Discovery of a Non-Peptide Fibrinogen Receptor Antagonist
J ournal of Medicinal Chemistry, 2001, Vol. 44, No. 8 1175
(6) Hawiger, J . Hum. Pathol. 1987, 18, 111.
Castaner, J . Sibrafiban. Drugs Future 1998, 23, 1297-1303. (c)
Merlos, M.; Leeson, P. A.; Castaner, J . Orbofiban Acetate. Drugs
Future 1998, 23, 1190-1198. (d) Xue, C. B.; Mousa, S. A. DMP
754. Drugs Future 1998, 23, 707-711.
(7) For recent reviews, see: (a) Cook, N. S.; Kottirsch, G.; Zerwes,
H.-G. Platelet glycoprotein IIb/IIIa antagonists. Drugs Future
1994, 19, 135-159. (b) Wityak, J .; Sielecki, T. M.; Glycoprotein
IIb/IIIa. Expert Opin. Ther. Pat. 1996, 6, 1175-1194. (c) Lefko-
vits, J .; Plow, E. F.; Topol, E. J . Platelet glycoprotein IIb/IIIa
receptors in cardiovascular medicine. N. Engl. J . Med. 1995, 332,
1553-1559. (d) Mousa, S. A.; Bennett, J . S. Platelets in health
and disease: platelet GPIIb-IIIa structure and function: recent
advances in antiplatelet therapy. Drugs Future 1996, 21, 1141-
1154. (e) Winkelmann, B. R.; Zahn, R.; Stilz, H. U. Overview of
Clinical Trials with Glycoprotein IIb-IIIa Receptor Antagonists
in the Prevention and Management of Coronary Thrombosis.
Expert Opin. Invest. Drugs 1997, 6, 147-165. (f) Smallheer, J .
M.; Olson, R. E.; Wexler, R. R. Antiplatelet therapies. Annu. Rep.
Med. Chem. 2000, 35, 103-122. (g) Mousa, S. A. Antiplatelet
therapies: from aspirin to GP IIb/IIIa-receptor antagonists and
beyond. Drug Discovery Today 1999, 4, 552-561.
(8) Ruoshlati, E. Integrins. J . Clin. Invest. 1991, 87, 1-5.
(9) Coller, B. S.; Peerschke, E. I.; Scudder, L. E.; Sullivan, C. A. A
murine monoclonal antibody that completely blocks the binding
of fibrinogen to platelets produces a thrombasthenic-like state
in normal platelets and binds to glycoprotein IIb and/or IIIa. J .
Clin. Invest. 1983, 72, 325-338.
(10) Pidard, D.; Montgomery, R. R.; Bennett, J . S.; Kunicki, T. J .
Interaction of AP-2, a monoclonal antibody specific for the
human platelet glycoprotein IIb-IIIa complex with intact plate-
lets. J . Biol. Chem. 1983, 258, 12582-12586.
(20) (a) Egbertson, M. S.; Chang, C. T.-C.; Duggan, M. E.; Gould, R.
J .; Halczenko, W.; Hartmann, G. D.; Laswell, W. L.; Lynch, J .
J ., J r.; Lynch, R. J .; Manno, P. D.; Naylor, A. M.; Prugh, J . D.;
Ramjit, D. R.; Sitko, G. R.; Smith, R. S.; Turchi, L. M., Zhang,
G. Non-peptide fibrinogen receptor antagonists. 2. Optimisation
of a tyrosine template as a mimic for Arg-Gly-Asp. J . Med. Chem.
1994, 37, 2537-2551. (b) Duggan, M. E.; Naylor-Olson, A. M.;
Perkins, J . J .; Anderson, P. S.; Chang, C. T.-C.; Cook, J . J .;
Gould, R. J .; Ihle, N. C.; Hartmann, G. D.; Lynch, J . J .; Lynch,
R. J .; Manno, P. D.; Schaffer, L. W.; Smith, R. L. Non-peptide
fibrinogen receptor antagonists. 3. Design and synthesis of a
potent, orally active fibrinogen receptor antagonist. J . Med.
Chem. 1995, 38, 3332-3341. (c) Klein, S. I.; Molino, B. F.;
Czekaj, M.; Gardner, C. J .; Chu, V.; Brown, K.; Sabatino, R. D.;
Bostwick, J . S.; Kasiewski, C.; Bentley, R.; Windisch, V.; Perrone,
M.; Dunwiddie, C. T.; Leadley, R. J . Design of a New Class of
Orally Active Fibrinogen Receptor Antagonists. J . Med. Chem.
1998, 41, 2492-2502. (d) Sugihara, H.; Fukushi, H.; Miyawaki,
T.; Imai, Y.; Terashita, Z.; Kawamura, M.; Fujisawa, Y.; Kita,
S.. Novel Non-Peptide Fibrinogen Receptor Antagonists. 1.
Synthesis and Glycoprotein IIb-IIIa Antagonistic Activities of
1,3,4-Trisubstituted 2-Oxopiperazine Derivatives Incorporating
Side-Chain Functions of the RGDF Peptide. J . Med. Chem. 1998,
41, 489-502
(21) (a) Ku, T. W.; Ali, F. E.; Barton, L. S.; Bean, J . W.; Bondinell,
W. E.; Burgess, J . L.; Callahan, J . F.; Calvo, R. R.; Chen, L.;
Eggleston, D. S.; Gleason, J . G.; Huffman, W. F.; Hwang, S. M.;
J akas, D. R.; Karash, C. B.; Keenan, R. M.; Kopple, K. D.; Miller,
W. H.; Newlander, K. A.; Nichols, A.; Parker, M. F.; Peishoff, C.
E.; Samanen, J . M.; Uzinskas, I.; Venslavsky, J . W. Direct design
of a potent non-peptide fibrinogen receptor antagonist based on
the structure and conformation of a highly constrained cyclic
RGD peptide. J . Am. Chem. Soc. 1993, 115, 8861-8862. (b) Ku,
T. W.; Miller, W. H.; Bondinell, W. E.; Erhard, K. F.; Keenan,
R. M.; Nichols, A. J .; Peishoff, C. E.; Samanen, J . M.; Wong, A.
S.; Huffman, W. F. Potent non-peptide fibrinogen receptor
antagonists which present an alternative pharmacophore. J .
Med. Chem. 1995, 38, 9-12. (c) Samanen, J . M.; Ali, F. E.;
Barton, L. S.; Bondinell, W. E.; Burgess, J . L.; Callahan, J . F.;
Calvo, R. R.; Chen, W.; Chen, L.; Erhard, K.; Feuerstein, G.;
Heys, R.; Hwang, S.-M.; J akas, D. R.; Keenan, R. M.; Ku, T. W.;
Kwon, C.; Lee, C.-P.; Miller, W. H.; Newlander, K. A.; Nichols,
A.; Parker, M.; Peishoff, C. E.; Rhodes, G.; Ross, S.; Shu, A.;
Simpson, R.; Takata, D.; Yellin, T. O.; Uzsinskas, I.; Venslavsky,
J . W.; Yuan, C.-K.; Huffman, W. F. Potent, selective, orally active
3-oxo-1,4-benzodiazepine GPIIb/IIIa integrin antagonists. J .
Med. Chem. 1996, 39, 4867-4870.
(22) Eldred, C. D.; Evans, B.; Hindley, S.; J udkins, B. D.; Kelly, H.
A.; Kitchin, J .; LumLey, P.; Porter, B.; Ross, B. C.; Smith, K. J .;
Taylor, N. R.; Wheatcroft, J . R. Orally active non-peptide fibrin-
ogen receptor (GP IIb/IIIa) antagonists: Identification of 4-[4-
[4-(Aminoimino-methyl)-phenyl)]-1-piperazinyl]-1-piperidineace-
tic acid as a long-acting, broad-spectrum antithrombotic agent.
J . Med. Chem. 1994, 37, 3882-3885.
(23) (a) Zablocki, J . A.; Tjoeng, F. S.; Bovy, P. R.; Miyano, M.;
Garland, R. B.; Williams, K.; Schretzmann, L.; Zupec, M. E.;
Rico, J . G.; Lindmark, R. J .; Toth, M. V.; McMackins, D. E.;
Adams, S. P.; Panzer-Knodle, S. G.; Nicholson, N. S.; Taite, B.
B.; Salyers, A. K.; King, L. W.; Campion, J . G.; Feigen, L. P. A
novel series of orally active antiplatelet agents. Bioorg. Med.
Chem. 1995, 3, 539-551.
(24) Hoekstra, W. J .; Beavers, M. P.; Andrade-Gordon, P.; Evange-
listo, M. F.; Keane, P. M.; Press: J . B.; Tomko, K. A.; Fan, F.;
Kloczewiak, M.; Mayo, K. H.; Durkin, K. A.; Liotta, D. C. Design
and evaluation of nonpeptide fibrinogen γ-chain based GP IIb/
IIIa antagonists. J . Med. Chem. 1995, 38, 1582-1592.
(25) Wityak, J .; Sielecki, T. M.; Pinto, D. J .; Emmett, G.; Sze, J . Y.;
Liu, J .; Tobin, A. E.; Wang, S.; J iang, B.; Ma, P.; Mousa, S. A.;
Wexler, R. R.; Olson, R. E. Discovery of potent isoxazoline
glycoprotein IIb/IIIa receptor antagonists. J . Med. Chem. 1997,
40, 50-60.
(26) Blackburn, B. K.; Lee, A.; Baier, M.; Kohl, B.; Olivero, A. G.;
Matamoros, R.; Robarge, K. D.; McDowell, R. S. From peptide
to non-peptide. 3. Atropisomeric GPIIbIIIa antagonists contain-
ing the 3,4-dihydro-1H-1,4-benzodiazepine-2,5-dione nucleus. J .
Med. Chem. 1997, 40, 717-729.
(27) Sall, D. J .; Arfsten, A. E.; Bastian, J . A.; Denney, M. L.; Harms,
C. S.; McCowan, J . R.; Morin, J . M.; Rose, J . W.; Scarborough,
R. M.; Smyth, M. S.; Um, S. L.; Utterback, B. G.; Vasileff, R. T.;
Wikel, J . H.; Wyss, V. L.; J akubowski, J . A. Use of conforma-
tionally restricted benzamidines as arginine surrogates in the
design of platelet GPIIb-IIIa receptor antagonists. J . Med. Chem.
1997, 40, 2843-2857.
(11) Gould, R. J .; Polokoff, M. A.; Friedman, P. A.; Huang, T.-F.; Holt,
J . C.; Cook, J . J .; Niewiarowski, S. Disintegrins: A family of
integrin inhibitory proteins from viper venoms. Proc. Soc. Exp.
Biol. Med. 1990, 195, 168-171.
(12) Seymour, J . L.; Henzel, W. J .; Nevins, B.; Stults, J . T.; Lazarus,
R. A. Decorsin, a potent glycoprotein IIb-IIIa antagonist and
platelet aggregation inhibitor from the leech Macrobdella Decora.
J . Biol. Chem. 1990, 265, 10143-10147.
(13) (a) Samanen, J .; Ali, F.; Romoff, T.; Calvo, R.; Sorenson, E.;
Vasko, J .; Storer, B.; Berry, D.; Bennett, D.; Strohsacker, M.;
Powers, D.; Stadel, J .; Nichols, A. Development of a small RGD
peptide fibrinogen receptor antagonist with potent antiaggre-
gatory activity in vitro. J . Med. Chem. 1991, 34, 3114-3125.
(b) Ali, F. E.; Bennett, D. B.; Calvo, R. R.; Elliott, J . D.; Hwang,
S. M.; Ku, T. W.; Lago, M. A.; Nichols, A. J .; Romoff, T. T.; Shah,
D. H.; Vasko, J . A.; Wong, A. S.; Yellin, T. O.; Yuan, C. K.;
Samanen, J . M. Conformationally constrained peptides and
semipeptides derived from RGD as potent inhibitors of the
platelet fibrinogen receptor and platelet aggregation. J . Med.
Chem. 1994, 37, 769-780.
(14) Barker, P. L.; Bullens, S.; Bunting, S.; Burdick, D. J .; Chan, K.
S.; Deisher, T.; Eigenbrot, C.; Gadek, T. R.; Gantzos, R.; Lipari,
M. T.; Muir, C. D.; Napier, M. A.; Pitti, R. M.; Padua, A.; Quan,
C.; Stanley, M.; Struble, M.; Tom, J . Y. K.; Burnier, J . P. Cyclic
RGD peptide analogues as antiplatelet antithrombotics. J . Med.
Chem. 1992, 35, 2040-2048.
(15) (a) Zablocki, J . A.; Miyano, M.; Rao, S. N.; Panzer-Knodle, S.;
Nicholson, N.; Feigen, L. Potent inhibitors of platelet aggregation
based upon the Arg-Gly-Asp-Phe sequence of fibrinogen. A
proposal on the nature of the binding interaction between the
Asp-carboxylate of RGDX mimetics and the platelet GP IIb-IIIa
receptor. J . Med. Chem. 1992, 35, 4914-4917. (b) Zablocki, J .
A.; Miyano, M.; Garland, R. B.; Pireh, D.; Schretzmann, L.; Rao,
S. N.; Lindmark, R. J .; Panzer-Knodle, S.; Nicholson, N.; Taite,
B. B.; Salyers, A. K.; King, L. W.; Campion, J . G.; Feigen, L. P.
Potent in vitro and in vivo inhibitors of platelet aggregation
based upon the Arg-Gly-Asp-Phe sequence of fibrinogen. A
proposal on the nature of the binding interaction between the
Arg-guanidine of RGDX mimetics and the platelet GP IIb-IIIa
receptor. J . Med. Chem. 1993, 36, 1811-1819.
(16) J ackson, S.; DeGrado, W. F.; Dwivedi, A.; Parthasarathy, A.;
Higley, A.; Krywko, J .; Rockwell, A.; Markwalder, J .; Wells, G.;
Wexler, R.; Mousa, S.; Harlow, R. L. Template-constrained cyclic
peptides: design of high-affinity ligands for GP IIb/IIIa. J . Am.
Chem. Soc. 1994, 116, 3220-3230.
(17) Cheng, S.; Craig, W. S.; Mullen, D.; Tschopp, J . F.; Dixon, D.;
Pierschbacher, M. D. Design and synthesis of novel cyclic RGD
containing peptides as highly potent and selective integrin
RIIbâ3 antagonists. J . Med. Chem. 1994, 37, 1-8.
(18) Kloczewiak, M.; Timmons, S.; Bednarek, M. A.; Sakon, M.;
Hawiger, J . Platelet receptor recognition domain on the γ chain
of human fibrinogen and its synthetic peptide analogues.
Biochemistry 1989, 28, 2915-2919.
(19) (a) Alig, L.; Edenhofer, A.; Hadva´ry, P.; Hu¨rzeler, M.; Knopp,
D.; Mu¨ller, M.; Steiner, B.; Trezeciak, A.; Weller, T. Low
molecular weight, non-peptide fibrinogen receptor antagonists.
J . Med. Chem. 1992, 35, 4393-4407. (b) Merlos, M.; Graul, A.;