Communications to the Editor
J ournal of Medicinal Chemistry, 2000, Vol. 43, No. 15 2777
Ta ble 2. In Vitro and in Vivo Functional Profiles and
Pharmacokinetics for 3 and Terazosin
significantly lower dose of 3 (3 µg/kg) compared to
terazosin (16 µg/kg) was required to block the effect of
phenylephrine. These observations support the hypoth-
esis that an R1A-selective antagonist may be able to
provide symptomatic relief for BPH patients while
causing fewer cardiovascular side effects.
assay
agonist
3
terazosin
Kb human prostate (nM) A-61603
0.1 ( 0.035
25 ( 2.7
130 ( 33
25 ( 3
19 ( 2.4
52 ( 15
Kb dog prostate (nM)
Kb rat prostate (nM)
Kb rat aorta (nM)
AD50 in situ rat
phenylephrine 0.33 ( 0.05
A-61603
0.26 ( 0.13
norepinephrine >1000
phenylephrine 12 ( 1.8
Compound 3 exhibited significantly improved oral
bioavailability and plasma half-life in rats (25% and 6
h) and dogs (74% and >12 h) compared to the dihydro-
pyrimidinones represented by 1 (oral bioavailability <
25% and half-life < 6 h in rats and dogs).
On the basis of its high binding affinity and selectivity
for the R1A adrenoceptor, its unique structure, and its
excellent pharmacokinetic and pharmacodynamic prop-
erties, compound 3 (SNAP 7915) has emerged as one of
the most interesting R1A antagonists reported to date.
prostate (µg/kg)
Kb dog IUPa (µg/kg)
phenylephrine 3.0
phenylephrine >300
16
72
b
DBP15
,
dog (µg/kg)
rat: F, t1/2 (h)
dog: F, t1/2 (h)
25%,c 6.0 ( 1.2 49%, 7.5
74 ( 17%,d >12
a
b
Intra-urethral pressure. DBP15 is the dose of a compound
required to cause a drop of 15 mmHg in diastolic blood pressure.
c No SD available. Oral bioavailability was calculated using mean
oral AUC values. iv: 1 mg/kg dose (n ) 4), AUC ) 559 ( 139
ng‚h/mL; po: 3 mg/kg dose (n ) 4), AUC ) 419 ( 128 ng‚h/mL.
d
iv: 1 mg/kg dose (n ) 3), AUC ) 2274 ( 488 ng‚h/mL; po: 3
mg/kg dose (n ) 3), AUC ) 4900 ( 320 ng‚h/mL; the values are
mean ( SD.
Ack n ow led gm en t. We thank Drs. Robert Taber and
William Heydorn (Synaptic Pharmaceutical Corp.) for
their encouragement. We thank Mr. Boshan Li, Mr.
Vincent J orgenson, Mr. Yong Zeng (Synaptic Pharma-
ceutical Corp.), and Ms. Linda Payne (Merck Research
Laboratories) for technical assistance and Dr. Mark
Bock (Merck Research Laboratories) for helpful discus-
sions.
Su p p or tin g In for m a tion Ava ila ble: Experimental pro-
cedures and characterization data for 3 and other intermedi-
ates. This material is available free of charge via the Internet
at http://pubs.acs.org.
Refer en ces
(1) Kirby, R. S.; Christmas, T. J . Benign Prostatic Hyperplasia;
Gower Medical Publishing: London, England, 1993.
(2) Lepor, H. Long-Term Efficacy and Safety of Terazosin in Patients
with Benign Prostatic Hyperplasia. Urology 1995, 45, 406-413.
(3) Lepor, H.; Kaplan, S. A.; Klimberg, I.; Mobley, D. F.; Fawzy, A.;
Gaffney, M.; Ice, K.; Dias, N. Doxazosin for Benign Prostatic
Hyperplasia: Long-Term Efficacy and Safety in Hypertensive
and Normotensive Patients. The Multicenter Study Group. J .
Urol. 1997, 157, 525-530.
F igu r e 1. Effect of R1 antagonists on baseline diastolic blood
pressure in anesthetized male dogs (10 min post-intravenous
administration). Data shown are mean ( SE. The error bars
are not shown when smaller than the size of the symbols used.
(4) Chueh, S.; Guh, J .; Chen, J .; Lai, M.; Ko, F.; Teng, C. Inhibition
by Tamsulosin of Tension Responses of Human Hyperplastic
Prostate to Electrical Field Stimulation. Eur. J . Pharmacol.
1996, 305, 177-180.
(5) Forray, C.; Bard, J . A.; Wetzel, J . M.; Chiu, G.; Shapiro, E.; Tang,
R.; Lepor, H.; Hartig, P. R.; Weinshank, R. L.; Branchek, T. A.;
Gluchowski, C. The R1-Adrenergic Receptor that Mediates
Smooth Muscle Contraction in Human Prostate has the Phar-
macological Properties of the Cloned Human R1c Subtype. Mol.
Pharmacol. 1994, 45, 703-708.
(6) Wetzel, J . M.; Miao, S. W.; Forray, C.; Borden, L. A.; Branchek,
T. A.; Gluchowski, C. Discovery of R1a-Adrenergic Receptor
Antagonists Based on the L-Type Ca2+ Channel Antagonist
Niguldipine. J . Med. Chem. 1995, 38, 1579-1581.
(7) Adkison, K. K.; Halm, K. A.; Shaffer, J . E.; Drewry, D.;
Sinhababu, A. K.; Bermann, J . Discovery of a Potent and
Selective R1A Antagonist. Utilization of a Rapid Screening
Method to Obtain Pharmacokinetic Parameters. In Integration
of Pharmaceutical Discovery and Development: Case Studies;
Borchardt et al., Eds.; Plenum Press: New York, 1998; pp 423-
443.
(8) Meyer, M. D.; Altenbach, R. J .; Basha, F. Z.; Caroll, W. A.; Drizin,
I.; Elmore, S. W.; Ehrlich, P. P.; Lebold, S. A.; Tietje, K.; Sippy,
K. B.; Wendt, M. D.; Plata, D. J .; Plagge, F.; Buckner, S. A.;
Brune, M. E.; Hancock, A. A.; Kerwin, J . F., J r. Synthesis and
Pharmacological Characterization of 3-[2-(3RR,9âR)-cis-6-Meth-
oxy-2,3,3a,4,5,9b-hexahydro-1H-benz[e]isoindol-2-yl)ethyl]pyrido-
[3′,4′:4,5]thieno[3,2-d]pyrimidine-2,4(1H,3H)-dione (A-131701):
A Uroselective R1a Adrenoceptor Antagonist for the Symptomatic
Treatment of Benign Prostatic Hyperplasia. J . Med. Chem. 1997,
40, 3141-3143.
situ prostate compared to terazosin (AD50 ) 52 µg/kg).
Compound 3 exhibited significantly lower potency to
inhibit agonist-induced contractions of isolated rat aorta
(Kb > 1 µM) relative to its potency to inhibit agonist-
induced contractions of isolated rat prostate (Kb ) 0.26
nM). The observed selectivity for inhibition of prostatic
vs aortic contraction is consistent with the binding
selectivity exhibited by 3 for the recombinant rat R1A
adrenoceptor over the R1D adrenoceptor.26 In contrast,
terazosin displayed nearly equal potencies in the rat
aorta and prostate tissue preparations (Kb ∼ 20 nM).
Compound 3 failed to show any hypotensive effects
in the dog even at a high dose of 300 µg/kg. Terazosin,
on the other hand, showed hypotensive effects (defined
as a 15% drop in diastolic blood pressure, DBP15) at a
dose of 72 µg/kg. In a separate experiment, both tera-
zosin and prazosin, unlike compound 3, showed a dose-
dependent decrease in the diastolic blood pressure
(Figure 1) in anesthetized male dogs.
The uroselectivity of compound 3 (defined as the ratio
of DBP15 to Kb for inhibition of a phenylephrine-induced
increase in intra-urethral pressure) was assessed in
anesthetized mongrel dogs. Compound 3 displayed at
least 100-fold uroselectivity, in contrast to the 4-fold
selectivity observed for terazosin in these models. A
(9) Nagarathnam, D.; Miao, S. W.; Lagu, B.; Chiu, G.; Fang, J .;
Murali Dhar, T. G.; Zhang, J .; Tyagarajan, S.; Marzabadi, M.
R.; Zhang, F.; Wong, W. C.; Sun, W.; Tian, D.; Wetzel, J . M.;
Forray, C.; Chang, R. S. L.; Broten, T. P.; Schorn, T. W.; Chen,