Notes
(2) HIV-1 protease inhibitors tested in clinical trials include: (a)
J ournal of Medicinal Chemistry, 1997, Vol. 40, No. 24 3985
Serine to Sterochemically Pure â-Substituted R-Amino Acids via
â-Lactones. J . Am. Chem. Soc. 1985, 107, 7105-7109.
Ro 31-8959: Roberts, N. A.; Martin, J . A.; Kinchington, D.;
Broadhurst, A. V.; Craig, J . C.; Duncan, I. B.; Galpin, S. A.;
Handa, B. K.; Kay, J .; Krohn, A.; Lambert, R. W.; Merrett, J .
H.; Mills, J . S.; Parkes, K. E. B.; Redshaw, S.; Ritchie, A. J .;
Taylor, D.L.; Thomas, G. J .; Machin, P. J . Rational Design of
Peptide-Based HIV Proteinase Inhibitors. Science 1990, 248,
358-361. (b) L-735,524: Vacca, J . P.; Dorsey, B. D.; Schleif, W.
A.; Levin, R. B.; McDaniel, S. L.; Darke, P. L.; Zugay, J .;
Quintero, J . C.; Blahy, O. M.; Roth, E.; Sardana, V. V.; Schla-
bach, A. J .; Graham, P. I.; Condra, J . H.; Gotlib, L.; Holloway,
M. K.; Lin, J .; Chen, I.-W.; Vastag, K.; Ostovic, D.; Anderson, P.
S.; Emini, E. A.; Huff, J . R. L-735,524: An Orally Bioavailable
Human Immunodeficiency Virus Type 1 Protease Inhibitor. Proc.
Natl. Acad. Sci. U.S.A. 1994, 91, 4096-4100. (c) XM-412: Wong,
Y. N Biopharm. Drug Dispos. 1995, 15, 535-544. (d) U96988:
Thaisrivongs, S.; Tomich, P. K.; Watenpaugh, K. D.; Chong, K.
T.; Howe, W. J .; Yang, C.-P.; Strohbach, J . W.; Turner, S. R.;
McGrath, J . P.; Bohanon, M. J .; Lynn, J . C.; Mulichak, A. M.;
Spinelli, P. A.; Hinshaw, R. R.; Pagano, P. J .; Moon, J . B.;
Ruwart, M. J .; Wilkinson, K. F.; Rush, B. D.; Zipp, G. L.; Dalga,
R. J .; Schwende, F. J .; Howard, G. M.; Padbury, G. E.; Toth, L.
N.; Zhao, Z.; Koeplinger, K. A.; Kakuk, T. J .; Cole, S. L.; Zaya,
R. M.; Piper, R. C.; J effrey, P. Structure-Based Design of HIV
Protease Inhibitors: 4-Hydroxycoumarins and 4-Hydroxy-2-
pyrones as Non-peptidic Inhibitors. J . Med. Chem. 1994, 37,
3200-3204. (e) VX-478: Kim, E. E.; Baker, C. T.; Dwyer, M.
D.; Murko, M. A.; Rao, B. G.; Tung, R. D.; Navia, M. R. Crystal
Structure of HIV-1 Protease in Complex with VX-478, a Potent
and Orally Bioavailable Inhibitor of the Enzyme. J . Am. Chem.
Soc. 1995, 117, 1181-1182. (f) ABT-538: Kempf, D. J .; Marsh,
K. C.; Denissen, J .; McDonald, E.; Vasavanonda, S.; Flengte, C.;
Green, B. E.; Fino, L.; Park, C.; Kong, X.; Wideburg, N. E.;
Saldivar, A.; Ruiz, L.; Kati, W. M.; Sham, H. L.; Robins, T.;
Stewart, K. D.; Hsu, A.; Plattner, J . J .; Leonard, J . M.; Norbeck,
D. W. ABT-538 is a Potent Inhibitor of Human Immunodefi-
ciency Virus Protease and has High Oral Bioavailability in
Humans. Proc. Natl. Acad. Sci. U.S.A. 1995, 92, 2484-2488.
(3) Appelt, K. Crystal Structures of HIV-1 Protease Perspect. Drug
Disc. Des. 1993, 1, 23-48.
(4) (a) Kalish, V. J .; Tatlock, J . H.; Davies, J . F., II; Kaldor, S. W.;
Dressman, B. A.; Reich, S.; Pino, M.; Nyugen, D.; Appelt, K.;
Musick, L.; Wu, B. Structure-based Design of Nonpeptidic P2
Substituents for HIV-1 Protease Inhibitors. Bioorg. Med. Chem.
Lett. 1995, 5, 727-732. (b) Kaldor, S. W.; Dressman, B. A.;
Hammond, M.; Appelt, K.; Burgess, J . A.; Lubbehusen, P. P.;
Muesing, M. A.; Hatch, S. D.; Wiskerchen, M.; Baxter, A. J .
Isophthalic Acid Derivatives: Amino Acid Surrogates for the
Inhibition of HIV-1 Protease. Bioorg. Med. Chem. Lett. 1995, 5,
721-726. (c) Kaldor, S. W.; Appelt, K.; Fritz, J . E.; Hammond,
M.; Crowell, T. A.; Baxter, A. J .; Hatch, S. D.; Wiskerchen, M.;
Muesing, M. A. A Systematic Study of P1-P3 Spanning Sidechains
for the Inhibition of HIV-1 Protease. Bioorg. Med. Chem. Lett.
1995, 5, 715-720. (d) Kaldor, S. W.; Hammond, M.; Dressman,
B. A.; Fritz, J . E.; Crowell, T. A.; Hermann, R. A. New Dipeptide
Isosteres Useful for the Inhibition of HIV-1 Protease. Bioorg.
Med. Chem. Lett. 1994, 4, 1385-1390. (e) Reich, S. H.; Melnick,
M.; Davies, J .; Appelt, K.; Lewis, K.; Fuhry, M. M.; Pino, M.; et
al. Protein Structure-Based Design of Potent Orally Bioavailable,
Nonpeptide Inhibitors of Human Immunodeficiency Virus Pro-
tease Proc. Natl. Acad. Sci. U.S.A. 1995 92, 8, 3298. (f) Reich,
S. H.; Melnick, M.; Pino, M.; Fuhry, M. M.; Trippe, A.; Appelt,
K.; Davies, J . F., II; Wu, B.; Musick, L. Structure-Based Design
and Synthesis of Substituted 2-Butanols as Nonpeptidic Inhibi-
tors of HIV Protease: Secondary Amide Series. J . Med. Chem.
1996, 39, 2781-2794. (g) Melnick, M.; Reich, S. H.; Lewis, K.
K.; Mitchell, L. J .; Nguyen, D.; Trippe, A. J .; Dawson, H.; Davies,
J . F., II; Appelt, K.; Wu, B.; Musick, L.; Gehlhaar, D. K.; Webber,
S.; Shetty, B.; Kosa, M.; Andrada, D. Bis Tertiary Amide
Inhibitors of the HIV-1 Protease Generated via Protein Structure-
Based Iterative Design J . Med. Chem. 1996, 39, 2795-2811.
(5) Appelt, K.; Davies, J ., Unpublished results.
(8) See Parkes, K. E. B.; Bushnell, D. J .; Crackett, P. H.; Dunsdon,
S. J .; Freeman, A. C.; Gunn, M. P.; Hopkins, R. A.; Lambert, R.
W.; Martin, J . A.; Merrett, J . H.; Redshaw, S.; Spurden, W. C.;
Thomas, G. J . Studies Toward the Large-Scale Synthesis of the
HIV Proteinase Inhibitor Ro 31-8959. J . Org. Chem. 1994, 59,
3656-3664 and references cited therein.
(9) Ki values were measured using the chromogenic assay developed
by Richards et al. using His-Lys-Arg-Val-Leu-Phe(p-NO2)-Glu-
Ala-Nle-Ser-NH2 (American Peptide, Santa Clara, CA) as the
substrate at pH 5.6: Richards, A. D.; Phylip, L. H.; Farmerie,
W. G.; Scarborough, P.; Pavlickova, L.; Kostka, V.; Kay, J .
Sensitive, Soluble Chromogenic Substrates for HIV-1 Proteinase.
J . Biol. Chem. 1990, 265, 7733-7736. Inhibition constants were
determined using the method of Morrison and applying nonlin-
ear curve-fitting methods: Morrison, J . F. Kinetics of the
Reversible Inhibition of Enzyme-Catalysed Reactions of Tight-
Binding Inhibitors. Biochim. Biophys. Acta 1969, 185, 269-286.
For comparison, Ro 31-8959, prepared in-house, exhibited a Ki
of 0.99 ( 0.31 nM in this assay. Antiviral testing was performed
according to the method of Weislow et al.: Weislow, O. S.; Kiser,
R.; Fine, D. L.; Bader, J .: Shoemaker, R. H.; Boyd, M. R. New
Soluble-Formazan Assay for HIV-1 Cytopathic Effects: Applica-
tion to High-Flux Screening of Synthetic and Natural Products
for AIDS-Antiviral Activity. J . Natl. Cancer Inst. 1989, 81 (8),
577-586. For comparison, Ro 31-8959, prepared in-house,
exhibited an ED50 of 2-10 nM in this assay.
(10) The HIV-1 protease cloning, expression, and purification has
been described previously (Hostomsky, Z.; Appelt, K.; Ogden,
R. C. Biochem. Biophys. Res. Commun. 1989, 161, 1056-1063).
Crystals of the inhibited enzyme were grown by the hanging
drop vapor diffusion method from 1.2-1.6 M ammonium sulfate,
5% (vol/vol) dimethyl sulfoxide, 3% (vol/vol) isopropyl alcohol,
and 0.05 M citrate-tartrate buffered at pH ) 5.8. The enzyme
crystallized in space group P2(1)2(1)2(1) with cell dimensions
of a ) 52 Å, b ) 59 Å, and c ) 62 Å. A 2.1 Å X-ray diffraction
data set was collected from one crystal using dual area detectors
from Area Detector Systems, Inc. Refinement of the AG1343
complex was initiated using the crystal structure of a previously
solved inhibited complex as a starting point. Using the X-PLOR
program (Brunger, A. T.; Kuriyan, J .; Karplus, M. Science 1987,
235, 458-460), the structure was refined to a crystallographic
R-factor of 0.20 using all data between 6 and 2.1 Å. Details of
the crystallographic work will be published elsewhere (J . F.
Davies and K. Appelt). Atomic coordinates have been deposited
in the Protein Data Bank, Chemistry Department, Brookhaven
National Laboratories, Long Island, NY 11973. Accession num-
ber: 10HR.
(11) For comparative purposes Ro 31-8959 afforded an ED50 range
of 2-30 nM in the same assays. Details of antiviral and
resistance data: Patick, A. K.; Mo, H.; Markowitz, M.; Appelt,
K.; Wu, B.; Musick, L.; Kalish, V.; Kaldor, S.; Reich, S.; Ho, D.;
Webber, S. Antiviral and Resistance Studies of AG1343, an
Orally Bioavailable Inhibitor of Human Immunodeficiency Virus
Protease. Antimicrob. Agents Chemother. 1996, 40 (2), 292-297.
(12) Animal studies: Pharmacokinetics of AG1343 were determined
after intravenous and oral administration of AG1343 to male
Sprague-Dawley rats (n ) 3), beagle dogs (one male and one
female), female cynomolgus monkeys, and marmosets (one male
and one female). Intravenous dose of AG1343 ranged from 12.5
to 25 mg/kg, and oral dose of AG1343 ranged from 25 to 50 mg/
kg. AG1343 was delivered as a solution in 5% dextrose to rats,
dogs, and monkeys or in propylene glycol:water (50:50) to
marmosets. Blood (0.25-2 mL) was sampled from the jugular,
femoral, or cephalic vein before dosing and at time points up to
48 h after dosing. Plasma was separated immediately after
sampling by centrifugation and stored at -20 °C until analyzed.
AG1343 was extracted from plasma and quantified using high
performance liquid chromatography (HPLC) and UV detection.
Details of preclinical pharmacokinetics will be published in
appropriate forum (B. Shetty).
(6) Initial disclosures on AG1343: (a) Shetty, B.; Kaldor, S.; Kalish,
V.; Reich, S.; Webber, S. AG1343, An Orally Bioavailable Non-
peptidic HIV-1 Protease Inhibitor. Presented at the 10th Inter-
national AIDS Conference, Yokohama, J apan, August 1994;
paper 321A. (b) Kalish, V.; Kaldor, S.; Shetty, B.; Tatlock, J .;
Davies, J .; Hammond, M.; Dressman, B.; Fritz, J .; Appelt, K.;
Reich, S.; Musick, L.; Wu, B.; Su, K. Iterative Protein Structure-
Based Design and Synthesis of HIV Protease Inhibitors. Pro-
ceedings of the XIIIth International Symposium on Medicinal
Chemistry, Paris, France, September 1994, p 201s. In early
reports, AG1343 was also called LY312857.
(13) Muirhead, G. J .; Williams, P. E. O.; Shaw, T. M.; McClellend,
G. R. Investigations of the Effect of Food on the Pharmacoki-
netics of the HIV Proteinase Inhibitor Ro 31-8959 in Healthy
Volunteers. AIDS 1992, 6 (Suppl. 1):Abs P74.
(14) Initial presentation of these results: Quart, B. D.; Chapman,
S. K.; Peterkin, J .; Webber, S.; Oliver, S. Phase I Safety,
Tolerance, Pharmacokinetics, and Food Effect Studies of AG1343-
A Novel HIV Protease Inhibitor. Proceedings of the 2nd National
Conference on Human Retroviruses and Related Infections,
Washington, DC, J anuary 1995; Abstract LB3, p 167.
(7) Arnold, L. D.; Kalantar, T. H.; Vederas, J . C. Conversion of
J M9704098