ACS Medicinal Chemistry Letters
Letter
Potent and Selective Inhibitor of Hepatitis C Virus Replication with
Excellent Pharmacokinetic Properties. Antimicrob. Agents Chemother.
2004, 48 (10), 3944−3953.
a potentially improved safety margin. Since the completion of
this work, the results of safety pharmacology and toxicology
studies of 1 have been published.11
(8) Osinusi, A.; Meissner, E. G.; Lee, Y.-J.; Bon, D.; Heytens, L.;
Nelson, A.; Sneller, M.; Kohli, A.; Barrett, L.; Proschan, M.; Herrmann,
E.; Shivakumar, B.; Gu, W.; Kwan, R.; Teferi, G.; Talwani, R.; Silk, R.;
Kotb, C.; Wroblewski, S.; Fishbein, D.; Dewar, R.; Highbarger, H.;
Zhang, X. X.; Kleiner, D.; Wood, B. J.; Chavez, J.; Symonds, W. T.;
Subramanian, M.; McHutchison, J.; Polis, M. A.; Fauci, A. S.; Masur,
H.; Kottilil, S. Sofosbuvir and Ribavirin for Hepatitis C Genotype 1 in
Patients With Unfavorable Treatment Characteristics: A Randomized
Clinical Trial. JAMA 2013, 310 (8), 804−811.
In summary, the synthesis and anti-HCV activity of a series
of C-nucleoside purine analogue inhibitors of HCV NS5B
polymerase have been investigated. Four of the five nucleosides
showed excellent enzyme activity as their triphosphates, with
two adenosine analogues showing activity in the cell-based
replicon assay. The enzyme active guanosine analogues were,
however, inactive in the whole cell assay, presumably due to
inefficient anabolism to their nucleotide triphosphates. The
pyrrolotriazine adenosine analogue 1 was chosen for further
profiling because it showed excellent cross-genotype activity,
low in vitro toxicity, good anabolism, and excellent
pharmacokinetic properties in three species. Compound 1
incorporates the key structural features of a 2′CMe-ribose
moiety with a pyrrolotriazine 7-deazaadenine base mimic,
connected by a highly stable C−C bond. Unfortunately, the
observation of adverse effects in rat safety studies caused us to
re-evaluate our pursuit of 1 as a drug candidate. Despite this,
these results demonstrated the potential for C-nucleosides to
be used in new antiviral HCV therapies provided a sufficient
therapeutic margin can be established.
(9) Biota Scientific Management & Boehringer Ingelheim Interna-
tional GMBH. Bicyclic Nucleosides and Nucleotides as Therapeutic
Agents. WO2010/002877, January 7, 2010.
(10) Butora, G.; Olsen, D. B.; Caroll, S. S.; McMasters, D. R.;
Schmitt, C.; Leone, J. F.; Stahlhut, M.; Burlein, C.; MacCoss, M.
Synthesis and HCV Inhibitory Properties of 9-Deaza-and 7,9-Dideaza-
7-oxa-2′-C-methyladenosine. Bioorg. Med. Chem. 2007, 15, 5219−
5229.
(11) Cho, A.; Zhang, L.; Xu, J.; Lee, R.; Butler, T.; Metobo, S.;
Aktoudianakis, V.; Lew, W.; Ye, H.; Clarke, M.; Doerffler, E.; Byun, D.;
Wang, T.; Babusis, D.; Carey, A. C.; German, P.; Sauer, D.; Zhong, W.;
Rossi, S.; Fenaux, M.; McHutchison, J. G.; Perry, J.; Feng, J.; Ray, A.
S.; Kim, C. U. Discovery of the First C-Nucleoside HCV Polymerase
Inhibitor (GS-6620) with Demonstrated Antiviral Response in HCV
Infected Patients. J. Med. Chem. 2014, 57, 1812−1825.
(12) Cho, A.; Zhang, L.; Xu, J.; Babusis, D.; Butler, T.; Lee, R.;
Saunders, O. L.; Wang, T.; Parrish, J.; Perry, J.; Feng, J. Y.; Ray, A. S.;
Kim, C. U. Synthesis and Characterization of 2′-C-Me Branched C-
Nucleosides as HCV. Bioorg. Med. Chem. Lett. 2012, 22, 4127−4132.
(13) Feng, J. Y.; Cheng, G.; Perry, J.; Barauskas, O.; Xu, Y.; Fenaux,
M.; Eng, S.; Tirunagari, N.; Peng, B.; Yu, M.; Tian, Y.; Lee, Y.-J.;
Stepan, G.; Lagpacan, L. L.; Jin, D.; Hung, M.; Ku, K. S.; Han, B.
Inhibition of Hepatitis C Virus Replication by GS-6620, A Potent C-
Nucleoside Monophosphate Prodrug. Antimicrob. Agents Chemother.
2014, 58, 1930−1942.
(14) Murakami, E.; Wang, T.; Babusis, D.; Lepist, E.-I.; Sauer, D.;
Park, Y.; Vela, J. E.; Shih, R.; Birkus, G.; Stefanidis, D.; Kim, C. U.;
Cho, A.; Ray, A. S. Metabolism and Pharmacokinetics of the Anti-
HCV Nucleotide Prodrug GS-6620. Antimicrob. Agents Chemother.
2014, DOI: 10.1128/AAC.02350-13.
ASSOCIATED CONTENT
* Supporting Information
■
S
Experimental procedures, analytical data, and the description
and results of in vitro assays and in vivo pharmacokinetics. This
material is available free of charge via the Internet at http://
AUTHOR INFORMATION
Corresponding Author
■
Author Contributions
All authors have given approval to the final version of the
manuscript.
Notes
(15) Patil, S. A.; Otter, B. A.; Klein, R. S. 4-Aza-7,9-
Dideazaadenosine, a New Cytotoxic Synthetic C-Nucleoside Analogue
of Adenosine. Tetrahedron Lett. 1994, 35, 5339−5342.
The authors declare no competing financial interest.
(16) Hungerford, N. L.; Armitt, D. J.; Banwell, M. G. Syntheses of
Showdomycin and Its Anomer Using N-(Triisopropylsilyl)pyrrole as a
Synthetic Equivalent for the Maleimide C3-Anion. Synthesis 2003, 12,
1837−1843.
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