the unsubstituted analog 2ad was less active (EC50 = 217 nM). In addition to the 5-OMe analog 2j (EC50 = 27 nM), several additional 5-
alkoxy analogs were evaluated. Increasing the size of the alkoxy group to 5-OEt (2t), 5-O-n-Pr (2u), and 5-O-i-Pr (2v) resulted in
decreased potency with replicon EC50 values of 200, 2150 and 7600 nM, respectively. The 5-difluoromethoxy analog 2w, however,
demonstrated good activity (EC50 = 50 nM).
The effect of the R2 group on activity was evaluated in two series (5-OMe and 5-Cl). In the 5-OMe series, the N-c-butyl analog 2j
was 5-fold more potent than the N-c-pentyl analog 2s and 10-fold more potent than the N-c-PrMe analog 2r. In the 5-chloro series, the
N-c-butyl analog 2l was nearly 2-fold more potent than either the N-c-PrMe 2y or the N-c-pentyl analog 2x. The SAR trend for the R2
group in the 7-azaindole series is consistent with the observations in the indole series in which the c-Bu group provided the most potent
activity.17c
Compounds with replicon EC50 values less than 100 nM were evaluated in a pharmacokinetic screen for plasma drug levels (AUC0-6h
in the rat after oral administration of a single 10 mg/kg dose in 0.4% hydroxypropyl methylcellulose (Table 3). In general, good to
excellent drug exposure levels were observed. Among the nine compounds evaluated, the plasma AUC0-6h ranged from 2389 nM·h to
10,164 nM·h. For all compounds evaluated, the plasma concentration multiples over the in vitro replicon EC50 were more than 20-fold
at 6 h. The potent 5-CF3 analog (2ac, EC50 = 2 nM) had excellent exposure in the rat (AUC0~6h = 5833 nM·h) and plasma concentration
multiples of >500 over the replicon EC50 at 6 h. These compounds also showed very favorable drug distribution between liver and
plasma. Among the compounds evaluated, liver to plasma ratios at 6 h after a 10 mg/kg oral dose ranged from 6−44-fold. This is
important as the primary target organ for HCV is the liver.
)
To further assess the potential utility of compounds from this series, 2j, 2l, 2n, 2y, and 2ac were evaluated for plasma drug levels in
beagle dogs and cynomolgus monkeys after oral administration at doses of 2 and 3 mg/kg, respectively (Table 4). Data for compound 1
are also included in Table 4 for comparison. At these doses, oral exposure (AUC0-24h) was higher in dogs than in monkeys. The 5-CF3
analog (2ac) had the highest exposure in both dogs and monkeys (AUC0-24h = 8162 and 5440 nM·h, respectively). In contrast, the 5-Me
(2n) and 5-Cl (2y) analogs had lower overall exposures in both species and were 9- and 7-fold lower in dog than in monkeys,
respectively. Plasma concentration multiples over the in vitro replicon EC50 at 8 h were also determined in these species. The 5-CF3
analog (2ac) had the highest plasma exposure multiples in dogs and monkeys (125- and 105-fold above the replicon EC50 at 8h,
respectively.) Compared to lead compound 1 (EC50 = 7 nM), 2ac (EC50 = 2 nM) showed improved replicon potency and higher plasma
exposure multiples over the in vitro replicon EC50 in rats, dogs and monkeys.
At concentrations up to 10,000 nM, Compound 2j, a representative example from the series, did not inhibit the HCV NS3 protease or
NS5B polymerase in vitro (data not shown). Selection of resistant HCV genotype 1b replicons was performed by serial passage in the
presence of 2j at concentrations of 1X, 10X, and 30X the in vitro replicon EC90 (90, 900, and 2700 nM, respectively).17h Resistant
replicons were isolated, sequenced and found to have mutations in the coding sequence in the HCV NS4B, in particular resulting in the
amino acid substitutions F98L, F98C, and V105M. The F98C substitution was identified as the predominant mutation selected at 30X
the replicon EC90 (found in 15 of 16 clones sequenced). Replicons engineered to contain each of these mutations alone were found to be
25-fold (F98C) and 17-fold (V105M) resistant to 2j. The same amino acid substitutions in NS4B were previously found to confer
60−70-fold resistance to 6-(indol-2-yl)pyridine-3-sulfonamides.17c, 17d
In summary, we have identified several novel azaindole sulfonamide chemotypes that potently and selectively inhibit the replication
of the HCV 1b replicon. SAR investigations of various azaindole cores revealed that 5-substituted 7-azaindole sulfonamides provide
compounds with the most potent activity against the replicon and that these compounds target HCV NS4B. These compounds are
highly selective with no apparent effect on cellular GAPDH RNA levels. Several compounds have demonstrated excellent drug
exposure levels in rats with favorable liver to plasma ratios. These efforts led to the identification of 2ac, a highly potent analog (EC50
2 nM) with excellent oral exposure in rats, dogs and monkeys.
=
Acknowledgements
The authors would like to thank Shirley Yeh for analytical support.
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