Pradefovir: A prodrug that targets adefovir to the liver for the treatment of hepatitis B

被引:62
作者
Reddy, K. Raja [1 ]
Matelich, Michael C. [1 ]
Ugarkar, Bheemarao G. [1 ]
Gomez-Galeno, Jorge E. [1 ]
DaRe, Jay [1 ]
Ollis, Kristin [1 ]
Sun, Zhili [1 ]
Craigo, William [1 ]
Colby, Timothy J. [2 ]
Fujitaki, James M. [2 ]
Boyer, Serge H. [1 ]
van Poelje, Paul D. [2 ]
Erion, Mark D. [1 ,2 ]
机构
[1] Metabasis Therapeut Inc, Dept Chem, La Jolla, CA 92037 USA
[2] Metabasis Therapeut Inc, Dept Biochem, La Jolla, CA 92037 USA
关键词
D O I
10.1021/jm7012216
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
Adefovir dipivoxil, a marketed drug for the treatment of hepatitis B, is dosed at submaximally efficacious doses because of renal toxicity. In an effort to improve the therapeutic index of adefovir, 1-aryl-1,3-propanyl prodrugs were synthesized with the rationale that this selectively liver-activated prodrug class would enhance liver levels of the active metabolite adefovir diphosphate (ADV-DP) and/or decrease kidney exposure. The lead prodrug (14, MB06866, pradefovir), identified from a variety of in vitro and in vivo assays, exhibited good oral bioavailability (F = 42%, mesylate salt, rat) and rate of prodrug conversion to ADV-DP. Tissue distribution studies in the rat using radiolabeled materials showed that cyclic 1-aryl-1,3-propanyl prodrugs enhance the delivery of adefovir and its metabolites to the liver, with pradefovir exhibiting a 12-fold improvement in the liver/kidney ratio over adefovir dipivoxil.
引用
收藏
页码:666 / 676
页数:11
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