2,5-diketopiperazines as potent, selective, and orally bioavailable oxytocin antagonists. 2. Synthesis, chirality, and pharmacokinetics

J Med Chem. 2005 Nov 3;48(22):6956-69. doi: 10.1021/jm050557v.

Abstract

A short stereoselective synthesis of a series of chiral 7-aryl-2,5-diketopiperazines oxytocin antagonists is described. Varying the functionality and substitution pattern of substituents in the 7-aryl ring and varying the chirality of this exocyclic ring have produced potent oxytocin antagonists (pK(i) > 8.5). SAR and pharmacokinetic profiling of this series of (3R,6R,7R)-2,5-diketopiperazines together with the introduction of an ortho F group in the 7-aryl ring to improve rat pK has culminated in the 2',4'-difluorophenyldiketopiperazine derivative 37, a highly potent oxytocin antagonist against the human oxytocin receptor (pK(i) = 8.9) that has >1000-fold selectivity over all three vasopressin receptors V1a, V2, and V1b. It has good bioavailability (46%) in the rat and moderate bioavailability (13-31%) in the dog and is more active in vivo in the rat than atosiban (rat DR(10) = 0.44 mg/kg iv).

MeSH terms

  • Administration, Oral
  • Animals
  • Antidiuretic Hormone Receptor Antagonists
  • Biological Availability
  • Crystallography, X-Ray
  • Dogs
  • Humans
  • Molecular Structure
  • Piperazines / chemical synthesis*
  • Piperazines / pharmacokinetics
  • Piperazines / pharmacology
  • Radioligand Assay
  • Rats
  • Receptors, Oxytocin / antagonists & inhibitors*
  • Receptors, Oxytocin / chemistry
  • Serum Albumin / chemistry
  • Stereoisomerism
  • Structure-Activity Relationship
  • Uterine Contraction / drug effects
  • Vasotocin / analogs & derivatives
  • Vasotocin / pharmacology

Substances

  • Antidiuretic Hormone Receptor Antagonists
  • Piperazines
  • Receptors, Oxytocin
  • Serum Albumin
  • atosiban
  • Vasotocin