R. L. Elliott et al. / Bioorg. Med. Chem. Lett. 20 (2010) 6797–6801
6801
Table 3
PK parameters of 4a in male Sprague-Dawley ratsa
Dose (mg/kg)
Route
Cmax (ng/mL)
Tmax (h)
Clp (mL/min/kg)
Vdss (L/kg)
AUC(0-tlast) (ng h/mL)
t1/2 (h)
F (%)
3.0
iv
po
NA
14.6 4.4
NA
1.33 0.58
41.7 8.8
NA
3.70 0.62
NA
1190 253
42.5 15.7
1.37 0.13
NA
NA
1.0 0.4
6.0b
a
NA = not applicable, mean standard deviation, n of 3.
SDD formulation.
b
L. J.; Queen, K. L.; Rimele, T. J.; Smith, D. N.; Sugg, E. E. J. Med. Chem. 1996, 39,
562; (c) Sugg, E. E.; Birkemo, L.; Gan, L. S.; Tippin, T. K. Pharm. Biotechnol. 1998,
11, 507.
In summary, the design and synthesis of CCK1R agonists with
physicochemical properties suited for limited systemic exposure
has led to the identification of our clinical candidate, 4a. Com-
pound 4a demonstrated sustained food intake efficacy in our pre-
clinical model with complete gallbladder refilling 24 h after dosing.
Additionally, PK studies with 4a to assess intestinal and systemic
exposure suggest that efficacy is primarily derived from activation
of the intestinal CCK1 receptors. Unfortunately, after 12 weeks of
dosing in overweight and obese subjects with type-2 diabetes, 4a
demonstrated inadequate efficacy (HbA1c and body weight) and
was discontinued from clinical development. Additional details
will be reported in subsequent publications.
7. Bignon, E.; Bachy, A.; Boigegrain, R.; Brodin, R.; Cottineau, M.; Gully, D.;
Herbert, J. M.; Keane, P.; Labie, C.; Mollimard, J. C.; Olliero, D.; Oury-Donat, F.;
Petereau, C.; Prabonnaud, V.; Rockstroh, M. P.; Schaeffer, P.; Servant, O.;
Thurneyssen, O.; Soubrié, P.; Pascal, M.; Maffrand, J. P.; Le Fur, G. J. Pharmacol.
Exp. Ther. 1999, 289, 742.
8. Zhu, C.; Hansen, A. R.; Bateman, T.; Chen, Z.; Holt, T. G.; Hubert, J. A.; Karanam,
B. V.; Lee, S. J.; Pan, J.; Qian, S.; Reddy, V. B.; Reitman, M. L.; Strack, A. M.; Tong,
V.; Weingarth, D. T.; Wolff, M. S.; MacNeil, D. J.; Weber, A. E.; Duffy, J. L.;
Edmondson, S. D. Bioorg. Med. Chem. Lett. 2008, 8, 4393.
9. (a) Castillo, E. J.; Delgado-Aros, S.; Camilleri, M.; Burton, D.; Stephans, D.;
O’Connor-Semmes, R.; Walker, A.; Shachoy-Clark, A.; Zinsmeister, A. R. Am. J.
Physiol. Gastrointest. Liver Physiol. 2004, 287, G363; (b) Jordon, J.; Greenway, F.
L.; Leiter, L. A.; Li, Z.; Jacobson, P.; Murphy, K.; Hill, J.; Kler, L.; Aftring, R. P. Clin.
Pharmacol. Ther. 2008, 83, 281; (c) Roses, A. D. Clin. Pharmacol. Ther. 2009, 85,
362.
Acknowledgments
10. Additional details regarding pharmacology and clinical trial results of 4a will
be reported in future publications.
We thank Andrew Butler, Jon Bordner, Richard Hank, Sharon
Matis, Daniel Virtue, Robert DePianta, Marlys Hammond, Terrell
Patterson, Li She, Jim Coutcher, and Lucy Rogers, for their contribu-
tions to this work. We thank Larry Miller for providing the CHO
hCCK1R cell line.
11. Lipinski, C. A.; Lombardo, F.; Dominy, B. W.; Feeney, P. J. Adv. Drug Delivery Rev.
2001, 46, 3.
12. Elliott, R. L.; Cameron, K. O.; Hammond, M. U.S. Patent 7,358,242, 2005.
13. Stereochemistry at C-3 for the active enantiomer 4a was determined to be in
the
S configuration based on the following experiment: (1) single X-ray
analysis of N-benzyl-2-{(4S)-4-[(5-bromo-1H-indol-3-yl)methyl]-5-oxo-1-
phenyl-4,5-dihydro-6H-[1,2,4]triazolo[4,3-a][1,5]benzodiazepin-6-yl}-N-
isopropylacetamide; (2) removal of bromide via hydrogenation provided 4a.
The crystal structure has been deposited at the Cambridge Crystallographic
Data Centre and was allocated the following deposition number: CCDC 789675.
14. (a) Evans, B. E.; Bock, M. G.; Rittle, K. E.; DiPardo, R. M.; Whitter, W. L.; Veber, D.
F.; Anderson, P. S.; Freidinger, R. M. Proc. Natl. Acad. Sci. U.S.A. 1986, 83, 4918;
(b) Henke, B. R.; Aquino, C. J.; Birkemo, L. S.; Croom, D. K.; Dougherty, R. W., Jr.;
Ervin, G. N.; Grizzle, M. K.; Hirst, G. C.; James, M. K.; Johnson, M. F.; Queen, K. L.;
Sherrill, R. G.; Sugg, E. E.; Suh, E. M.; Szewczyk, J. W.; Unwalla, R. J.; Yingling, J.;
Willson, T. M. J. Med. Chem. 1997, 40, 2706.
Supplementary data
Supplementary data associated with this article can be found, in
References and notes
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a
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