Discovery of a rapidly metabolized, long-acting β(2) adrenergic receptor agonist with a short onset time incorporating a sulfone group suitable for once-daily dosing

J Med Chem. 2014 Jan 9;57(1):159-70. doi: 10.1021/jm401532g. Epub 2013 Dec 20.

Abstract

A series of novel, potent, and selective human β2 adrenoceptor agonists incorporating a sulfone moiety on the terminal right-hand-side phenyl ring of (R)-salmeterol is presented. Sulfone 10b had salmeterol-like potency and selectivity profile, long duration of action on guinea pig trachea, and longer than salmeterol duration of action in vivo, suitable for once-daily dosing. It had lower than salmeterol oral absorption in rat, lower bioavailability in rat and dog, and a high turnover in human hepatocytes. It was metabolized in human hepatocytes by hydroxylation, oxidation, cleavage, and conjugation; most of the metabolites would be expected to have reduced or no β2 activity. The 4-biphenylsulfonic acid was identified as a crystalline, non-hygroscopic salt of 10b, suitable for inhaled delivery. Furthermore, it was free of any genetic toxicity issues and was considered as a backup to vilanterol.

MeSH terms

  • Adrenergic beta-2 Receptor Agonists / chemical synthesis*
  • Adrenergic beta-2 Receptor Agonists / metabolism
  • Adrenergic beta-2 Receptor Agonists / pharmacology
  • Animals
  • CHO Cells
  • Cricetinae
  • Cricetulus
  • Dogs
  • Drug Administration Schedule
  • Drug Discovery
  • Guinea Pigs
  • Hepatocytes / metabolism
  • Humans
  • Rats
  • Sulfones / chemical synthesis*
  • Sulfones / metabolism
  • Sulfones / pharmacology
  • Trachea / drug effects

Substances

  • Adrenergic beta-2 Receptor Agonists
  • Sulfones