
Journal of Medicinal Chemistry p. 3464 - 3483 (2014)
Update date:2022-08-05
Topics:
Fox, Brian M.
Sugimoto, Kazuyuki
Iio, Kiyosei
Yoshida, Atsuhito
Zhang, Jian
Li, Kexue
Hao, Xiaolin
Labelle, Marc
Smith, Marie-Louise
Rubenstein, Steven M.
Ye, Guosen
McMinn, Dustin
Jackson, Simon
Choi, Rebekah
Shan, Bei
Ma, Ji
Miao, Shichang
Matsui, Takuya
Ogawa, Nobuya
Suzuki, Masahiro
Kobayashi, Akio
Ozeki, Hidekazu
Okuma, Chihiro
Ishii, Yukihito
Tomimoto, Daisuke
Furakawa, Noboru
Tanaka, Masahiro
Matsushita, Mutsuyoshi
Takahashi, Mitsuru
Inaba, Takashi
Sagawa, Shoichi
Kayser, Frank
The discovery and optimization of a series of acyl CoA:diacylglycerol acyltransferase 1 (DGAT1) inhibitors based on a pyrimido[4,5-b][1,4]oxazine scaffold is described. The SAR of a moderately potent HTS hit was investigated resulting in the discovery of phenylcyclohexylacetic acid 1, which displayed good DGAT1 inhibitory activity, selectivity, and PK properties. During preclinical toxicity studies a metabolite of 1 was observed that was responsible for elevating the levels of liver enzymes ALT and AST. Subsequently, analogues were synthesized to preclude the formation of the toxic metabolite. This effort resulted in the discovery of spiroindane 42, which displayed significantly improved DGAT1 inhibition compared to 1. Spiroindane 42 was well tolerated in rodents in vivo, demonstrated efficacy in an oral triglyceride uptake study in mice, and had an acceptable safety profile in preclinical toxicity studies.
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