Discovery of 5"-Chloro-N-[( 5,6-dimethoxypyridin-2-yl)methyl]-2,2′:5′,3"-terpyridine-3′-carboxamide (MK-1064): A Selective Orexin 2 Receptor Antagonist (2-SORA) for the Treatment of Insomnia

被引:60
作者
Roecker, Anthony J. [1 ]
Mercer, Swati P. [1 ]
Schreier, John D. [1 ]
Cox, Christopher D. [1 ]
Fraley, Mark E. [1 ]
Steen, Justin T. [1 ]
Lemaire, Wei [2 ]
Bruno, Joseph G. [2 ]
Harrell, C. Meacham [3 ]
Garson, Susan L. [3 ]
Gotter, Anthony L. [3 ]
Fox, Steven V. [2 ]
Stevens, Joanne [2 ]
Tannenbaum, Pamela L. [2 ]
Prueksaritanont, Thomayant [4 ]
Cabalu, Tamara D. [4 ]
Cui, Donghui [4 ]
Stellabott, Joyce [5 ]
Hartman, George D. [1 ]
Young, Steven D. [1 ]
Winrow, Christopher J. [3 ]
Renger, John J. [3 ]
Coleman, Paul J. [1 ]
机构
[1] Merck Res Labs, Dept Med Chem, West Point, PA 19486 USA
[2] Merck, Dept In Vitro Pharmacol, West Point, PA USA
[3] Merck, Dept Neurosci, West Point, PA USA
[4] Merck, Dept Drug Metab, West Point, PA USA
[5] Merck, Dept Basic Pharmaceut Sci, West Point, PA USA
关键词
antagonists; insomnia; medicinal chemistry; neurotransmitters; orexin receptors; PROTEIN-COUPLED RECEPTORS; PHARMACOLOGICAL CHARACTERIZATION; IN-VIVO; SLEEP; POTENT; ALMOREXANT; NARCOLEPSY; PROMOTION; ZOLPIDEM; NEURONS;
D O I
10.1002/cmdc.201300447
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
The field of small-molecule orexin antagonist research has evolved rapidly in the last 15 years from the discovery of the orexin peptides to clinical proof-of-concept for the treatment of insomnia. Clinical programs have focused on the development of antagonists that reversibly block the action of endogenous peptides at both the orexin 1 and orexin 2 receptors (OX1R and OX2R), termed dual orexin receptor antagonists (DORAs), affording late-stage development candidates including Merck's suvorexant (new drug application filed 2012). Full characterization of the pharmacology associated with antagonism of either OX1R or OX 2 R alone has been hampered by the dearth of suitable subtype-selective, orally bioavailable ligands. Herein, we report the development of a selective orexin 2 antagonist (2-SORA) series to afford a potent, orally bioavailable 2-SORA ligand. Several challenging medicinal chemistry issues were identified and overcome during the development of these 2,5-disubstituted nicotinamides, including reversible CYP inhibition, physiochemical properties, P-glycoprotein efflux and bioactivation. This article highlights structural modifications the team utilized to drive compound design, as well as in vivo characterization of our 2-SORA clinical candidate, 5''-chloro-N-[( 5,6-dimethoxypyridin-2-yl) methyl]-2,2':5',3''-terpyridine-3'-carboxamide (MK-1064), in mouse, rat, dog, and rhesus sleep models.
引用
收藏
页码:311 / 322
页数:12
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