3128
M. B. Tollefson et al. / Bioorg. Med. Chem. Lett. 20 (2010) 3125–3128
Table 3 (continued)
NR3R4
R5
Et
PDE5 inhibition IC50 (nM)
3.92
PDE6/PDE5 ratiob
PDE11/PDE5 ratiob
HLMc
nd
a
Compd
N
28
107ꢀ
5100ꢀ
O
O
N
29
Et
2.96
>675ꢀ
>675ꢀ
34%
NH
a
PDE5, PDE6 and PDE11 assay protocols can be found in Ref. 6.
Ratio of IC50’s.
Human liver microsome stability, % compound remaining after 30 min, nd = not determined.
HLM half-life.
b
c
d
pressure after oral and IV administration of compound. For exam-
ple after IV dosing of 1.5 mg/kg of compound 25, we observed a
maximum decrease in mean arterial blood pressure (MAP) of
27 mmHg at 2 h post dose. The MAP remained at a reduction of
23 mmHg 6 h post dose. The measured free fraction of compound
25 at 6 h post dose indicates blood levels 72-fold over the PDE5
IC50 levels. When compound 25 is dosed at 5 mg/kg orally, the
MAP decreased by 27 mmHg at its maximum effect. The reduction
in MAP was sustained over 20 h post dose. At 20 h the free plasma
exposure of compound 25 is 25-fold over the measured IC50 levels
indicating its promise for once a day dosing.
We have presented a number of potent and selective PDE5
inhibitors that exhibit promising PK profiles consistent with pro-
jected once a day dosing in humans. More importantly these com-
pounds exhibit good oral efficacy as measured by the reduction of
MAP, which is sustained as predicted by the PK profile allowing for
further investigation of the chronic dosing of PDE5 inhibitors.
Table 4
Safety and in vivo pharmacology
Compd
Dofetilidea (%)
hERGb
IV Dog PKc
Cl
SHRd
t1/2
Vdss
14
40.0
10.7
24.7
18.8
560 nM
nd
nd
20.2
22
nd
nd
+
++
++
19e
24e
25f
5.1
900 nM
1.4
lM
6.7
4.9
5.1
8.0
9.4
7.8
lM
18.5
a
Percent inhibition of [3H]-dofetilide binding to the hERG protein stably
expressed on HEK-293 cells following a 10 lM dose of test compound.
b
hERG patch clamp electrophysiology assay, IC50
.
c
Compound dosed at 0.2f–0.5e mpk in 10 kg beagles. Halflife (t1/2) in h, clearance
(Cl) in mL/min/kg, volume of distribution (Vdss) in L/kg.
d
Compound dosed orally in spontaneously hypertensive rats (SHR) while mon-
itoring MAP, + = decrease of 10–15 mmHg, ++ decrease of >15 mmHg.
50%. As expected, the removal of the basic center leads to a loss of
dofetilide binding (% inh @ 10 lM: 28, 1%; 29, 3%). Generally the
References and notes
pyridyl analogs tended to have higher dofetilide binding, presum-
ably due to the pyridine’s higher log P and the pyridine being more
basic than the pyrimidine.
1. Salonia, A.; Rigatti, P.; Montorsi, F. Curr. Med. Res. Opin. 2003, 19, 241.
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To confirm the relevance of the dofetilide competition binding
assay we took select compounds into a hERG patch clamp assay
to determine the compound’s interaction with the hERG channel
(Table 4). We found that the rank order of activity observed with
the dofetilide assay was the same for the hERG assay. Once again
the pyridine 14 had the greatest hERG activity (560 nM). Note that
it appears that the hERG activity is underestimated by the dofeti-
lide assay for these molecules. Pyrimidine 19 showed 10.7% inhibi-
4. (a) Hughes, R. O.; Walker, J. K.; Cubbage, J. W.; Fobian, Y. M.; Rogier, D. J.;
Heasley, S. E.; Blevis-Bal, R. M.; Benson, A. G.; Owen, D. R.; Jacobsen, E. J.;
Freskos, J. N.; Molyneaux, J. M.; Brown, D. L.; Stallings, W. C.; Acker, B. A.;
Maddux, T. M.; Tollefson, M. B.; Williams, J. M.; Moon, J. B.; Mischke, B. V.;
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Bal, R. M.; Benson, A. G.; Jacobsen, E. J.; Cubbage, J. W.; Fobian, Y. M.; Owen, D.
R.; Freskos, J. N.; Molyneaux, J. M.; Brown, D. L.; Acker, B. A.; Maddux, T. M.;
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S. E.; Moon, J. B.; Stallings, W. C.; Rogier, D. J.; Fix, D. N. A.; Palmer, M. J.; Ringer,
T.; Rodriquez-Lens, M.; Cubbage, J. W.; Blevis-Bal, R. M.; Benson, A. G.; Acker, B.
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8. The Pfizer Institutional Animal Care and Use Committee reviewed and approved
the animal use in these studies. The animal care and use program is fully
accredited by the Association for Assessment and Accreditation of Laboratory
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tion at 10 lM in the dofetilide assay where it had an IC50 = 5.1 lM
in hERG. Therefore the hERG safety margin was less than originally
predicted by the dofetilide assay. The ratio of PDE5 IC50 to hERG
IC50 for compound 19 is over 34,000ꢀ.
We examined the pharmacokinetic (PK) properties of these
molecules using dogs (Table 4).8 Compounds in this series gener-
ally exhibit excellent solubility, presumably due to the basic nitro-
gen. Pyrimidines 19, 24 and 25 have similar profiles with moderate
clearance (ꢁ20 mL/min/kg) and volume (8–9 L/kg) leading to ter-
minal half-lifes of 5–7 h, consistent with once a day dosing in
human.
These compounds were taken into an in vivo model of efficacy
(Table 4). We used spontaneously hypertensive rats (SHR) which
were monitored for compound levels and blood pressure. Encour-
agingly, pyrimidines 19, 24 and 25 all exhibited a lowering of blood