Bioorganic & Medicinal Chemistry Letters
Discovery of substituted-2,4-dimethyl-(naphthalene-4-carbonyl)
amino-benzoic acid as potent and selective EP4 antagonists
⇑
Maria-Jesus Blanco , Tatiana Vetman, Srinivasan Chandrasekhar, Matthew J. Fisher, Anita Harvey,
Daniel Mudra, Xu-Shan Wang, Xiao-Peng Yu, Matthew A. Schiffler, Alan M. Warshawsky
Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN 46285, United States
a r t i c l e i n f o
a b s t r a c t
Article history:
A novel series of EP4 antagonists, based on a quinoline scaffold, has been discovered. Medicinal chemistry
efforts to optimize the potency of the initial hit are described. A highly potent compound in a clinically
relevant human whole blood assay was identified. Selectivity and pharmacokinetic profiles of this
compound are discussed.
Received 19 August 2015
Revised 5 November 2015
Accepted 8 November 2015
Available online xxxx
Ó 2015 Published by Elsevier Ltd.
Keywords:
Arthritis pain
EP4 receptor antagonist
Prostaglandin E2
Human whole blood assay
Arthritis pain affects millions of patients in the United States
alone and is a leading cause of disability.1,2 Treatments often
include NSAIDs (nonsteroidal anti-inflammatory drugs) or
cyclooxygenase 2 (COX-2) inhibitors, which provide broad anal-
gesic efficacy but also carry substantial cardiovascular (CV) and
gastrointestinal (GI) risk.3 Arthritis patients with a poor cardiovas-
cular profile, such as hypertension, or an intolerance to NSAIDS
may be precluded from using these types of analgesics. Thus, there
is a need for safer alternative therapies for osteoarthritis and
rheumatoid arthritis pain.
Multiple literature reports in the past decade demonstrate that
prostaglandin E2 (PGE2) plays an important role in the pathogen-
esis of arthritis pain and that inhibition of PGE2 production either
by using NSAIDs or COX-2 inhibitors provides predictable and
marketable efficacy. PGE2 is known to exert its effects through four
G-protein coupled receptors (GPCR) receptors, EP1-4. Studies with
selective prostaglandin receptor knockout animals have shown
that EP4 is the primary receptor involved in joint and inflammatory
pain.4 Hence, a selective EP4 antagonist may be useful in treating
arthritis pain. In addition, it has been suggested that since EP4
antagonism does not interfere directly with the biosynthesis of
prostanoids, such as PGE2, prostacyclin (PGI2), and thromboxane
A2 (TxA2),5–7 a selective EP4 antagonist may not exhibit the CV
and GI side effects seen with NSAIDs and COX-2 inhibitors.8
This therapeutic potential has triggered significant efforts in the
pharmaceutical industry that have led to the discovery of a variety
of EP4 antagonists.9 Several examples of compounds advancing to
clinical studies have been reported, in particular CJ-02342310,11 (1)
and PGN-153112 (2) have been studied extensively (Fig. 1).
From a drug discovery perspective, in vitro assays have been
developed to understand both potency, and prostanoid selectivity,
as well as function of EP4 in a native tissue assay. For example,
Murase et al reported13 that CJ-042794 (3, Fig. 1) competitively
inhibited PGE2-evoked elevations of intracellular cAMP levels in
HEK293 cells overexpressing human EP4 receptor. Similar assays
for the other EP receptor subtypes have been reported as well. It
is also known that EP4 antagonism modulates PGE2 mediated pro-
duction of TNF
whole blood (hWB).13 In this assay, CJ-042794 reliably reversed
the inhibitory effects of PGE2 on LPS-induced TNF production in
a in lipopolysaccharide (LPS) stimulated human
a
a concentration-dependent manner. The whole blood assay pro-
vides a measure of EP4 antagonist function in a clinically relevant
tissue and provides a means to assess the potential for in vivo
activity.14,15 This type of assay provides both a measure of preclin-
ical potency and an effective target engagement biomarker to
facilitate clinical translation.16
In this manuscript we will disclose our efforts towards the
identification and optimization of substituted 2,4-dimethyl-
(quinoline-4-carbonyl)amino-benzoic acid derivatives as EP4
antagonists. During the course of our research, commercially avail-
able quinoline 5 (Table 1) was identified as a hit from screening. It
had reasonable in vitro antagonist activity (128 nM) at hEP4, with
⇑
Corresponding author. Tel.: +1 317 433 612.
0960-894X/Ó 2015 Published by Elsevier Ltd.