Pharmacokinetic benefits of 3,4-dimethoxy substitution of a phenyl ring and design of isosteres yielding orally available cathepsin K inhibitors

J Med Chem. 2012 Oct 25;55(20):8827-37. doi: 10.1021/jm301119s. Epub 2012 Oct 11.

Abstract

Rational structure-based design has yielded highly potent inhibitors of cathepsin K (Cat K) with excellent physical properties, selectivity profiles, and pharmacokinetics. Compounds with a 3,4-(CH₃O)₂Ph motif, such as 31, were found to have excellent metabolic stability and absorption profiles. Through metabolite identification studies, a reactive metabolite risk was identified with this motif. Subsequent structure-based design of isoteres culminated in the discovery of an optimized and balanced inhibitor (indazole, 38).

MeSH terms

  • Animals
  • Blood Proteins / metabolism
  • Cathepsin K / antagonists & inhibitors*
  • Cells, Cultured
  • Cyclohexanes / chemical synthesis*
  • Cyclohexanes / pharmacokinetics
  • Cyclohexanes / pharmacology
  • Drug Design
  • Hepatocytes / metabolism
  • Humans
  • Indazoles / chemical synthesis*
  • Indazoles / pharmacokinetics
  • Indazoles / pharmacology
  • Male
  • Models, Molecular
  • Protein Binding
  • Rats
  • Rats, Wistar
  • Stereoisomerism
  • Structure-Activity Relationship

Substances

  • Blood Proteins
  • Cyclohexanes
  • Indazoles
  • N-(1-cyanocyclopropyl)-2-((4-(1,3-dimethyl-1H-indazol-5-yl)-2-methylpiperazin-1-yl)carbonyl)cyclohexanecarboxamide
  • Cathepsin K