ACCEPTED MANUSCRIPT
Table 3 Expanded in vitro assessment of exemplary CYP17
inhibitors COR-003, (12b), (14g), and 14j
Tmax (h)
0.1
6
3
6
0.15
5.7
5.33
4.8
0.2
5
3.33
5.25
N/A
t
1/2 (h)
CYP17 CYP19 CYP3A4 CYP3A4/ CYP19/ GPLM**
Entry
IC50 (nM)*
Vd (L/kg)
14.8
N/A
4.05
N/A
9.1
CYP17 CYP17
t
1/2 (min)
Cl
(mL/min/kg)
AUC0-inf
2
8.5
86
N/A
8.79
N/A
20.9
N/A
4
8
1600
146
695
3
33
40
COR-003
5
10000
10000
1000
151
49
2174
2000
167
60
1489
0
1
1
2b
4g
5
2000
N/A
4190 815
22.3 N/A
2452
22.1
(
ng·h/mL)
5
2
243
60
%F
N/A 184.2
1
4j
9360
1560
60
*IV vehicle: 20%DMA, 40%TEG, 40%Water. PO vehicle: 98%
HPMC (1% in water), 2% Tween80.
*
n = 3, **GPLM = guinea pig liver microsome
In order to identify compounds that might be suitable for
advancement into in vivo pharmacokinetic and efficacy studies,
we expanded our in vitro screening studies on key compounds.
We were particularly concerned with off-target activity against
CYP3A4 and CYP19, as well as guinea pig liver microsome
ACKNOWLEDGMENT
We would like to thank the dean of Temple University School
of Pharmacy, Peter
H
Doukas, for his support and
(
GPLM) stability Our original lead compound (COR-003)
displayed limited selectivity over CYP3A4 (IC50 = 146 nM), a
key metabolic enzyme known to be linked to drug/drug
interactions. We believed that increasing this selectivity window
would be advantageous in follow-on compounds advancing
towards clinical exploration. Selectivity over Aromatase was
also viewed as critical. This enzyme plays an important role in
the biosynthesis of estrogen, and interference in this process
would be a significant issue. Finally, our in vivo efficacy models
employ guinea pigs to monitored changes in cortisol synthesis,
and as a result GPLM stability could be used as a predictive tool
to identify compounds capable of sustained systemic exposure
upon dosing. As noted in Table 3, exemplary compounds
selected for advancement (12b, 14g, and 14j) demonstrated
improved selectivity over CYP3A4 (49 fold to 1560 fold) and
CYP19 (167 to 2174 fold). Excellent GPLM stability was also
observed, as all three examples demonstrated t1/2 values of 60
minutes.
encouragement in pursuing this program. We would also like
to the administrative staff of Temple University School of
Pharmacy for their assistance. Funding for this program was
provided by Strongbridge Biopharma plc, 900 Northbrook
Drive, Suite 200, Trevose, PA 19053 United States. Prior to
th
September 4 , 2015, Strongbridge Biopharma plc was known as
Coretendo plc.
References and notes
1
th
Biochemistry, 8 edition, Berg, J. M.; Tymoczko, J. L.; Gatto, G. J. Jr.
Stryer, L. W. H. Freeman, New York, New York, 2015.
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Welles, B. Glucocorticoids in type 2 diabetes mellitus and the metabolic
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3
(a) Alex, A. B.; Pal, S. K.; Agarwal, N. CYP17 inhibitors in prostate
cancer: latest evidence and clinical potential, Therapeutic Advances in
Medical Oncology, 2016, 8, 4, 267-275. (b) Johnston, S. R. D.; Dowsett, M.;
Nature Reviews Cancer, 2003, 3, 821-831.
Given the positive results observed in our second tier in vitro
assessment, we advanced (12b), (14g), and (14l) into preliminary
in vivo pharmacokinetic studies using guinea pigs. Compounds
were dosed IV (1 mg/kg) and PO (10 mg/kg) and plasma
concentrations were assessed via LC/MS/MS over a 24 hour
period. As noted in Table 4, all three compounds had moderate
half-lives (4.8 to 6 hours) and systemic exposure (IV and PO)
was well above the CYP17 IC50 values of each compound.
Bioavailability was moderate for (14g) (22.3%) and (14j)
4
(a) Potter, G. A.; Barrie, S. E.; Jarman, M.; Rowlands, M. G. Novel
Steroidal Inhibitors of Human Cytochrome P45017α-Hydroxylase-C17,20-
lyase): Potential Agents for the Treatment of Prostatic Cancer, Journal of
Medicinal Chemistry, 1995, 38, 13, 2463-2471. (b) Abiraterone acetate
(
Zytiga) Reference: Logothetis, C. J.; Efstathiou, E.; Manuguid, F.;
Kirkpatrick, P. Abiraterone acetate, Nature Reviews Drug Discovery, 2011,
0, 8, 573-574.
1
5
(a) Rafferty, S. W.; Eisner, J. R.; Moore, W. R.; Schotzinger, R. J.;
Hoekstra, W. J. Highly-selective 4-(1,2,3-triazole)-based P450c17a 17,20-
lyase inhibitors, Bioorganic & Medicinal Chemistry Letters, 2014, 24, 11,
(
22.1%), but the higher than predicted oral exposure for (12b)
2
444-2447. (b) Clinical trials: Phase 2: NCT02445976, NCT02130700
(a) Bock, M. G.; Gaul, C.; Gummadi, V. Rao; Sengupta, S. Preparation of
disubstituted imidazolidinone derivatives as cytochrome P450, 17α-
6
(AUC = 14890 ng·h/mL, %F = 184.2%) is indicative of non-
linear pharmacokinetics. It remains unclear why (12b) behaves
in this manner, and will likely prevent this compound from
progressing into advanced in vivo efficacy studies.
hydroxylase, c17-20 lyase inhibitors WO2010149755, 2010. (b) Clinical
trials: Phase 2 NCT01647789
7
(a) Koziol, T. R. Methods and compositions for the treatment of Cushing's
Syndrome using 2S,4R-ketoconazole, WO2016048984A1, 2016. (b) Clinical
In summary, we have identified two novel series of stilbene
derivatives capable of inhibiting CYP17, a key enzyme in the
cortisol synthetic pathway and a validated target in prostate
cancer therapy. Exemplary compounds examined in this series
possess in vivo pharmacokinetic properties suitable for in vivo
efficacy studies to determine their potential for therapeutic utility.
The results of these studies are will be reported separately.
trial for Endogenous Cushing's Syndrome, NCT01838551, phase 3.
8
Hakki, T.; Bernhardt, R. CYP17- and CYP11B-dependent steroid
hydroxylases as drug development targets, Pharm. Thera. 2006, 111, 1, 27-
52.
9
Blass, B. E.; Iyer, P.; Abou-Gharbia, M.; Childers, W. E.; Gordon, J. C.;
Ramanjulu, M.; Morton, G.; Arumugam, P.; Boruwa, J.; Ellingboe, J.; Mitra,
S.; Nimmareddy, R. R.; Paliwal, S.; Rajasekhar, J.; Shivakumar, S.;
Srivastava, P,; Tangirala, R. S.; Venkataramanaiah, K.; Yanamandra, M.
Design, synthesis, and evaluation of (2S,4R)-Ketoconazole sulfonamide
analogs as potential treatments for Metabolic Syndrome. Bioorg Med Chem
Lett. 2016, 26, 23, 5825-5829..
Table 4: Guinea pig in vivo pharmacokinetic profiles of
exemplary stilbene derivatives.
10
Energy minimizations were conducted with the Tripos
Benchware 3D Explorer software package.
(
n = 3)
12b
14g
14j
Dose(mg/kg)
Delivery*
1
10
PO
1
10
PO
540
1
10
PO
271
11
cLogP and TPSA values were calculated using the
Dotmatics Browser software suite.
IV
IV
IV
1
2
Energy minimizations were conducted with the Tripos
Benchware 3D Explorer software package.
Cmax(ng/mL)
132
1018
852
203