds while maintaining cellular potency.
In addition, compound 22a had a favorable pharmacokinetic pro-
file in rats and dogs and is a promising candidate for the clinical
treatment of HCV infection.
attached to the
a position were prepared (Table 2).
Initial profiling revealed that the two diastereomers had mark-
edly different potencies in both the enzymatic and replicon assays
(Table 2). Compounds 18a, 19a, 20a, and 21a, which have tethered
hydroxyl groups cis to the cyclohexyl group, were more potent
than the diastereomers 18b, 19b, 20b, and 21b. Compounds 18a
Acknowledgment
We thank Dr. Zachary Sweeney and Catherine Jones for help
with the manuscript preparation.
and 20a, which are monosubstituted at the a-position, had slightly
improved replicon potency compared to 6b. Meanwhile, the iso-
mers 18b and 20b had much reduced potency in the NS5B enzyme
and replicon assays. The two potent diastereomers 18a, 20a had
much reduced PXR activation in the reporter gene assay, with 3%
References and notes
and 5% of the maximum activation by rifampicin at 10 lM, respec-
tively. Compared to compounds 18a, 18b, 20a, and 20b, the addi-
tion of a methyl group afforded compounds 19a, 19b, 21a and
21b, which had slightly improved replicon potency. However, this
change increased PXR activation especially for 19a and 19b. Sec-
ondary alcohols 22a and 22b also had much reduced PXR activa-
tion. Among these two, the more potent diastereomer 22a had an
EC50 8 nM in the replicon assay, which was comparable to the
EC50 of primary alcohol 18a.
Compounds with the most promising profile based on potency
in the replicon assay and low CYP3A4 induction risk were further
tested in a human hepatocyte CYP3A4 activity assay. Whereas
compound 6b increased CYP3A4-mediated testosterone metabo-
lism by 61%, compounds 18a, 20a, and 22a only caused 5%, 2%,