Kinesin spindle protein (KSP) inhibitors.: 9.: Discovery of (2S)-4-(2,5-difluorophenyl)-N-[(3R,4S)-3-fluoro-1-methylpiperidin-4-yl]-2-(hydroxymethyl)-N-methyl-2-phenyl-2,5-dihydro-1H-pyrrole-1-carboxamide (MK-0731) for the treatment of taxane-refractory cancer

被引:140
作者
Cox, Christopher D. [1 ]
Coleman, Paul J. [1 ]
Breslin, Michael J. [1 ]
Whitman, David B. [1 ]
Garbaccio, Robert M. [1 ]
Fraley, Mark E. [1 ]
Buser, Carolyn A. [2 ]
Walsh, Eileen S. [2 ]
Hamilton, Kelly [2 ]
Schaber, Michael D. [2 ]
Lobell, Robert B. [2 ]
Tao, Weikang [2 ]
Davide, Joseph P. [2 ]
Diehl, Ronald E. [2 ]
Abrams, Marc T. [2 ]
South, Vicki J. [2 ]
Huber, Hans E. [2 ]
Torrent, Maricel [3 ]
Prueksaritanont, Thomayant [4 ]
Li, Chunze [4 ]
Slaughter, Donald E. [4 ]
Mahan, Elizabeth [4 ]
Fernandez-Metzler, Carmen [4 ]
Yan, Youwei [5 ]
Kuo, Lawrence C. [5 ]
Kohl, Nancy E. [2 ]
Hartman, George D. [1 ]
机构
[1] Merck Res Labs, Dept Med Chem, West Point, PA 19486 USA
[2] Merck Res Labs, Dept Canc Res, West Point, PA 19486 USA
[3] Merck Res Labs, Dept Mol Syst, West Point, PA 19486 USA
[4] Merck Res Labs, Dept Drug Metab, West Point, PA 19486 USA
[5] Merck Res Labs, Dept Biol Struct, West Point, PA 19486 USA
关键词
D O I
10.1021/jm800386y
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
Inhibition of kinesin spindle protein (KSP) is a novel mechanism for treatment of cancer with the potential to overcome limitations associated with currently employed cytotoxic agents. Herein, we describe a C2-hydroxymethyl dihydropyrrole KSP inhibitor (11) that circumvents hERG channel binding and poor in vivo potency, issues that limited earlier compounds from our program. However, introduction of the C2-hydroxymethyl group caused 11 to be a substrate for cellular efflux by P-glycoprotein (Pgp). Utilizing knowledge garnered from previous KSP inhibitors, we found that beta-fluorination modulated the pK(a) of the piperidine nitrogen and reduced Pgp efflux, but the resulting compound (14) generated a toxic metabolite in vivo. Incorporation of fluorine in a strategic, metabolically benign position by synthesis of an N-methyl-3-fluoro-4-(aminomethyl)piperidine urea led to compound 30 that has an optimal in vitro and metabolic profile. Compound 30 (MK-0731) was recently studied in a phase I clinical trial in patients with taxane-refractory solid tumors.
引用
收藏
页码:4239 / 4252
页数:14
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