Literature DB >> 25147929

Development of a highly potent, novel M5 positive allosteric modulator (PAM) demonstrating CNS exposure: 1-((1H-indazol-5-yl)sulfoneyl)-N-ethyl-N-(2-(trifluoromethyl)benzyl)piperidine-4-carboxamide (ML380).

Patrick R Gentry1, Masaya Kokubo, Thomas M Bridges, Meredith J Noetzel, Hyekyung P Cho, Atin Lamsal, Emery Smith, Peter Chase, Peter S Hodder, Colleen M Niswender, J Scott Daniels, P Jeffrey Conn, Craig W Lindsley, Michael R Wood.   

Abstract

A functional high throughput screen identified a novel chemotype for the positive allosteric modulation (PAM) of the muscarinic acetylcholine receptor (mAChR) subtype 5 (M5). Application of rapid analog, iterative parallel synthesis efficiently optimized M5 potency to arrive at the most potent M5 PAMs prepared to date and provided tool compound 8n (ML380) demonstrating modest CNS penetration (human M5 EC50 = 190 nM, rat M5 EC50 = 610 nM, brain to plasma ratio (Kp) of 0.36).

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Year:  2014        PMID: 25147929      PMCID: PMC4175000          DOI: 10.1021/jm500995y

Source DB:  PubMed          Journal:  J Med Chem        ISSN: 0022-2623            Impact factor:   7.446


Introduction

As a vital neurotransmitter, acetylcholine (ACh) activates ion channels and G protein coupled receptors (GPCRs) through its interactions with nicotinic and muscarinic (mAChR) acetylcholine receptors, respectively.[1,2] Among the five mAChRs, subtypes 1, 4, and 5 (M1, M4, and M5) are most strongly associated with normal central nervous system (CNS) functioning.[2] The M2 and M3 subtypes are more broadly expressed in the periphery on smooth muscle and glandular tissues[3] such that aberrant overactivation of these receptors leads to the adverse effects associated with nonselective muscarinic agonists. Designing orthosteric small-molecule muscarinic ligands with sufficient selectivity over the other four mAChRs has long been a problem due to the highly conserved environment of the ACh binding site (the orthosteric site). A prudent response to instances such as this has been to abandon orthosteric-acting molecules in favor of ligands that interact at allosteric sites (sites that are topographically and structurally distinct from the endogenous agonist binding site).[4,5] We have employed this approach to identify a range of high quality muscarinic ligands with positive allosteric modulation (PAM) or negative allosteric modulation (NAM) at many of the CNS-important mAChRs: M1 PAMs,[6] M4 PAMs,[7] M5 PAMs,[8] and a novel M5 NAM.[9] Currently, M5 is the least characterized of the mAChRs because of its low expression level[14] and until recently an absence of selective activators and inhibitors. Nevertheless, phenotypic observations of M5 knockout (KO) mice,[3] M5 receptor localization studies, and experiments utilizing nonselective, orthosteric muscarinic ligands highlight this receptor’s therapeutic potential.[2] M5 KO mice display decreased prepulse inhibition (a model of psychosis)[10] and cognitive deficits associated with CNS neuronal and cerebrovascular abnormalities.[11] The loss of M5 mAChRs in KO mice prevents their CNS vasculature from dilating in response to ACh,[12] which could have implications for cerebral hypoperfusion as related to Alzheimer’s disease,[13] schizophrenia, ischemic stroke, and migraine. Collectively, these data support the role of a M5 PAM in the treatment of numerous CNS diseases. Here we report the development of the first CNS penetrant M5 PAM, which is structurally distinct from our previously reported isatin-containing M5 PAMs.[8]

Results and Discussion

High-Throughput Screen

Our initial foray into M5 PAMs began with the identification of a nonselective M1, M3, M5 PAM as a confirmed hit from an M1-focused high throughput screening (HTS) campaign.[6] Although very high levels of M5 selectivity were engendered through a strategically placed substituent on the isatin core, we were unable to detect these M5 PAMs in rodent CNS. As such, we performed a high throughput screen directly interrogating M5 functional activity in conjunction with the Scripps Research Institute Molecular Screening Center (SRIMSC). For this campaign, we used a triple addition protocol (compound addition followed by low and high concentrations of orthosteric agonist (ACh)) to screen the MLPCN[14] collection of ∼360 000 compounds. This screening strategy allows for the identification of activators (agonists and PAMs) while also surveying for inhibitors (NAMs and antagonists). Single concentration-point screening experiments in Chinese hamster ovary (CHO) cells stably expressing the human M1, M4, and M5 receptors identified 3920 M5 hits (1.07% hit rate). Hits were triaged based on activity in untransfected cells, structural tractability, and the elimination of frequent hitters.[15] The most attractive M5 activators were purchased from commercial sources and reconfirmed using 10-point concentration–response curves (CRC). These “triple-add” CRC experiments resulted in the identification of nine confirmed M5 PAMs, nine M5 antagonists,[9,16] and zero M5 agonists. Structure and initial plans to modify HTS hit 1.

Chemistry

Structurally, the most promising of the M5 PAM hits, 1 (Figure 1), represented a novel chemotype for an M5 PAM and offered a wide range of straightforward modifications due to its highly modular appearance. The broad range of planned modifications to 1, shown in Figure 1, could readily be accomplished by employing the synthesis route shown in Scheme 1. Starting from the N-Boc protected carboxylic acid core 2, peptide coupling with an amine introduced the first alkyl group on amide 3. Deprotonation of this amide was followed by the addition of an alkylating agent (e.g., ethyl iodide) and a crown ether, necessary to facilitate the introduction of the second alkyl group, providing 4. Removal of the Boc protecting group under standard anhydrous HCl conditions provided the salt 5. The amine of 5 was then sulfonylated to provide the HTS hit 1. Alternatively, this secondary amine could be functionalized through reactions with a wide range of electrophiles (e.g., acid chlorides, isocyanates, alkyl halides, etc.). Although the synthesis route was quite flexible, when applied to many of the modifications proposed in Figure 1, the SAR was disappointingly rigid. A litany of modifications were not tolerated and resulted in a complete loss of M5 activity: (1) removal of N-benzyl or N-ethyl moiety to provide a secondary amide, (2) cyclizing the ethyl group back to the piperidine, (3) relocating the carbonyl to produce the acetamide or benzamide analogs, (4) replacing the amide with a sulfonamide, (5) replacing the piperidine with an azetidine or [1.3.0] bicycle, (6) replacing the sulfonamide with an amide, urea, or carbamate, and (7) any alkylsulfonamide in place of an arylsulfonamide. The failure of these global modifications suggested that an improvement in potency would require a better understanding of the M5 PAM SAR brought about by more modest modifications.
Figure 1

Structure and initial plans to modify HTS hit 1.

Scheme 1

Synthesis of M5 PAM HTS Hit 1 and Its Analogs

Reagents and conditions: (a) benzylamine, HATU, DCM, DIPEA, 95%; (b) NaOtBu, Et-I, 15-crown-5, THF, 88%; (c) HCl, dioxane, 99%; (d) 1,4-benzodioxan-6-sulfonyl chloride, DCM, DIPEA, 70%.

Synthesis of M5 PAM HTS Hit 1 and Its Analogs

Reagents and conditions: (a) benzylamine, HATU, DCM, DIPEA, 95%; (b) NaOtBu, Et-I, 15-crown-5, THF, 88%; (c) HCl, dioxane, 99%; (d) 1,4-benzodioxan-6-sulfonyl chloride, DCM, DIPEA, 70%. Initial improvements in PAM potency were provided by modifications to the arylsulfonamide (Table 1). The unadorned phenylsulfonamide 6a showed slightly improved potency over the HTS hit; however, potency could be further improved through the introduction of methoxy groups at the para and meta positions. Interestingly, the 3,4-dimethoxy analog 6e displayed slightly reduced efficacy (AChmax) relative to the HTS hit and may speak to the preference for sulfonamides with more planar aryl groups at this location. Substitution at the ortho position was clearly disfavored as indicated by 6d and the sulfonamide regioisomer of the HTS hit 6f. A sampling of alternative monocyclic heteroaryl groups (6g–m) did not provide improved activity. Building on the importance of substituents at the 3 and 4 positions, we explored a range of bicyclic heteroarylsulfonamides with annulated rings spanning these two positions. A number of heterocycles showed significant improvements over the HTS hit. In particular, the benzofuranyl (6o) and indazolylsulfonamides (6p and 6q) provided hM5 PAMs with EC50 of 1.6–2.4 μM, representing an approximately 3-fold improvement over the naked phenylsulfonamide.
Table 1

Structures and Activities of Analogs 6

compdArhM5 pEC50ahM5 EC50 (μM)ACh maxa (%)
6aphenyl5.21 ± 0.066.269 ± 3
6b4-methoxyphenyl5.48 ± 0.063.384 ± 3
6c3-methoxyphenyl5.51 ± 0.093.177 ± 4
6d2-methoxyphenyl>10
6e3,4-dimethoxyphenyl<5>1057 ± 3
6f2,3-dihydrobenzo[b][1,4]dioxin-5-yl<5>1053 ± 2
6gimidazol-4-yl >10
6h5-methylthiophen-2-yl<5>1064 ± 3
6i3,5-dimethylisoxazol-4-yl>10
6j6-(trifluoromethyl)pyridin-3-yl>10
6kpyridin-4-yl>10
61pyridin-3-yl>10
6mpyridin-2-yl>10
6nquinolin-7-yl<5>1066 ± 3
6obenzofuran-5-yl5.63 ± 0.112.480 ± 5
6p1H-indazol-5-yl5.81 ± 0.081.686 ± 4
6q1H-indazol-6-yl5.77 ± 0.091.786 ± 4
6rbenzo[c][1,2,5]thiadiazol-5-yl5.53 ± 0.113.081 ± 5
6sbenzo[c][1,2,5]thiadiazol-4-yl>10
6tbenzo[d][1,3]dioxol-5-yl5.13 ± 0.167.493 ± 12

hM5 pEC50 and ACh max data reported as averages ± SEM from our calcium mobilization assay; n = 3–4 determinations; −, not determined.

hM5 pEC50 and ACh max data reported as averages ± SEM from our calcium mobilization assay; n = 3–4 determinations; −, not determined. hM5 pEC50 and ACh max data reported as averages ± SEM from our functional calcium mobilization assay; n = 3–4 determinations; −, not determined. Employing sulfonamides structurally related to those appearing in Table 1, we explored changes to the western region of 1 and were gratified that introduction of a methyl group at the benzylic position improved potency while demonstrating enantiospecific activity (Table 2). While the (S)-enantiomer 7a was inactive at hM5, the (R)-methyl enantiomer 7b demonstrated a 3-fold improvement in potency relative to its des-methyl analog 6b. This improvement in potency was maintained across the benzofuranyl (7c) and 2,3-dihydrobenzofuranyl (7d) analogs. Although slight, improvements in hM5 PAM potency were realized with the incorporation of 2,3-dihydroindenyl and the 6- and 5-indazolylsulfonamides (7e, 7f, and 7g, respectively).
Table 2

Structures and Activities of Analogs 7

compdArhM5 pEC50ahM5 EC50 (μM)ACh maxa (%)
7aS4-methoxyphenylinactive
7bR4-methoxyphenyl6.01 ± 0.070.9790 ± 3
7cRbenzofuran-5-yl6.03 ± 0.060.9380 ± 2
7dR2,3-dihydrobenzofuran-5-yl5.95 ± 0.051.1188 ± 2
7eR2,3-dihydro-1H-inden-5-yl6.14 ± 0.050.7397 ± 2
7fR1H-indazol-6-yl6.12 ± 0.050.7687 ± 2
7gR1H-indazol-5-yl6.13 ± 0.040.7486 ± 1

hM5 pEC50 and ACh max data reported as averages ± SEM from our functional calcium mobilization assay; n = 3–4 determinations; −, not determined.

hM5 pEC50 and ACh max data reported as averages ± SEM from our calcium mobilization assay; n = 3–5 determinations; −, not determined. Simultaneously, we were exploring modifications to the western aryl ring in the context of the indazole sulfonamides and identified a number of productive alterations depicted in Table 3. Systematically moving a fluorine around the phenyl ring revealed that substitution at the 2 and 3 positions was favored, with a trend in preference for the 3-fluoro 8b. As such, small groups were introduced at the meta position. Most notably, the 3-methyl analog 8f yielded a submicromolar potency (hM5 EC50 = 0.87 μM). This potency was mirrored by the analogous 2-methyl analog 8g and prompted a further exploration of substituents at the ortho position. The 2-chloro (8i) and 2-trifluoromethyl (8j) groups provided further improvements in potency, but interestingly the 3- and 4-trifluoromethyl analogs (8k and 8l, respectively) possessed greatly reduced activity and illustrated the frequently steep nature of allosteric SAR. The two most potent ortho-substituted analogs (Cl and CF3) with the 6-indazolylsulfonamide were also examined in the context of the 5-indazolylsulfonamide (8m and 8n) and found to be among the most potent hM5 PAMs prepared to date. Specifically, 8n, displaying a hM5 PAM EC50 = 0.19 μM, was 8-fold more potent than its des-CF3 congener (6p, Table 1). Disappointingly, addition of a methyl group in the (R) configuration to 8n, analogous to the compounds in Table 2, resulted in a 10-fold decrease in potency (hM5 EC50 = 2.4 μM, structure not shown).
Table 3

Structures and Activities of Analogs 8

compdRindazolyl attachmenthM5 pEC50ahM5 EC50 (μM)ACh maxa (%)
8a4-F6<5>1055 ± 3
8b3-F65.82 ± 0.041.589 ± 2
8c2-F65.67 ± 0.122.184 ± 5
8d3-Cl65.79 ± 0.061.677 ± 2
8e3-MeO65.58 ± 0.102.685 ± 5
8f3-Me66.06 ± 0.070.8778 ± 2
8g2-Me66.06 ± 0.070.87103 ± 3
8h2-MeO66.12 ± 0.060.7592 ± 3
8i2-Cl66.19 ± 0.050.6493 ± 2
8j2-CF366.32 ± 0.040.4892 ± 2
8k3-CF365.26 ± 0.095.659 ± 3
814-CF36inactive
8m2-Cl56.46 ± 0.080.3578 ± 2
8n2-CF356.71 ± 0.060.1996 ± 2

hM5 pEC50 and ACh max data reported as averages ± SEM from our calcium mobilization assay; n = 3–5 determinations; −, not determined.

hM5 pEC50 and ACh max data reported as averages ± SEM from our calcium mobilization assay; n = 3–5 determinations; −, not determined. In vitro metabolite identification experiments performed on 7g implicated the N-ethyl moiety as the primary site of metabolism. While we were simultaneously exploring modification to this N-ethyl group with variations at other locations, a concise but still representative description of these efforts can be summarized in the context of the highly optimized 8n and its analogs appearing in Table 4. Although not bearing the optimized 5-indazolylsulfonamide shown in Table 4, early results indicated that groups smaller than ethyl (i.e., hydrogen or methyl) resulted in a complete loss of, or greatly diminished, activity at hM5 (respectively, structures not shown). The ethyl group in 8n could be extended without incurring a loss in potency as demonstrated by the n-propyl analog 9a. However, the other three-carbon isomers (9b–d) all suffered a >10-fold drop in activity. Attempts to mitigate metabolism through the introduction of polarity on the terminus of the ethyl group in 8n similarly engendered an unacceptable decrease in activity upon introduction of a hydroxyl (9f) or even a single fluorine atom (9g). Given the complete absence of activity demonstrated by the cyclopropyl analog 9d, it was surprising to find that the cyclobutyl version (9e) displayed mid-micromolar potency. Supporting the hypothesis that alkyl branching is not well tolerated directly adjacent to the amide nitrogen (i.e., 9c–e) but that larger alkyl groups could be present more distally, the sec-butyl analog 9h was equipotent to its n-propyl conger (9a). Furthermore, even larger alkyl groups at this location (9i–k) displayed consistently high levels of activity. Unfortunately, none of these modifications could shift the primary route of metabolism away from this region of these molecules while maintaining high levels of M5 PAM activity, nor could they attenuate an inherently high rate of in vitro metabolism (i.e., rat hepatic microsomal CLint > 500 mL min–1 kg–1). However, 9d was able to reduce intrinsic microsomal clearance by an order of magnitude, but this came at the expense of losing all hM5 activity.
Table 4

Structures and Activities of Analogs 9

compdRhM5 pEC50ahM5 EC50 (μM)ACh maxa (%)
9an-propyl6.81 ± 0.060.1694 ± 2
9ballyl5.74 ± 0.041.879 ± 2
9cisopropyl<5>1054 ± 3
9dcyclopropylinactive
9ecyclobutyl5.74 ± 0.091.884 ± 4
9f2-hydroxyethyl<5>1060 ± 3
9g2-fluoroethyl5.90 ± 0.071.395 ± 4
9hsec-butyl6.82 ± 0.060.15100 ± 2
9ineopentyl6.91 ± 0.060.12104 ± 2
9jcyclopropylmethyl6.92 ± 0.060.12102 ± 2
9kcyclobutylmethyl6.89 ± 0.050.13103 ± 2

hM5 pEC50 and ACh max data reported as averages ± SEM from our calcium mobilization assay; n = 3–5 determinations; −, not determined.

Pharmacology and Selectivity

A subset of M5 PAMs were further assessed for their ability to enhance the potency of ACh at the hM5 receptor using a fluorescence based calcium mobilization assay. Experimentally, a fixed concentration of PAM (10 μM) or vehicle was added prior to the addition of a concentration response curve (CRC) of ACh, and the left shift in potency of ACh was determined as the ratio (fold shift) of the potency in the absence and presence of PAM. As shown in Table 5, the HTS hit 1 produced a fold shift of 2.3, while the more potency-optimized analogs showed at least twice that value. Four of the most potent compounds from Tables 2 and 3 (7b, 7g, 8j, and 8n) gave fold shift values in the 7- to 12-fold range, similar to earlier M5 PAMs.[8]
Table 5

ACh Fold-Shift Values for Select M5 PAMs

 compd
 16p6q7b7g8j8n
ACh fold shifta2.3 ± 0.15.4 ± 0.74.8 ± 0.47 ± 112 ± 37 ± 29 ± 4

ACh fold-shift data, for compounds at 10 μM, reported as averages ± SEM from our calcium mobilization assay and represent leftward shifts in ACh potency; n = 3–4.

ACh fold-shift data, for compounds at 10 μM, reported as averages ± SEM from our calcium mobilization assay and represent leftward shifts in ACh potency; n = 3–4. Although 7g and 8n displayed similar fold shift values, 8n was superior to 7g with respect to hM5 PAM potency and by virtue of its superior muscarinic subtype selectivity profile.[17] The muscarinic subtype selectivity profile for 8n across the five human and rat receptor subtypes can be seen in Figure 2. 8n shows no activity at hM2 or hM4 (the natively Gi/o coupled mAChRs; our assays employed cells co-transfected with chimeric Gqi5 to facilitate M2/M4 coupling to Ca2+ mobilization) and displays greater than 10-fold selectivity over hM1 and hM3 (the Gq coupled mAChRs). The lower potencies, combined with lower efficacies, at hM1 (hM1 PAM EC50 = 5.4 μM, AChmax = 52%) and hM3 (hM3 PAM EC50 = 2.1 μM, AChmax = 67%) when compared to those for 8n at hM5 (hM5 PAM EC50 = 0.19 μM, AChmax = 96%) may actually afford a greater than 10-fold selectivity window. Interestingly, when assessed at the rat muscarinic receptors, the level of subtype selectivity diminished and rM1 was now closest in potency to rM5.
Figure 2

Muscarinic subtype selectivity profile of 8n: (A) human selectivity (hM5 EC50 = 0.19 μM, hM4 EC50 > 30 μM, hM3 EC50 = 2.1 μM, hM2 EC50 > 30 μM, hM1 EC50 = 5.4 μM); (B) rat selectivity (rM5 EC50 = 0.61 μM, rM4 EC50 > 30 μM, hM3 EC50 = 3.1 μM, hM2 EC50 > 30 μM, hM1 EC50 = 2.0 μM). Data represent the mean ± SEM from at least three independent determinations employing highly expressing cell lines with similarly high expression levels of muscarinic receptors.

Muscarinic subtype selectivity profile of 8n: (A) human selectivity (hM5 EC50 = 0.19 μM, hM4 EC50 > 30 μM, hM3 EC50 = 2.1 μM, hM2 EC50 > 30 μM, hM1 EC50 = 5.4 μM); (B) rat selectivity (rM5 EC50 = 0.61 μM, rM4 EC50 > 30 μM, hM3 EC50 = 3.1 μM, hM2 EC50 > 30 μM, hM1 EC50 = 2.0 μM). Data represent the mean ± SEM from at least three independent determinations employing highly expressing cell lines with similarly high expression levels of muscarinic receptors. (A) [3H]NMS competition binding. 8n has no inhibitory effect on [3H]NMS binding (97.1% max), while the control (atropine) inhibits [3H]NMS binding in a concentration dependent manner (Ki = 1.47 nM, 1.8% max). (B) Acetylcholine affinity shift profile of 8n. Increasing fixed concentrations of 8n result in progressive left shifts of the ACh inhibition curve, with a maximal shift of approximately 15. Experiments were performed using membranes prepared from hM5 CHO cells. Data represent the mean ± SEM from at least three independent determinations. The pharmacology of 8n was further profiled in radioligand binding experiments (Figure 3). Increasing concentrations of 8n or atropine (control) were incubated with a fixed concentration of [3H]N-methylscopolamine (NMS, 0.3 nM, an orthosteric antagonist) and membranes expressing the hM5 receptor. While atropine displaced [3H]NMS binding in a concentration dependent manner, 8n had no effect on [3H]NMS binding (Figure 3A), suggesting that 8n interacts with the hM5 receptor via an allosteric mechanism. To further characterize the interaction of 8n with the hM5 receptor, increasing fixed concentrations of 8n were incubated with a CRC of ACh in the presence of a fixed concentration of [3H]NMS (0.4 nM) to determine the effect of 8n on the affinity of ACh. 8n shifted the ACh competition curve leftward by ∼15-fold (Figure 3B), further demonstrating its function as a PAM, acting through modulation of the potency and affinity of ACh. However, it has yet to be defined what in vitro properties are required for a hM5 PAM to generate a specific in vivo outcome. Only now are we beginning to amass the necessary tool compounds to explore this question.
Figure 3

(A) [3H]NMS competition binding. 8n has no inhibitory effect on [3H]NMS binding (97.1% max), while the control (atropine) inhibits [3H]NMS binding in a concentration dependent manner (Ki = 1.47 nM, 1.8% max). (B) Acetylcholine affinity shift profile of 8n. Increasing fixed concentrations of 8n result in progressive left shifts of the ACh inhibition curve, with a maximal shift of approximately 15. Experiments were performed using membranes prepared from hM5 CHO cells. Data represent the mean ± SEM from at least three independent determinations.

Interestingly, this novel class of hM5 PAMs showed a clear preference for the Gq coupled mAChRs over the Gi/o coupled receptors, which is reminiscent of the nonselective pan-Gq PAM HTS hit[8] that served as the progenitor for three previous M5 PAM probe molecules[8] and an M1 selective PAM.[6] This similarity points to the possibility of a common allosteric binding site and the high probability that further SAR will reveal completely selective M5 PAMs from this series. To more broadly explore this new scaffold’s potential for nonmuscarinic, off-target activity, 8n was submitted to Eurofin’s Pan Labs lead profiling screen. This battery of radioligand binding assays consists of 68 common GPCRs, ion channels, and transporters where the test compound (8n) was present at 10 μM. Remarkably, 8n showed a significant response (>49% radiologand displacement; see Supporting Information for complete results) in just two assays: cannabinoid CB1 receptor (50% displacement) and σ1 receptor (53% displacement). However, these binding results do not guarantee functional activity and the mid-range values did not prompt functional determinations.

Metabolism and Disposition

Encouraged by these initial results, 8n was characterized in a variety of DMPK assays (Table 6). From an in vitro standpoint, 8n displayed minimal metabolic stability with a very high hepatic microsomal intrinsic clearance in rat and human (CLint; rat, 2600 mL min–1 kg–1; human, 540 mL min–1 kg–1) and a correspondingly high predicted hepatic clearance in both species (CLhep; rat, 68 mL min–1 kg–1; human, 20 mL min–1 kg–1), on par with hepatic blood flow. A low fraction unbound in plasma was observed for rat and human (fu,plasma; rat, 0.014; human, 0.015) and in rat brain homogenate (fu,brain; rat, 0.011). In rodents (male, Sprague–Dawley rats, 1 mg/kg iv, n = 3), similar instability was observed after intravenous dosing; 8n displayed high clearance (66 mL min–1 kg–1), a moderate volume of distribution (1.6 L kg–1), and a short half-life (t1/2, 22 min). A modest total brain-plasma partition coefficient (Kp = 0.36) was also determined from these experiments (15 min after administration); however, the unbound brain-plasma partition coefficient (Kp,uu = 0.28) tempers the attractiveness of 8n as a highly CNS penetrant compound. Still, the high permeability determined in Caco-2 cells (Papp = 2.5 × 10–5 cm/s) represents an attractive starting point to further optimize CNS exposure.
Table 6

DMPK Profile of 8n

in vitroin vivo
microsome CLint(mL/min/kg)rat: 2600(male, Sprague–Dawley, n = 3)
human: 540CLplasma (mL/min/kg)66
predicted CLhepa(mL/min/kg)rat: 68elimination t1/2 (min)22
human: 20Vdss (L/kg)1.6
fu plasmarat: 0.014brain/plasma Kp0.36
human: 0.015(at 15 min) Kp,uu0.28
fu brainrat: 0.011  

Determined using CLint values in the well-stirred model of organ clearance not corrected for fraction unbound in plasma.

Determined using CLint values in the well-stirred model of organ clearance not corrected for fraction unbound in plasma.

Conclusion

In summary, we have developed 8n (also referred to as ML380 or VU0481443), which is among the most potent M5 PAMs reported to date (hM5 EC50 = 190 nM, rM5 EC50 = 610 nM) and is M5 preferring with some functional activity remaining at M1 and M3. This compound will be a useful tool to further investigate the in vitro properties of the M5 receptor as more advanced PAMs are identified. This novel chemotype distinguishes itself from our previously published isatin-containing M5 PAMs in its ability to be detected within the CNS even though its partition coefficients (Kp and Kp,uu) are less than optimal. However, the highly modular nature of this ligand will allow for continued structural optimization to further improve potency, selectivity, metabolic stability, and CNS penetration. Continuing efforts around this scaffold are in progress and will be reported in due course.

Experimental Section

The general chemistry, experimental information, and syntheses of key compounds are supplied in the Supporting Information. Purity for all final compounds was >95%, and each showed a parent mass ion consistent with the desired structure (LCMS).[17]

1-((1H-Indazol-5-yl)sulfonyl)-N-ethyl-N-(2-(trifluoromethyl)benzyl)piperidine-4-carboxamide (8n)

To a solution of 1-Boc-4-piperidinecarboxylic acid (2.00 g, 8.72 mmol, 1 equiv) and DIPEA (4.48 mL, 26.2 mmol, 3 equiv) in DCM (30 mL, 0.3 M) was added 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide HCl (2.51 g, 13.1 mmol, 1.5 equiv), hydroxybenzotriazole (1.77 g, 13.1 mmol, 1.5 equiv), and ethylamine HCl (1.42 g, 17.5 mmol, 2.0 equiv). The mixture was stirred for 2 h at room temperature before being quenched with aqueous NaHCO3. The organic layer was separated, and the aqueous layer was extracted with DCM. The combined organic layers were washed with brine, dried over MgSO4, filtered, and concentrated under reduced pressure. The residue was purified via silica gel column chromatography to give 1.89 g of 1-Boc-4-(ethylcarbamoyl)piperidine (83% yield). To a solution of 1-Boc-4-(ethylcarbamoyl)piperidine (50.0 mg, 0.195 mmol, 1 equiv) and 15-crown-5 (77.4 μL, 0.390 mmol, 2 equiv) in THF (2 mL, 0.1 M) was added NaOBu (28.1 mg, 0.293 mmol, 1.5 equiv). The mixture was stirred for 30 min at room temperature before adding 2-(trifluoromethyl)benzyl bromide (59.4 μL, 0.39 mmol, 2 equiv). After 16 h, the mixture was concentrated under reduced pressure and the residue partitioned between H2O and DCM. The organic layer was separated, and the aqueous layer was extracted with DCM. The combined organic layers were concentrated under reduced pressure and the residue was purified via Gilson preparative LC (MeCN/water/0.1% TFA gradient as the mobile phase through a c-18 column) to obtain 1-Boc-4-(ethyl(2-(trifluoromethyl)benzyl)carbamoyl)piperidine. To a solution of 1-Boc-4-(ethyl(2-(trifluoromethyl)benzyl)carbamoyl)piperidine in DCM was added MP-TsOH (5 equiv). The mixture was heated to 100 °C under microwave irradiation for 10 min. The mixture was filtered, and the resin was rinsed with MeOH before washing with NH3/MeOH to elute product. Solvent was removed under reduced pressure to give 43 mg of pure 4-(ethyl(2-(trifluoromethyl)benzyl)carbamoyl)piperidine (70% yield, two steps). To a solution of 4-(ethyl(2-(trifluoromethyl)benzyl)carbamoyl)piperidine (20 mg, 0.063 mmol, 1 equiv) and DIPEA (33 μL, 0.20 mmol, 3 equiv) in DCM was added 1H-indazole-5-sulfonyl chloride (21 mg, 0.095 mmol, 1.5 equiv). The mixture was allowed to stir for 2 h at room temperature and was then quenched with MeOH and concentrated under reduced pressure. The residue was purified via Gilson preparative LC (MeCN/water/0.1% TFA gradient as the mobile phase through a c-18 column) to obtain 4.2 mg of 8n (15% yield). HRMS (TOF, ES+) C23H26N4O3F3S [M + H]+ calcd mass 495.1678, found 495.1679. 1H NMR (1:1.25 rotamer ratio, ∗ denotes minor rotamer, 400.1 MHz, CDCl3) δ (ppm): 8.31 (s, 1H); 8.25 (m, 1H); 7.78, 7.72* (d, J = 8.8 Hz, 1H); 7.68–7.57 (m, 2H); 7.52*, 7.46 (t, J = 7.6 Hz, 1H); 7.38*, 7.32 (t, J = 7.6 Hz, 1H); 7.21–7.13 (m, 1H); 4.76, 4.64* (s, 2H); 3.95–3.86, 3.85–3.76* (m, 2H); 3.41*, 3.22 (q, J = 7.2 Hz, 2H); 2.60–2.46 (m, 2H); 2.37–2.26 (m, 1H); 2.11–1.92 (m, 2H); 1.91–1.81, 1.74–1.65* (m, 2H); 1.16–1.05 (m, 3H). 13C NMR (1:1.35 rotamer ratio, ∗ denotes minor rotamer, 100.6 MHz, CDCl3) δ (ppm): 174.70; 141.40, 141.34*; 136.29, 135.77*; 135.95; 132.67*, 132.31; 129.31*, 129.19; 127.94, 127.86*; 127.90 (q, J = 30.3 Hz); 126.65 (q, J = 5.3); 126.47; 126.26 (q, J = 245 Hz); 126.04 (q, J = 5.6 Hz); 122.81, 122.73*; 122.66; 110.92, 110.89*; 46.94*, 44.23; 45.64, 45.46*; 42.12, 41.87*; 37.96*, 37.68; 28.48, 28.27*; 14.44, 12.67*.
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