The leishmaniases are diseases that affect millions of people across the world, in particular visceral leishmaniasis (VL) which is fatal unless treated. Current standard of care for VL suffers from multiple issues and there is a limited pipeline of new candidate drugs. As such, there is a clear unmet medical need to identify new treatments. This paper describes the optimization of a phenotypic hit against Leishmania donovani, the major causative organism of VL. The key challenges were to balance solubility and metabolic stability while maintaining potency. Herein, strategies to address these shortcomings and enhance efficacy are discussed, culminating in the discovery of preclinical development candidate GSK3186899/DDD853651 (1) for VL.
The leishmaniases are diseases that affect millions of people across the world, in particular visceral leishmaniasis (VL) which is fatal unless treated. Current standard of care for VL suffers from multiple issues and there is a limited pipeline of new candidate drugs. As such, there is a clear unmet medical need to identify new treatments. This paper describes the optimization of a phenotypic hit against Leishmania donovani, the major causative organism of VL. The key challenges were to balance solubility and metabolic stability while maintaining potency. Herein, strategies to address these shortcomings and enhance efficacy are discussed, culminating in the discovery of preclinical development candidate GSK3186899/DDD853651 (1) for VL.
Kinetoplastid
diseases are part of the list of the neglected tropical
diseases (NTDs) as defined by the World Health Organisation (WHO).[1] These diseases are caused by a group of flagellated
protozoans that are characterized by the presence of a distinct network
of DNA (known as “kinetoplast”) in their single large
mitochondrion.[2] The human diseases more
commonly caused by these parasites include, among others, various
forms of leishmaniasis (cutaneous, muco-cutaneous, and visceral).
These diseases affect millions of people, not only those infected,
but also the communities in which they live, contributing to a perpetual
cycle of poverty. The leishmaniases affect people across Africa, the
Middle East, South America, and Asia. There are about 20 species or
subspecies of Leishmania which cause
human disease. Visceral leishmaniasis (VL, also known as kala azar),
caused by Leishmania donovani and Leishmania infantum, is typically fatal without treatment
with 200000–400000 new cases each year and approximately 20000–30000
deaths.[3] Current therapies are not fit
for use in resource-poor settings due to a combination of issues such
as difficult administration, length of treatment, side effects, teratogenicity,
cost, resistance, and/or clinical relapse.[4−7] At the time of this work, the
external development pipeline for VL was sparse with only two additional
new chemical entities (NCEs) just entering the early preclinical phase.[8] Therefore, there was a clear unmet medical need
for a new therapeutic class.The primary objective of a collaboration
between the Drug Discovery
Unit, University of Dundee and GSK (funded by Wellcome), has been
to identify safe, effective, oral, and short-course (ideally ≤10
days) drug candidates for VL, in line with the DNDi (Drugs for Neglected Disease initiative) target
product profile.[9] Hence, the focus was
to identify orally available compounds that demonstrate both in vitro
and in vivo parasite suppression comparable to miltefosine (the only
available oral therapy) in preclinical models, with an appropriate
safety profile. This strategy of focusing on parasite suppression
has been used successfully for discovery of most of the current protozoan
chemotherapies.[10] Because there are very
few fully validated druggable targets in the kinetoplastids, most
groups have focused on phenotypic approaches.[11,12]Leishmania parasites have a
complex
life cycle, involving a vector (sandfly) stage and a host (human)
stage.[13] Given the differences in biology
between the vector and the host stage, it is important that compounds
are screened against the correct physiological stage (amastigotes).
In the human host, the parasites are found within macrophages, more
specifically within parasitophorous vacuoles where the pH is ∼5.5.
A high-content screening method for this stage was recently developed,
where the parasites are cultured in differentiated THP-1 cells, representative
of the human disease.[14] In the experience
of this collaboration and others,[15] the
hit rate was very low using this whole cell in vitro intracellular
amastigote assay, which may be for several reasons. First, the parasites
are dividing relatively slowly in this assay, and second, compounds
need to cross three membranes and navigate two changes in pH to demonstrate
in vitro potency (Figure ). However, the assay only identifies cytocidal, rather than
cytostatic compounds, which is an important consideration when identifying
new compound series. Notably, all compounds which are either in the
clinic, or in clinical development, exhibit activity in this assay.[14]
Figure 1
Reaching the biophase for visceral leishmania within macrophages.
Reprinted (adapted) with permission from ref (47). Copyright 2002 Nature
Publishing Group.
Reaching the biophase for visceral leishmania within macrophages.
Reprinted (adapted) with permission from ref (47). Copyright 2002 Nature
Publishing Group.This publication details
the lead optimization of a N1-(1H-pyrazolo[3,4-d]pyrimidin-6-yl)cyclohexyl-1,4-trans-diamine series to find an appropriate balance between
potency, relevant measures of solubility, and/or metabolic stability.
This effort led to the in vivo profiling of a number of analogues,
and finally the identification of precandidate asset GSK3186899/DDD853651, 1(Figure ).[16,17] Subsequent target deconvolution identified that the principal target
was Cdc2-related kinase 12 (CRK12),[17] although
this was unknown during the lead optimization program.
Figure 2
Structure of GSK3186899/DDD853651, 1.
Structure of GSK3186899/DDD853651, 1.
Results and Discussion
We previously
reported that diaminothiazole 2 demonstrated
activity against the related parasite Trypanosoma brucei,[18] and that a scaffold-hopping strategy
identified pyrazolopyrimidine 3 as having very weak activity
against L. donovani (Ld) axenic amastigotes,[17] albeit with no activity against intracellular
parasites. Several changes were made to the cyclohexyl ring of 3 to allow us to explore the SAR around this portion of the
molecule, and one such change, the introduction of a functionalized
4-amino group, led to compound 4-trans with in vitro potency against intracellular parasites and no effect
on the nondividing human host cells (THP-1) (Table ). Interestingly 4-cis was >10-fold less potent within the intramacrophage assay compared
to 4-trans. This relationship was general
across the series, and as such, the cis-isomers will
not be discussed further.
Table 1
In Vitro Profile
of 2–4
Ld InMac is the
intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
three replicates.
Cli is mouse liver microsomal
intrinsic clearance; nd is not determined.
Ld InMac is the
intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
three replicates.Cli is mouse liver microsomal
intrinsic clearance; nd is not determined.On the basis of the data presented in Table , the initial medicinal chemistry
focus was
to improve metabolic stability (mouse microsomal intrinsic clearance
<5 mL·min–1·g–1),
with the aim of rapidly identifying analogues suitable for testing
in an in vivo mouse efficacy model. Despite the mode of action (MoA)
of the series being unknown when the chemistry program was initiated, 3 and 4 did closely resemble a set of antitumor
cyclin dependent kinase inhibitors.[19] The
closest exemplar was N-(trans-4-((3-(5-fluoro-2-methoxyphenyl)-1H-pyrazolo[3,4-d]pyrimidin-6-yl)amino)cyclohexyl)methanesulfonamide
(example 26 from ref (19)), which demonstrated IC50 values
of 0.199 and 0.114 μM against Cdk4 and Cdk2, respectively. Repurposing
of human kinase inhibitors as a strategy for infectious and neglected
diseases has been explored by others,[20−22] in which they all recognize
selectivity over the human orthologue as a potential challenge. Therefore,
monitoring against a panel of human kinases for this series would
be critical, particularly for compounds progressing into in vivo efficacy
experiments.Interestingly, replacements for the sulphonamide
(e.g. 5) were inactive against intracellular parasites
within this series
(Table ). Exchanging
the benzyl group with an iso-butyl group led to an
increase in activity (6), although both compounds were
metabolically unstable. Replacing the iso-butyl group
(RHS) with a trifluoropropyl group (7) gave greater stability
when incubated with mouse liver microsomes and only a small loss in
potency compared to 6. Switching focus to the LHS, it
was noted that replacing the iso-butyl group with
either a 2-methoxyphenyl or a 2-pyridyl caused a significant increase
in potency (8 and 9), the latter being noteworthy
for also having improved mouse metabolic stability. Additionally,
this series demonstrated increased stability in human vs mouse liver
microsomes (see 5 and 8 in Table ).
Table 2
In Vitro
Profiles of 4–9
Ld InMac is the intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least four replicates.
HepG2 is a human liver cancer cell
line.
Cli is
liver microsomal
intrinsic clearance.
Ld InMac is the intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least four replicates.HepG2 is a human liver cancer cell
line.Cli is
liver microsomal
intrinsic clearance.To
facilitate the synthesis of the compounds described within this
paper, a set of key amines was synthesized according to Scheme . N-Boc-trans-1,4-cyclohexanediamine was deprotonated with n-BuLi then reacted with the relevant sulphonyl chloride,
and the resulting Boc protected intermediates were treated with TFA
to give 10a–c.
Scheme 1
Synthesis of Intermediates 10a–c
Reagents and conditions: (a) n-BuLi, R1Cl, THF, −78°C, 1–1.5
h; (b) TFA, DCM, RT, overnight, 80–99% over 2 steps
Synthesis of Intermediates 10a–c
Reagents and conditions: (a) n-BuLi, R1Cl, THF, −78°C, 1–1.5
h; (b) TFA, DCM, RT, overnight, 80–99% over 2 stepsExamples 3–9, 15,
and 17 were synthesized according to Scheme . Thus, 5-bromo-2-chloro-4-methoxypyrimidine
was treated with iso-propylmagnesium chloride and
various aldehydes at −40 °C. The resulting alcohols were
oxidized with Dess–Martin periodinane to yield ketones 11a–d. Treatment of 11a with
cyclohexylamine in the presence of Hünig’s base led
to aminopyrimidine 12. Similarly, 11a was
treated with tert-butyl-(trans-4-aminocyclohexyl)carbamate,
and the resulting compound treated with TFA to remove the Boc group,
yielding 13. This intermediate could then be either acylated
or sulphonylated to give 14a,b. Alternatively,
a more direct route was used for synthesis of intermediates 14c–h, whereby coupling of the appropriate
combinations of 10a–c with 11a–d led to the relevant intermediates.
Finally, treatment of either 12 or 14a–h with hydrazine hydrate generated the desired target compounds
(3–9, 15, and 17).
Scheme 2
Synthesis of Compounds 3–9, 15, and 17
Reagents and conditions: (a) iPrMgCl (2M in Et2O), THF, −40°C,
30 min; (b) Dess–Martin periodinane, DCM, RT, 1 h, 39–67%
over two steps; (c) cyclohexylamine (for 12), tert-butyl-(trans-4-aminocyclohexyl)carbamate
(for 13) or 10a–c (for 14c–h), DIPEA, EtOH, 120 °C (microwave,
2 h); (d) TFA, DCM, 1 h, 80% over two steps; (e) phenylacetyl chloride,
trimethylamine, DCM, overnight (for 14a), benzylsulphonyl
chloride, Cs2CO3, DMF, overnight (for 14b); (f) hydrazine hydrate, EtOH, 150 °C (microwave),
30 min to 1 h, 30–72% over two steps.
Synthesis of Compounds 3–9, 15, and 17
Reagents and conditions: (a) iPrMgCl (2M in Et2O), THF, −40°C,
30 min; (b) Dess–Martin periodinane, DCM, RT, 1 h, 39–67%
over two steps; (c) cyclohexylamine (for 12), tert-butyl-(trans-4-aminocyclohexyl)carbamate
(for 13) or 10a–c (for 14c–h), DIPEA, EtOH, 120 °C (microwave,
2 h); (d) TFA, DCM, 1 h, 80% over two steps; (e) phenylacetyl chloride,
trimethylamine, DCM, overnight (for 14a), benzylsulphonyl
chloride, Cs2CO3, DMF, overnight (for 14b); (f) hydrazine hydrate, EtOH, 150 °C (microwave),
30 min to 1 h, 30–72% over two steps.On the basis of the SAR learnings summarized in Table (notably 7 and 9), compound 15 was prepared with the aim of
improving potency and metabolic stability over 4 (Table ). The in vitro profile
of 15 supported progression into a mouse pharmacokinetic
(PK) study. However, the compound showed poor solubility when measured
using chemiluminescent nitrogen detection (CLND, a technique used
to measure kinetic aqueous solubility).[23] It would therefore be necessary to use a highly solubilizing vehicle
(10% (v/v) dimethyl sulfoxide (DMSO), 60% polyethylene glycol 400,
and 30% deionized water) to maximize the chance of achieving sufficient
exposure in mice when 15 was progressed to in vivo experiments.
Table 3
In Vitro Profile of 15
Ld InMac is the
intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
18 replicates.
HepG2 is
a human liver cancer cell
line.
Cli is
liver microsomal
intrinsic clearance.
CLND
is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]
AUC0–last is the
area under the curve until the last measurement.
%CV is the % of coefficient of variation.
Cmax is the maximum concentration reached.
Clb is mouse clearance
in blood.
Vss is
volume of distribution at steady state.
Fpo is oral bioavailability.
Ld InMac is the
intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
18 replicates.HepG2 is
a human liver cancer cell
line.Cli is
liver microsomal
intrinsic clearance.CLND
is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]AUC0–last is the
area under the curve until the last measurement.%CV is the % of coefficient of variation.Cmax is the maximum concentration reached.Clb is mouse clearance
in blood.Vss is
volume of distribution at steady state.Fpo is oral bioavailability.To monitor the effects of the
series on human kinases, chemoproteomic
profiling on Kinobeads was performed in a K-562 protein extract to
identify potential human off-targets for 8 and 15 (Figure ). The compounds were tested at a concentration of 5 μM for
their activity against 210 human protein kinases, and while 8 showed competition of several protein kinases, 15 did not affect any of the captured protein kinases. This gave us
confidence that a suitable kinase selectivity profile could be achieved
within this series. On the basis of this observation and overall in
vitro/DMPK profile (Table ), 15 was progressed to an animal disease model
for VL.
Figure 3
Chemoproteomic affinity profiling of compounds 8 and 15. Kinobeads were incubated with K-562 cell extract either
in the presence of vehicle (DMSO) or compound 15 or compound 8 (5 μM). Proteins captured by the beads in both conditions
were quantified by LC–MS/MS analysis. Labeled proteins show
more than 2-fold reduced binding to the Kinobead matrix due to competition
with compounds 15 or 8 against vehicle respectively
and represent potential human off-targets.
Chemoproteomic affinity profiling of compounds 8 and 15. Kinobeads were incubated with K-562 cell extract either
in the presence of vehicle (DMSO) or compound 15 or compound 8 (5 μM). Proteins captured by the beads in both conditions
were quantified by LC–MS/MS analysis. Labeled proteins show
more than 2-fold reduced binding to the Kinobead matrix due to competition
with compounds 15 or 8 against vehicle respectively
and represent potential human off-targets.There are a number of preclinical in vivo animal protocols
available
for assessing the efficacy of compounds intended to treat VL, including
mouse, rat, hamster, dog, and monkey models.[24] Of these, mouse and hamster are the most common models for testing
drug efficacy.[25,26] However, there is a marked lack
of clinical validation of these models and the absence of clinical
PharmacoKinetic/PharmacoDynamic (PK/PD) data makes it impossible to
suggest which model is more predictive of the clinical outcome in
human. That said, after reviewing the available clinical data[27,28] and comparing to our nonclinical in vivo data for miltefosine, it
was observed that the mouse exposure data was predictive for humans.
In addition, both liposomal amphotericin B and miltefosine achieve
a >95% suppression in parasite load within this mouse model.[26] Mouse was therefore selected as our primary
model to evaluate in vivo efficacy.Female Balb/c mice were
infected with L. donovani amastigotes,
and the infection was allowed to establish for 7 days.
These mice (groups of 5) were treated with either vehicle (oral),
sodium stibogluonate (pentostam, 15 mg/kg, which is the ED30, subcutaneously), miltefosine (12 mg/kg, which is the ED70, orally) as standards, or 15 (50 mg/kg, orally). Pentosam
and miltefosine were dosed once daily for 5 days with vehicle and 15 dosed twice daily over same period.Fourteen days,
after infection, all animals were humanely euthanized
and parasite burden was determined microscopically.[29] Parasite burden was expressed in Leishman–Donovan
units (LDU), the number of amastigotes per 500 nucleated cells multiplied
by the organ weight in grammes.[30]Pleasingly, 15 demonstrated an 85% suppression in
parasite load (Figure ) within the liver with 50 mg/kg b.i.d. dosing for 5 days, while
the controls performed as expected. This result established excellent
proof of concept for the series. Despite 15 demonstrating
promising efficacy and oral bioavailability (44%), marked variability
in exposure was observed (%CV = 79, Table ) and it was also noted that first pass metabolism
could only account for 3% of the remaining noncirculating parent compound
(56%). Because 15 had a high artificial membrane permeability
(4.4 × 10–5 cm/s) and low CLND solubility (Table ), it was hypothesized
that increasing the solubility should increase exposure and reduce
variability.
Figure 4
In vivo efficacy profile of pentostam, miltefosine, and 15. The mean LDU values from individual animal livers were
compared
to the control to give the percentage (%) suppression of parasite
load in Balb/c mice (that were infected with L. donovani). Error bars represent the standard deviation (SD). Lead optimization
criteria was 70% suppression in liver parasite burden, while preclinical
candidate was >95%.
In vivo efficacy profile of pentostam, miltefosine, and 15. The mean LDU values from individual animal livers were
compared
to the control to give the percentage (%) suppression of parasite
load in Balb/c mice (that were infected with L. donovani). Error bars represent the standard deviation (SD). Lead optimization
criteria was 70% suppression in liver parasite burden, while preclinical
candidate was >95%.The property forecast index (PFI) provides a probabilistic
score
of the likely developability risks and solubility of compounds.[31]15 had a PFI of 7.2 and the impact
of modulating PFI by either introducing polarity (reducing ChromLogD)
or incorporating saturated isosteres (reducing ∼ #Ar) are highlighted
in Table . A collateral
benefit of reducing the PFI was that 15 and subsequent
molecules all displayed excellent metabolic stability.
Table 4
PFI and in Vitro Profiles of 16–21
Ld InMac is the
intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least three replicates.
CLND is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]
PFI is the property
forecast index.[31]
ChromLogDpH7.4 is a measure
lipophilicity at pH7.4.[31]
Ld InMac is the
intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least three replicates.CLND is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]PFI is the property
forecast index.[31]ChromLogDpH7.4 is a measure
lipophilicity at pH7.4.[31]16 was synthesized
according to Scheme , where commercially available 3-bromo-6-(methylthio)-1H-pyrazolo[3,4-d] pyrimidine was oxidized
to sulphone 22. The pyrazole N–H of 22 was then protected with THP to yield 23, and the sulphone
was subsequently displaced with 10b. The resulting bromide 24 was reacted with 5-pyrimidylboronic acid using Suzuki coupling
conditions, and subsequent THP deprotection led to 16.
Reagents and conditions: (a)
oxone, MeCN, H2O, RT, 3 h, 62%; (b) 3,4-dihydro-2H-pyran, p-toluenesulfonic acid monohydrate,
THF, reflux, overnight, 79%; (c) 10b, DIPEA, EtOH, 100°C,
overnight, 68%; (d) Pd(PPh3)4, K2CO3, DMF, H2O, 150°C, 20 min; (e) conc
HCl, MeOH, 100°C, 30 min, 85% over two steps.17 was synthesized according to Scheme , whereas an alternative route was required
for compounds 18–21. Synthesis of
these derivatives, along with 1 and 36–38, was accomplished according to Scheme . Commercially available 2,4-dichloro-5-pyrimidinecarbonyl
chloride was treated with a suitable amine to give amides 26a–g, which were subsequently treated with sodium
methoxide to selectively displace the pyrimidinyl 4-chloro yielding 27a–g. The pyrimidinyl 2-chloro group
could then be displaced with amine 10a or 10b to give 28a–g. Finally, reaction
of 28a–g with Lawesson’s reagent
followed by treatment with hydrazine gave compounds 1, 18–21, and 36–38. In the case of 29f, the Boc group was deprotected
with TFA following the reaction with hydrazine to give 20. Chiral separation of 29c furnished the enantiomers 36 and 37.
Scheme 4
Synthesis of Compounds 1, 18–21, 30, and 36–38
Reagents and conditions: (a)
R1H, DIPEA, DCM, 0°C, 3 h, 53–92%; (b) NaOMe,
THF, −40°C, 3 h, 48–86%; (c) 10a or 10b, DIPEA, 1,4-dioxane, 100°C, overnight, 54–71%;
(d) Lawesson’s reagent, THF, 45°C, 2 h; (e) hydrazine
hydrate, 1,4-dioxane, 90 °C, overnight, 47–58% over two
steps.
Synthesis of Compounds 1, 18–21, 30, and 36–38
Reagents and conditions: (a)
R1H, DIPEA, DCM, 0°C, 3 h, 53–92%; (b) NaOMe,
THF, −40°C, 3 h, 48–86%; (c) 10a or 10b, DIPEA, 1,4-dioxane, 100°C, overnight, 54–71%;
(d) Lawesson’s reagent, THF, 45°C, 2 h; (e) hydrazine
hydrate, 1,4-dioxane, 90 °C, overnight, 47–58% over two
steps.Several LHS heteroaromatic analogues
were synthesized. However,
as demonstrated by 16, none showed any advantage over 15 in terms of either solubility or potency (Table ). Hence, the focus was to identify
saturated isosteres to replace the pyridyl LHS in 15,
thus reducing the number of aromatic rings. Initial compounds 17 and 18, where the pyridyl was replaced by
a saturated ring to reduce PFI, showed an improvement in solubility,
although both were less potent than 15. Pyrrolidine 19 demonstrated similar in vitro potency to piperidine 18, albeit lower solubility. Interestingly, piperazine 20 was less potent but had excellent CLND solubility, presumably
due to increased basicity and reduced ChromLogD. Interrogation of
the data (Figure )
suggested targeting a PFI between 4.2 and 6 would give a high probability
of achieving a desirable CLND solubility while maintaining intracellular
potency and good absorption.
Figure 5
CLND solubility vs PFI profile within this series
of compounds.
Ld InMac is the intramacrophage assay carried out in THP-1 cells with L. donovani amastigotes.[14] Number of biological replicates for all active compounds ≥2;
PFI is the property forecast index;[31] CLND
is kinetic aqueous solubility measured using chemiluminescent nitrogen
detection.[23]
CLND solubility vs PFI profile within this series
of compounds.
Ld InMac is the intramacrophage assay carried out in THP-1 cells with L. donovani amastigotes.[14] Number of biological replicates for all active compounds ≥2;
PFI is the property forecast index;[31] CLND
is kinetic aqueous solubility measured using chemiluminescent nitrogen
detection.[23]Promisingly, the morpholine analogue 21 in Table showed similar in
vitro potency to piperidine 18 with reduced PFI and increased
CLND solubility. Knowing that an improvement in potency (in vitro)
between compounds 9 and 15 was observed,
the iso-butyl-sulphonamide version of morpholine
analogue 21 was of interest. This compound (30) was synthesized following Scheme , i.e., displacing the chloro of 27g with
amine 10a. As shown in Table , 30 demonstrated excellent
in vitro potency and CLND solubility, additionally showing a similar
profile to 15 (Figure ) against a panel of 210 human protein kinases at 5
μM (data not shown).
Table 5
In Vitro Profile
of 30
Ld InMac is the
intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least eight replicates.
HepG2 is a human liver cancer cell
line.
Cli is
liver microsomal
intrinsic clearance.
CLND
is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]
PFI is the property
forecast index.[31]
Ld InMac is the
intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least eight replicates.HepG2 is a human liver cancer cell
line.Cli is
liver microsomal
intrinsic clearance.CLND
is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]PFI is the property
forecast index.[31]30 was selected for progression to the
mouse in vivo
efficacy model, and the greater solubility of 30 compared
to 15 now allowed use of a vehicle that was suitable
for subsequent toxicology studies (i.e., 0.5% HPMC, 0.4% Tween 80
and 0.5% benzyl alcohol) and investigation of higher doses within
the model.Analogue 30 demonstrated in vivo efficacy
very close
to our preclinical candidate target (i.e., >95% parasite suppression)
at 100 mg/kg b.i.d. for 5 days, and a dose response study utilizing
a 10 day regimen showed that a dose of 50 mg/kg b.i.d. achieved the
same level of efficacy (Table ).
Table 6
Mouse in Vivo Efficacy
Profile of 30a
oral regimen
of 30
% suppression
of parasite load compared to the control group
standard
deviation (SD)
100 mg/kg b.i.d.
for 5 days
94
5.24
10 mg/kg b.i.d. for 10 days
36
27.31
25 mg/kg b.i.d. for 10 days
74
4.49
50 mg/kg b.i.d. for 10 days
97
0.95
The vehicle was
0.5% HPMC, 0.4%
Tween 80 and 0.5% benzyl alcohol using 5 mice per dose level.
The vehicle was
0.5% HPMC, 0.4%
Tween 80 and 0.5% benzyl alcohol using 5 mice per dose level.A rat PK dose escalation study with 30 (Table ) disappointingly showed greater
than proportional increase in exposure between 10 and 100 mg/kg and
then a saturation of absorption between 100 and 300 mg/kg limiting
the maximum exposure that could be explored. This saturation of absorption
at higher doses, together with high variability between animals, implied
that solubility might still be problematic. Although 30 showed reasonable CLND solubility data (Table ), the solubility profile in fasted state
simulated intestinal fluid (FaSSIF)[32] was
poor (9 μg/mL). Other compounds within this series all showed
a similar poor level of FaSSIF solubility (see 15, 21, and 30 in Table ) except for 31(33) (see Table for structure), which had an improved profile (more discussion on 31 to follow). Care should always be taken when considering
FaSSIF solubility as variability between batches is known.[34] However, within this series of compounds, minimal
FaSSIF variability was observed within the same batch and for 31 there was little variation between the lead optimization
batches (see Table S20 in Supporting Information).
Also, these compounds demonstrated that there was little correlation
between FaSSIF and PFI or CLND within this series (see Table ). Although different pH conditions
were used to measure FaSSIF (pH 6.5) and PFI or CLND (pH 7.4), the
measured pKa values[35] of these compounds would suggest that the degree of protonation
should have been similar under these different pH conditions.
Table 7
PK Dose Escalation in Rats for 30
dose of 30 (mg/kg)
mean AUC0–last h·ng/mL (%CVa)
10
162 (41)
100
2960 (33)
300
2383 (183)
%CV is the % of coefficient of variation.
The vehicle was 1% methylcellulose in aqueous buffer using three rats
per dose level.
Table 8
Profile of 15, 21, 30, and 31
15
21
30
31
CLND solubility (μM)a
8
259
328
68
FaSSIF (μg/mL)b
<1
7
9
130
PFIc
7.2
5.0
4.9
8.0
pKad
3.2
3.7
nd
4.1
melting point (°C)
nd
273
218
135
CLND is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]
FaSSIF is fasted
state simulated
intestinal fluid solubility.[32]
PFI is the property forecast index.[31]
pK a is the negative
log10 of acid dissociation constant.[35] nd is not determined.
Table 9
In Vitro and FaSSIF Solubility Profiles
of 1 and 31–40
Ld InMac is the intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least three replicates.
CLND is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]
FaSSIF is fasted
state simulated
intestinal fluid solubility.[32]
PFI is the property forecast index.[31] nd is not determined.
%CV is the % of coefficient of variation.
The vehicle was 1% methylcellulose in aqueous buffer using three rats
per dose level.CLND is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]FaSSIF is fasted
state simulated
intestinal fluid solubility.[32]PFI is the property forecast index.[31]pK a is the negative
log10 of acid dissociation constant.[35] nd is not determined.Ld InMac is the intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least three replicates.CLND is kinetic aqueous solubility
measured using chemiluminescent nitrogen detection.[23]FaSSIF is fasted
state simulated
intestinal fluid solubility.[32]PFI is the property forecast index.[31] nd is not determined.Reviewing the general solubility equation (GSE, Yalkowsky
and co-workers)[36] which relates lipophilicity
and melting point
to aqueous solubility (see eq ), highlighted the importance of the melting point of the
compound on its solubility.Equation : The general
solubility equation (GSE), where S is solubility,
MP is melting point in Celsius, and P is octanol–water
partition coefficient. In practice, the
GSE is commonly used where log P is replaced by log DpHx, meaning log S is strictly
log SpHx.[37]Data in Table indicates
a reciprocal trend between melting point and FaSSIF solubility. To
explore the potential means of modulating the high melting points,
a small molecule crystal structure of 15 (Figure , as a representative example
of the series) was obtained.
Figure 6
View of part of the crystal structure of 15. The numbering
scheme for the non-hydrogen atoms of the central molecule (depicted
with the solid bond type) is shown in full. The hydrogen bonds associated
with the central molecule are depicted as dashed lines. For clarity,
only fragments containing the hydrogen bond donors and acceptors are
shown for the surrounding molecules (with the open bond type). Anisotropic
atomic displacement ellipsoids for the non-hydrogen atoms are shown
at the 50% probability level. Hydrogen atoms are displayed with an
arbitrarily small radius.
View of part of the crystal structure of 15. The numbering
scheme for the non-hydrogen atoms of the central molecule (depicted
with the solid bond type) is shown in full. The hydrogen bonds associated
with the central molecule are depicted as dashed lines. For clarity,
only fragments containing the hydrogen bond donors and acceptors are
shown for the surrounding molecules (with the open bond type). Anisotropic
atomic displacement ellipsoids for the non-hydrogen atoms are shown
at the 50% probability level. Hydrogen atoms are displayed with an
arbitrarily small radius.The crystal structure of 15 was shown to contain
a
single, fully ordered molecule in the centrosymmetric space group, P1. As can be seen in Figure , all three N–H groups
act as hydrogen bond donors. Molecules of 15 form hydrogen-bonded
dimers through reciprocal N20–H20···N19 interactions
between inversion symmetry-related fused ring systems. These dimers
are linked together by further hydrogen bonds between the sulfonamide
and aminopyrimidine groups to form hydrogen-bonded columns within
the structure. Additionally, the fused ring system and the pyridine
in each molecule of 15 are approaching a coplanar arrangement
[having a dihedral angle of 6.18(8)°], and this allows a π–π
interaction between adjacent molecules within the columns. As such, 15 exhibited a highly stacked crystal lattice, therefore potentially
explaining the low FaSSIF solubility. A number of analogues were therefore
designed that would disrupt some of the hydrogen bonding seen in this
crystal structure. From the past SAR, removal of N19 or N20–H
(Figure ) meant significant
in vitro potency reduction (i.e., the N20–Me version of compound 15 demonstrated Ld InMac pEC50 < 4.3 and THP
pEC50 < 4.3), so focusing on disruption of the other
hydrogen bonds via introduction of strategically placed substituents
was prioritized. A second strategy involved introducing substituents
to reduce the overall planarity of this series, through either chiral
centers or causing steric clashes. Indeed, some substituents could
serve both of these desired functions and potentially improve the
FaSSIF solubility (see Table ).The 4-methoxy-1H-pyrazolo[3,4-d]pyrimidin-6-amino derivatives 31–35 were synthesized according to Scheme . Commercially available 3-bromo-4,6-dichloro-1H-pyrazolo[3,4-d]pyrimidine was THP-protected
and the 4-chloro selectively displaced with sodium methoxide to give 42a. Treatment of 42a with the appropriate amine 10a–c in the presence of Hünigs
base yielded 43a–c. Suzuki coupling
of 43a with 2-methoxyphenylboronic acid or Buchwald–Hartwig
coupling of 43b,c with morpholine, followed
by deprotection of the THP group, furnished compounds 31–35. In the case of 44d, THP deprotection
was followed by separation of the enantiomers by chiral chromatography
to give 34 and 35. To generate the more
challenging 3-methylmorpholine analogues 39 and 40, a range of protecting groups, SNAr conditions,
and Buchwald–Hartwig coupling conditions were investigated.
The conditions that gave the best results involved the use of SEM
as the protecting group, which gave improved yields compared to THP.
Subsequently, use of RuPhos as catalyst, tris(dibenzylideneacetone)dipalladium(0)
as the palladium source, and potassium hexamethyldisilazide as base
gave reasonable yields in the Buchwald–Hartwig coupling. Thus,
treatment of 43d with the appropriate enantiomer of 3-methylmorpholine under these conditions gave 44e−f, with subsequent SEM deprotection yielding 39 and 40.
Scheme 5
Synthesis of Compounds 31–35, 39, and 40
Reagents and conditions: (a)
For THP, 3,4-dihydro-2H-pyran, para-toluenesulfonic acid monohydrate, THF, 70°C, 2 h, 79% (41a) or for SEM, 2-(trimethylsilyl)ethoxymethyl
chloride, DIPEA, DCM, 0 °C, 1.5 h, 100% (41b); (b)
NaOMe, MeOH, RT, 30 min, 100% (PG = THP, 42a) or 98%
(PG = SEM, 42b); (c) 10a–c, DIPEA, 1,4-dioxane, 110°C, 3 days, 40–51%; (d) 2-methoxyphenylboronic
acid, Pd(PPh3)4, K2CO3, DMF, 130°C, 30 min for 44a (87%) or morpholine, NaOBu, xantphos, Pd2 dba3, dioxane, 110°C, overnight for 44b–d 45–70%, or relevant 3-methylmorpholine, KHMDS, RuPhos, Pd2 dba3, 1,4-dioxane, 110°C, 2 h for 44e,f 47–50%; (e) HCl, MeOH, 60°C, 30 min to 1 h (THP
deprotection of 44a–d) or AcCl, MeOH, RT, 30 min to 1 h (SEM deprotection of 44e,f) 32–83%.
Synthesis of Compounds 31–35, 39, and 40
Reagents and conditions: (a)
For THP, 3,4-dihydro-2H-pyran, para-toluenesulfonic acid monohydrate, THF, 70°C, 2 h, 79% (41a) or for SEM, 2-(trimethylsilyl)ethoxymethyl
chloride, DIPEA, DCM, 0 °C, 1.5 h, 100% (41b); (b)
NaOMe, MeOH, RT, 30 min, 100% (PG = THP, 42a) or 98%
(PG = SEM, 42b); (c) 10a–c, DIPEA, 1,4-dioxane, 110°C, 3 days, 40–51%; (d) 2-methoxyphenylboronic
acid, Pd(PPh3)4, K2CO3, DMF, 130°C, 30 min for 44a (87%) or morpholine, NaOBu, xantphos, Pd2 dba3, dioxane, 110°C, overnight for 44b–d 45–70%, or relevant 3-methylmorpholine, KHMDS, RuPhos, Pd2 dba3, 1,4-dioxane, 110°C, 2 h for 44e,f 47–50%; (e) HCl, MeOH, 60°C, 30 min to 1 h (THP
deprotection of 44a–d) or AcCl, MeOH, RT, 30 min to 1 h (SEM deprotection of 44e,f) 32–83%.As mentioned
earlier, 31 (Tables and 9) proved to
be very interesting as it demonstrated that it was possible to identify
compounds with improved FaSSIF solubility while maintaining intracellular
potency. It was postulated that the additional methoxy group in the
core could disrupt at least two or possibly four hydrogen bonds and/or
force the phenyl ring to be out of the plane (Figure ); in particular, it should disrupt the H-bonds
formed by N17 and N24. As such, the addition of this OMe into the
core of 21 (7 μg/mL) and 30 (9 μg/mL)
was investigated in order to improve the FaSSIF solubility (see analogues 32 and 33 in Table ). Pleasingly, both examples (32 and 33) demonstrated an increase in potency (in vitro),
although only 32 showed an improvement in FaSSIF solubility
compared to its corresponding parent compound (21).Comparing 32 and 33 in more detail, it
was postulated that variations to the sulphonamide could affect the
distance between the layers in the crystal structure and therefore
influence the melting point. Thus, a bulkier sulphonamide, as exemplified
by enantiomers 34 and 35, were designed
to further exploit this hypothesis (Table ). Encouragingly, both enantiomers demonstrated
an increase in FaSSIF solubility, albeit with a loss of intracellular
potency compared to 32 and 33.Excited
by this result, the alternative LHS that could break planarity
and affect the stacking of the crystal structure were prioritized
(i.e., 36, 37, 1, and 38). As Table shows, all these compounds demonstrated increased FaSSIF solubility
alongside similar or increased in vitro potency compared to 21. It was postulated that adding OMe to the core and iso-butyl sulphonamide to these examples could further increase
in vitro potency while maintaining FaSSIF solubility, as had been
seen for 33. Indeed, both examples 39 and 40 showed a similar increase in potency (in vitro), although 39 had a lower FaSSIF solubility than expected compared to 40. This observation between enantiomers was also mirrored
for 1/38 and 36/37, although the rationale for this is still unclear.Interestingly, 1 crystallized in the noncentrosymmetric
space group (P1) and has four independent molecules
in the asymmetric unit (Figure ). Although a different space group to 15, analogous
intermolecular hydrogen bonds were found to exist in 1 and 15, giving rise to columns in the same way. In
cross-section, the columns are wider for 1 as they must
accommodate the substituted morpholinyl groups and the removal of
the π–π stacking. Although the structure of 1 has no centers of symmetry owing to the chiral ring, a pseudocentrosymmetric
arrangement has been adopted. In effect, the four independent molecules
in 1 increase the flexibility of the system, allowing
the same hydrogen bonds to exist as in 15 despite the
much bulkier, chiral ring being present. Overall, however, the packing
in 1 is clearly less efficient than 15,
leading to a density of 1.405 gcm–3 (versus 1.511
gcm–3) at the temperature of the experiments (150
K) and a packing coefficient of 0.676 (versus 0.699). In this respect,
the deliberate attempt to disrupt the packing found in 15 was a success and helped to improve FaSSIF solubility while maintaining
in vitro potency (Table and 9).
Figure 7
Hydrogen bonded columns in the crystal
structures of 1 and 15: (a) a view down
a column in 1;
(b) an orthogonal view to (a); (c) a view down a column in 15; (d) an orthogonal view to (c). Hydrogen bonds are displayed as
black dotted lines.
Hydrogen bonded columns in the crystal
structures of 1 and 15: (a) a view down
a column in 1;
(b) an orthogonal view to (a); (c) a view down a column in 15; (d) an orthogonal view to (c). Hydrogen bonds are displayed as
black dotted lines.Upon analyzing the data
shown in Table , it
became clear that there was no correlation
between FaSSIF solubility and in vitro potency. Consequently, multiparameter
optimization was pursued (eq ), whereby the FaSSIF and Ld InMac ratio of a new compound
was compared to a reference compound (i.e. 30), coupled
with a potency filter of Ld InMac pEC50 ≥ 5.8, and
this allowed more informed compound progression decisions.Equation : FaSSIF/Ld InMac fold wrt cpd 30.The reasoning behind the additional in vitro potency filter
was
that compounds from this series with Ld InMac pEC50 <
5.8 were never seen to demonstrate desirable in vivo efficacy at a
further reduced dose (i.e., ≤25 mg/kg b.i.d.), even when having
progressable FaSSIF solubility (for example, compound 37 demonstrated 65% parasite suppression at 25 mg/kg b.i.d. for 10
days).Figure highlights
the compounds of interest based on the selection criteria discussed
above (i.e. 31, 33, 1, and 39), which were subsequently progressed to rat PK dose escalation
studies (Figure ).
Compounds 5 and 7 were rejected due to metabolic
instability when incubated with mouse liver microsomes (Table ), whereas 32 and 40 showed no advantage in terms of “FaSSIF/Ld InMac
fold wrt cpd 30” profile over their counterparts 33 and 39, respectively (Table ).
Figure 8
Ld InMac vs FaSSIF/Ld InMac fold wrt cpd 30. Ld InMac
is the intramacrophage assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of at least three replicates. FaSSIF/EC50 fold wrt cpd 30 is the FaSSIF and Ld InMac
ratio of a new compound compared to 30.
Figure 9
Rat PK dose escalation studies for 30, 31, 33, 1, and 39.
Ld InMac vs FaSSIF/Ld InMac fold wrt cpd 30. Ld InMac
is the intramacrophage assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of at least three replicates. FaSSIF/EC50 fold wrt cpd 30 is the FaSSIF and Ld InMac
ratio of a new compound compared to 30.Rat PK dose escalation studies for 30, 31, 33, 1, and 39.33 was progressed
into rat PK on the basis of high
potency compensating for low FaSSIF solubility. However, it gave very
similar exposures to 30 upon dose escalation (Figure ), demonstrating
that it was not suitable for further progression. Pleasingly, however,
3 out of the 4 compounds (31, 1, and 39) demonstrated notably superior exposure to 30 as measured by the AUC (Figure ), in line with the multiparameter hypothesis. Furthermore,
these compounds all showed a dose proportional exposure increase,
which would be important in further development of the compound series,
particularly when determining potential therapeutic indices.Chemoproteomic profiling on Kinobeads was performed in a mixed
human cell/tissue extract, to identify potential human off-targets
for 31, 1, and 39 (Figure ). The compounds
were tested for their activity against >260 human protein kinases,
and IC50 values were generated. Figure shows only kinases affected by any of the
three compounds, indicating that the three compounds had different
human kinase profiles. Cdk4 was only identified in the experiment
for 39 (IC50 > 20 μM). Additionally, 31 and 39 did show potency against Cdk2, albeit
9- or 35-fold less potent respectively than the closest analogue from
Ding and co-workers,[19] where it was unaffected
by 1. However, the extent of inhibition of these human
kinases was not sufficient to preclude progression for any one compound.
Interestingly, performing similar dose–response experiments
using leishmania parasite lysate for 8 identified CRK12
(IC50 3 nM), MPK9 (IC50 105–181 nM),
and CRK6 (IC50 194–363 nM).[17]
Figure 10
Human kinase selectivity profile of 1, 31, and 39. The figure shows all human protein kinases
affected by any of the three compounds (no bar, protein was not identified;
maximum compound concentration analyzed was 20 μM).
Human kinase selectivity profile of 1, 31, and 39. The figure shows all human protein kinases
affected by any of the three compounds (no bar, protein was not identified;
maximum compound concentration analyzed was 20 μM).On this basis, 31, 1,
and 39 were progressed into in vivo efficacy studies,
where all three gave
sufficient parasite suppression to be considered as preclinical development
candidates at 25 mg/kg b.i.d. for 10 days (Figure ). As such, all three compounds were profiled
in key in vitro and ex vivo safety assays (Table ) in order to select a lead compound to
prioritize for a 7 day toxicology study.
Figure 11
(a) In vivo efficacy
of 31, 1, and 39 compared to
miltefosine; (b) mouse liver smears from in
vivo efficacy model for untreated, miltefosine, 31, 1, and 39. The mean LDU values from individual
animal livers were compared to the control to give the percentage
(%) suppression of parasite load in Balb/c mice (that were infected
with L. donovani). Vehicle used for 31, 1, and 39 was 0.5% HPMC, 0.4%
Tween 80, and 0.5% benzyl alcohol, and deionized water for miltefosine.
This experiment was carried out using five mice per dose level. Error
bars represent the standard deviation (SD). Lead optimization criteria
was 70% suppression in liver parasite burden, while the preclinical
candidate was >95%.
Table 10
Comparison of three Key Compounds
(31, 1, and 39)
31
1
39
Ld InMac (pEC50)a
6.4
5.9
6.6
Cli (mL·min–1·g–1)b
1.1 (mouse)
<0.5 (mouse), 0.7 (human)
0.6 (mouse), 2.5 (human)
mouse
in vivo efficacy (>95%
parasite suppression)
25 mg/kg b.i.d. @ 10 d
25 mg/kg b.i.d. @ 10 d
25 mg/kg b.i.d. @ 10 d
PFIc
8.0
5.5
6.1
FaSSIF (μg/mL)d
25
17e
33
CYP3A4
(pIC50)
5.2
<4.4
<4.4
Ames[38]
–ve @ 1500 μg/plate
–ve @ 1500 μg/plate
–ve @ 1500 μg/plate
MLAf
–ve @ 5 μg/mL
–ve @ 120 μg/mL
equivocal @ 350 μg/mL
hERG
(IC50, μM)[39,40]
17.5
>30
>30
RVWg
QT shortening (11.3% @ 10 μM)
QT shortening (8.9%
@ 30 μM)
QT shortening (15.2% @ 100 μM)
Ld InMac is the intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least six replicates.
Cli is liver microsomal
intrinsic clearance.
PFI
is the property forecast index;[31] −ve
is negative.
FaSSIF is
fasted state simulated
intestinal fluid solubility.[32]
Melting point for this batch was
262 °C.
MLA is mouse
lymphoma assay.[41]
RVW is rabbit ventricular wedge.[42]
(a) In vivo efficacy
of 31, 1, and 39 compared to
miltefosine; (b) mouse liver smears from in
vivo efficacy model for untreated, miltefosine, 31, 1, and 39. The mean LDU values from individual
animal livers were compared to the control to give the percentage
(%) suppression of parasite load in Balb/c mice (that were infected
with L. donovani). Vehicle used for 31, 1, and 39 was 0.5% HPMC, 0.4%
Tween 80, and 0.5% benzyl alcohol, and deionized water for miltefosine.
This experiment was carried out using five mice per dose level. Error
bars represent the standard deviation (SD). Lead optimization criteria
was 70% suppression in liver parasite burden, while the preclinical
candidate was >95%.Ld InMac is the intramacrophage
assay carried out in THP-1 cells with L. donovani amastigotes.[14] Data are the result of
at least six replicates.Cli is liver microsomal
intrinsic clearance.PFI
is the property forecast index;[31] −ve
is negative.FaSSIF is
fasted state simulated
intestinal fluid solubility.[32]Melting point for this batch was
262 °C.MLA is mouse
lymphoma assay.[41]RVW is rabbit ventricular wedge.[42]Following a form
screen, the most stable form was identified and
the corresponding FaSSIF solubility is reported in Table . Apparent inhibition by 31 in an in vitro hERG assay[39,40] prompted progression
of all three compounds to the ex vivo rabbit ventricular wedge (RVW)
assay.[42] Interestingly, they all showed
a similar effect of QT shortening, which appears to be independent
of hERG in vitro potency. The clinical relevance of this QT shortening
finding and its translation in vivo was unclear.[43] There were no changes to the remaining QT parameters tested,
and the risk of QT prolongation and Torsade de pointes (TdP) arrhythmia
in humans was assessed as low based on these results. Because there
were only minor differences, all three compounds were progressed into
7 day rat toxicology and rat cardiovascular studies (Table ).
Table 11
Summary
of 7 Day Rat Toxicology and
Rat Cardiovascular Data for 31, 1, and 39
31
1
39
7 day rat toxicology doses
100, 300, and 1000 mg/kg
100, 300, and 1000 mg/kg
100, 300, and 1000 mg/kg
tolerated doses
100 and 300 mg/kg
100, 300, and 1000 mg/kg
100 and 300 mg/kg
therapeutic index (TI)h
TI@300 mg/kg is 19-fold
TI@300 mg/kg is 13-fold
TI@300 mg/kg is 1.8-fold
Day 7 exposure saturated
1000 mg/kg ≡ 300 mg/kg/day
In life and clinical signsi
1000 mg/kg: terminated day 7, ↓food consumption
and piloerection, irregular
breathing (+ others)
none
1000 mg/kg: terminated
day 6, body weight reduction in all animals, 50% reduction
in food consumption. one animal stomach erosion/ulceration
macro observations
stomach distension
none
nd
histopathology
1000 mg/kg: Multiple organ changes 300 mg/kg: pancreas and kidney vacuolation
300 mg/kg - (2/4) ↑ cTnIa and NT-proANP,b ↑ total bilirubin, cholesterol,
phosphorus, and monocytes, ↓ albumin and triglycerides
1000 mg/kg to ↑ ALP,c ↓ calcium and ↑ plasma glucose 300 and 1000 mg/kg to ↓ RBC,d, HCTe, Hb.f ↓ Total protein and albumin 300 mg/kg to ↑ triglycerides
nd
liver gene expression profilingg
all panels were NEGATIVE
CYP1A1 gene ↑ increase all doses
max 43×
All panels were NEGATIVE
CYP1A1 gene, no increase
nd
rat
cardiovascular studyk
no significant effect up
to 600 mg/kg (TI = 12-fold)
no significant
effect up
to 1000 mg/kg (TI = 3-fold)
nd
cTnI is cardiac troponin 1.
NT-proANT is N-terminal proatrial
natriuretic peptide.
ALP
is alkaline phosphatase.
RBC is red blood cells.
HCT is hematocrit.
Hb
is hemoglobin.
Liver gene
expression profiling
is a GSK panel of genes reflecting mechanisms of hepatic toxicity;
nd not determined.
TI =
AUC0–24 day
7 of rat toxicology study/AUC0–24 day
10 of mouse efficacy model.
↑ means increase and ↓
is decrease.
↑
means increase and ↓
is decrease over controls.
TI = free Cmax day 1 of rat cardiovascular
study/free Cmax day 1 of mouse efficacy
model.
cTnI is cardiac troponin 1.NT-proANT is N-terminal proatrial
natriuretic peptide.ALP
is alkaline phosphatase.RBC is red blood cells.HCT is hematocrit.Hb
is hemoglobin.Liver gene
expression profiling
is a GSK panel of genes reflecting mechanisms of hepatic toxicity;
nd not determined.TI =
AUC0–24 day
7 of rat toxicology study/AUC0–24 day
10 of mouse efficacy model.↑ means increase and ↓
is decrease.↑
means increase and ↓
is decrease over controls.TI = free Cmax day 1 of rat cardiovascular
study/free Cmax day 1 of mouse efficacy
model.The outcome of the
7 day studies was the deselection of 39, as the therapeutic
index (TI) was not sufficient for progression
(Table ). 1 was selected as the preclinical candidate for VL (as opposed
to 31) due to the fact the TI was limited by exposure
and not by an adverse event, coupled with no direct inhibition of
CYP3A4 and no flags within liver gene expression profiling panel (which
can lead to problematic drug–drug interactions that are particularly
relevant due to the frequency of VL/HIV coinfections).[44]
Summary and Conclusion
Initial hit 4 demonstrated a promising profile (Table ) but highlighted
the need to optimize in vitro potency and mouse metabolic stability
in order to test this series within an in vivo VL animal study. With
those properties improved and selectivity against a panel of human
kinases, 15 was progressed to such an in vivo model,
where it demonstrated an 85% suppression in parasite load within the
liver (Figure ). However,
due to low CLND solubility, 15 was not progressed further
because it required the use of a vehicle that was not acceptable in
downstream toxicological studies. Successfully using PFI to improve
solubility of this series led to compound 30, which demonstrated
candidate quality efficacy using a formulation that could be used
for toxicological studies (Table ). Dose escalation in rats demonstrated that 30 exhibited variable nonlinear exposure, limiting the ability
to assess its therapeutic index in toxicological studies (Table ). It was speculated
that the low FaSSIF solubility was driving this variable nonlinear
exposure. After investigating the small molecule crystal structure
of 15 (Figure ), disrupting certain hydrogen bonds and breaking planarity
by introducing specific substituents became the primary medicinal
chemistry focus. Multiple compounds demonstrated improved FaSSIF solubility,
however, the use of a mathematical comparison to 30 and
a potency filter (eq and Figure ) aided
the selection of 31, 33, 1,
and 39. All except 33 (where high potency
compensated for low FaSSIF solubility) demonstrated superior exposure
compared to 30 (Figure ). This demonstrated that FaSSIF solubility gave a
better correlation to rat PK exposure than CLND for this series, likely
due to being more relevant to biological systems and the fact that
it is a thermodynamic measurement of solubility. To further differentiate
between 31, 1, and 39 (Table ), all were progressed
into 7 day rat toxicological studies (Table ). 1 was finally selected as
a preclinical candidate for VL, and definitive safety studies are
being conducted to support clinical progression. Compound 1 is one of only a handful of compounds worldwide that have reached
preclinical candidate status for VL, highlighting the need and also
the achievement.
Experimental Section
General
Experimental Information
Chemicals and solvents
were purchased from the Aldrich Chemical Co., Fluka, Fluorochem, ABCR,
VWR, Acros, Fisher Chemicals, and Alfa Aesar and were used as received
unless otherwise stated. Air- and moisture-sensitive reactions were
carried out under an inert atmosphere of argon in oven-dried glassware.
Analytical thin-layer chromatography (TLC) was performed on precoated
TLC plates (layer 0.20 mm silica gel 60 with fluorescent indicator
UV254, from Merck). Developed plates were air-dried and analyzed under
a UV lamp (UV254/365 nm). Flash column chromatography was performed
using prepacked silica gel cartridges (230–400 mesh, 40–63
μm, from SiliCycle) using a Teledyne ISCO Combiflash Companion,
or Combiflash Retrieve. 1H NMR, 13C NMR, 19F NMR, and 2D-NMR spectra were recorded on a Bruker Avance
DPX 500 spectrometer (1H at 500.1 MHz, 13C at
125.8 MHz, 19F at 470.5 MHz). Chemical shifts (δ)
are expressed in ppm recorded using the residual solvent as the internal
reference in all cases. Signal splitting patterns are described as
singlet (s), doublet (d), triplet (t), quartet (q), multiplet (m),
broad (b), or a combination thereof. Coupling constants (J) are quoted to the nearest 0.1 Hz. LC-MS analyses were performed
with either an Agilent HPLC 1100 series connected to a Bruker Daltonics
MicrOTOF or an Agilent Technologies 1200 series HPLC connected to
an Agilent Technologies 6130 quadrupole LC/MS, where both instruments
were connected to an Agilent diode array detector. Mobile phase was
water/acetonitrile + 0.1% HCOOH, or water/acetonitrile + 0.1% NH3; linear gradient 80:20 to 5:95 over 3.5 min, and then held
for 1.5 min; flow rate 0.5 mL min–1. All intermediates
had a measured purity of >90% as determined using this analytical
LC-MS system unless otherwise noted. All assay compounds had a measured
purity of ≥95% as determined using this analytical LC-MS system
(TIC and UV). High resolution electrospray measurements were performed
on a Bruker Daltonics MicrOTOF mass spectrometer. Microwave-assisted
chemistry was performed using a Biotage Initiator microwave synthesizer.
29a (91 g, 173 mmol) was dissolved
in dioxane (1.2 L), then hydrazine hydrate 85% (173.2 g, 3.5 mol)
was added and the reaction stirred at 90 °C for 18 h. The mixture
was cooled to 25 °C, where H2O (800 mL) and EtOAc
(800 mL) was added and the mixture was stirred at room temperature
for 20 min. The organic phase was separated, and the aqueous phase
was extracted with EtOAc (3 × 1.5 L). The combined organic phases
were washed with brine (2 × 2 L) and dried over Na2SO4. The solvent was removed under vacuum, and EtOAc (400
mL) was added to the residue and stirred at room temperature for 1
h. The resulting mixture was filtered, the cake was washed with EtOAc
(100 mL), and the filtrate was dried in vacuo to afford a crude solid.
This solid was then purified by recrystallization from methanol (400
mL) to give 1 (40 g, 81 mmol, 47% yield) as a light-green
solid. 1H NMR (DMSO-d6): δ
11.93 (s, 1H), 8.82 (s, 1H), 7.33 (d, J = 7.6 Hz,
1H), 7.14 (s,1H), 3.86 (dd, J = 10.9 and 2.9 Hz,
1H), 3.73–3.55 (m, 5H), 3.31–3.09 (m, 3H), 2.90–2.81
(m, 1H), 2.66–2.50 (m, 3H), 1.92 (br s, 4H), 1.39–1.29
(m, 4H), 1.15 (d, J = 6.2 Hz, 3H). 13C
NMR (DMSO-d6): δ 160.5, 157.3, 154.0,
151.3, 127.9 (q, JCF = 128 Hz), 71.3,
65.9, 54.6, 52.0, 49.9, 47.9, 45.4, 33.1 (2C), 31.2 (2C), 28.9 (q, JCF = 29.9 Hz), 19.2. 19F NMR (DMSO-d6) δ −64.4. HRMS (ES+): m/z [M + H]+ calcd
for C19H29N7O3F3S 492.1999, found 492.1998. Enantiopurity determined using a chiral
column: Chiralpak AD-3, 3 mm, 0.46 cm × 10 cm, acetonitrile/MeOH
= 50/50 + 0.2% isopropyl amine, 30 mL/min, 298 K, 254 nm. First enantiomer
(compound 38, minor) Rt =
6.6 min, second enantiomer (1, major) Rt = 9.7 min. ee measured: 99.2%.
To a solution of tert-butyl N-(4-aminocyclohexyl)carbamate (24 g, 112 mmol) in THF (800
mL) at −78 °C was added n-butyl lithium
(2.5 M in hexanes, 49.3 mL, 123 mmol) dropwise and stirred for 20
min at −78 °C. The solution was warmed to −20 °C
and stirred for 15 min, then cooled to −78 °C. 3,3,3-Trifluoropropane-1-sulfonyl
chloride (15.4 mL, 118 mmol) was added dropwise, stirred for a further
5 min at −78 °C, and then warmed to room temperature where
it was stirred for 1 h. The reaction mixture was quenched with 1 M
HCl (50 mL) and EtOAc (500 mL), and the aqueous layer separated and
extracted with EtOAc (2 × 500 mL). The combined organic layers
were dried with Na2SO4 and filtered, and the
remaining solvent was evaporated to give a white solid (33.5 g). This
crude material (33.5 g) was dissolved in DCM (400 mL), and TFA (38.3
mL) added at room temperature and stirred overnight. The solvent was
removed under vacuum to give an oil, and Et2O (70 mL) was
added to precipitate 10a as a white solid (35 g, 100
mmol, 89% yield over two steps). 1H NMR (DMSO-d6): δ 7.97 (br s, 2H), 7.15 (d, J = 7.3 Hz, 1H), 3.02–2.96 (m, 1H), 2.86 (d, J = 6.5 Hz, 2H), 2.46 (ddd, J = 3.7, 7.2, 14.5 Hz,
1H), 2.09–2.02 (m, 1H), 1.81 (t, J = 5.4 Hz,
2H), 1.75–1.69 (m, 2H), 1.27–1.16 (m, 2H), 1.11–1.03
(m, 2H), 1.00 (d, J = 6.8 Hz, 6H).
This reaction was performed in two batches. To
a suspension of tert-butyl ((1,4-trans)-4-aminocyclohexyl)carbamate (30 g, 140 mmol) in THF (1.33 L), cooled
at −78 °C, n-butyl lithium (56 mL, 140
mmol) was added dropwise. The resulting mixture was stirred at −78
°C for 20 min and at −10 °C for 10 min. After cooling
to −78 °C, 3,3,3-trifluoropropane-1-sulfonyl chloride
(17.64 mL, 140 mmol,) was added. After stirring for 1.5 h, it was
allowed to warm to RT and stirred for 20 min. The reaction mixture
was diluted with H2O (500 mL), followed by addition of
2 M HCl (20 mL) and was extracted with EtOAc (400 mL). The organic
layer was dried over Na2SO4, filtered, and concentrated
to give tert-butyl ((1,4-trans)-4-(3,3,3-trifluoropropylsulfonamido)cyclohexyl)carbamate
as a white solid (43.5 g, 116 mmol, 83% yield). 1H NMR
(DMSO-d6): δ 7.33 (d, J = 6.4 Hz, 1H), 6.77–6.70 (d, J = 6.7 Hz,
1H), 3.30–3.23 (m, 2H), 3.17–3.01 (m, 2H), 2.70–2.56
(m, 2H), 1.87–1.67 (m, 4H), 1.36 (s, 9H), 1.31–1.13
(m, 4H). TFA (182 mL, 2377 mmol) was added to a solution of tert-butyl ((1,4-trans)-4-(3,3,3-trifluoropropylsulfonamido)cyclohexyl)carbamate
(89 g, 238 mmol) in DCM (732 mL), cooled to 0 °C. The reaction
mixture was stirred at RT overnight. The mixture was concentrated
to dryness and coevaporated with Et2O (100 mL) to give 10b as a white solid (93.5 g, 238 mmol, quant yield). 1H NMR (DMSO-d6): δ 7.89
(br s, 2H), 7.43 (d, J = 7.5 Hz, 1H), 3.34–3.24
(m, 2H), 3.16–3.05 (m, 1H), 2.99–2.86 (m, 1H), 2.72–2.56
(m, 2H), 1.95–1.84 (m, 4H), 1.43–1.21 (m, 4H).
To a solution of 5-bromo-2-chloro-4-methoxypyrimidine
(1.11 g, 5 mmol) in THF (20 mL) at −40 °C was added a
solution of iso-propyl magnesium chloride (3 mL,
6.5 mmol, 2 M in ether) dropwise over 10 min and the resulting suspension
stirred for 15 min. A solution of iso-valeraldehyde
(700 μL, 6.5 mmol) in THF (2 mL) was added dropwise over 10
min, stirring continued for 30 min and the reaction quenched with
methanol (1 mL), allowed to warm to room temperature, and the solvent
evaporated. Crude material was taken up in DCM (20 mL), washed with
2 M HCl (20 mL), dried, and evaporated. Crude material was dissolved
in DCM (20 mL), Dess–Martin periodinane (2.97 g, 7 mmol) added,
and the reaction mixture stirred for 1 h. A mixture of satd sodium
bicarbonate (20 mL)/satd sodium thiosulfate (20 mL) was added and
stirring continued for 30 min. The organic layer was separated, dried,
evaporated, and crude material chromatographed (0–40% EtOAc/heptane)
to yield 11a (0.65 g, 2.9 mmol, 57% yield over 2 steps). 1H NMR (DMSO-d6): δ 8.84
(s, 1H), 4.24 (s, 3H), 2.90 (d, J = 6.8 Hz, 2H),
2.34–2.27 (m, 1H), 1.06 (d, J = 6.6 Hz, 6H).
MS (ES+) m/z 229.1, 231.1
[M + H]+.
A solution of (S)-2-methylmorpholine
(141 g, 1.39 mol) and TEA (141.1 g, 1.4 mol) in DCM (1 L) was added
dropwise to a stirred solution of 2,4-dichloropyrimidine-5-carbonyl
chloride (268 g, 1.3 mol) in dry DCM (3000 mL) at 0 °C under
N2. The reaction mixture was stirred for 3 h at 0 °C
and then quenched with H2O (500 mL). The phases were separated,
and the aqueous phase was extracted with DCM (2 × 300 mL). The
combined organic phases were washed with 0.5 M HCl (1 L) and brine
(2 L), dried over Na2SO4, and then evaporated
under reduced pressure. The residue was purified by flash column chromatography
(petroleum/EtOAc 20/1 to 1/1) to give 26a as a yellow
oil (188 g, 684 mmol, 53% yield). 1H NMR (DMSO-d6): δ 8.86 (s, 1H), 4.33–4.25 (m,
1H), 3.95–3.68 (m, 1H), 3.58–3.37 (m, 3H), 3.17–2.64
(m, 2H), 1.20–0.98 (m, 3H). MS (ES+) m/z 276.0 [M + H]+.
Sodium methoxide (40.5 g, 748.9 mmol) was added
in portions to a stirred solution of 26a (188 g, 680.9
mmol) in dry THF (2 L) at −40 °C under N2.
The reaction mixture was stirred for 1 h at −40 °C, and
further sodium methoxide (9.2 g, 170.2 mmol) was added in one portion.
The reaction mixture was stirred at −40 °C for 1 h and
gradually warmed to −10 °C for 1 h. The reaction mixture
was quenched with satd aq soln ammonium chloride (500 mL) at 5–10
°C and extracted with EtOAc (3 × 500 mL). The combined organic
phases were washed with brine (1 L), dried over Na2SO4, and evaporated under reduced pressure. The resulting crude
material was purified by flash column chromatography (petroleum ether/EtOAc
from 20/1 to 1/1) to give two fractions of 27a (75 g,
277 mmol, 38% yield and 30 g, 111 mmol, 14% yield) as a yellow oil.
This material was used in the next step without further purification.
To a solution of 27a (75 g, 276
mmol) in dry dioxane (1500 mL) was added DIPEA (178.4 g, 1.4 mol)
and 10b (139.4 g, 358.8 mmol) in one portion at 27 °C.
The resulting mixture was stirred at 120 °C for 16 h. The mixture
was cooled to room temperature and water (800 mL) and EtOAc (500 mL)
added. The reaction mixture was stirred for 10 min, then the organic
phase was separated and the aqueous layer was extracted with more
EtOAc (2 × 500 mL). The combined organic phases were washed with
brine (2 L), dried over Na2SO4, and filtered.
The solvent was removed under vacuum to afford crude material which
was purified by flash column chromatography (DCM/MeOH 50/1 to 20/1)
to afford 28a (100 g, 196 mmol, 71% yield) as a pale
solid. 1H NMR (DMSO-d6): δ
8.03 (s, 1H), 7.49–7.31 (m, 2H), 3.91–3.60 (m, 5H),
3.48–3.11 (m, 9H), 2.68–2.62 (m, 2H), 1.98–1.96
(m, 4H), 1.43–1.09 (m, 7H).
28a (117 g, 230 mmol) was dissolved
in dry THF (1700 mL). Lawesson’s reagent (162.5 g, 401.8 mmol)
was added in portions, and the resulting mixture was stirred for 2
h at 45 °C. The reaction mixture was cooled to room temperature
and quenched by addition of satd aq NaHCO3 (800 mL). The
reaction mixture was stirred for 10 min at RT and then extracted with
EtOAc (3 × 500 mL). The combined organic phases were washed with
brine (1 L) and dried over Na2SO4. The solvent
was removed under vacuum to afford a crude product which was purified
by flash column chromatography (DCM/MeOH 100/1 to 20/1) to afford 29a (91 g, 173 mmol, 74% yield) as a green solid. 1H NMR (DMSO-d6): δ 8.11–8.04
(m, 1H), 7.48–7.31 (m, 2H), 5.34–5.11 m, 1H), 3.96–2.84
(m, 13H), 2.73–2.59 (m, 2H), 2.00–1.78 (m, 4H), 1.44–1.27
(s, 4H), 1.21–1.02 (m, 3H).
To 44a (5.95 g, 9.7 mmol) was added
1.25 M HCl in MeOH (450 mL) and the resulting mixture stirred at 60
°C for 30 min. The reaction mixture was concentrated under vacuum
to a final volume of 100 mL, satd aq NaHCO3 (300 mL) added,
and extracted with EtOAc (400 mL). The aqueous layer was extracted
twice with EtOAc, and the combined organic layers dried over Na2SO4 and evaporated under vacuum to obtain crude
material which was purified by flash column chromatography (10–90%
EtOAc in cyclohexane) to give 31 (3.5 g, 9.7 mmol, 68%
yield). 1H NMR (DMSO-d6): δ
12.88 (s, 1H), 7.29–7.43 (m, 3H), 7.09 (d, 1H), 6.94–7.03
(m, 2H), 3.83 (s, 3H), 3.62–3.75 (m, 4H), 3.26–3.31
(m, 2H), 3.17 (s, 1H), 2.59–2.73 (m, 2H), 1.87–2.01
(m, 4H), 1.27–1.44 (m, 4H). 13C NMR (DMSO-d6): δ 164.1, 160.5, 159.7, 158.1, 142.0,
131.1, 130.2, 126.2 (q, JCF = 127 Hz),
123.5, 120.4, 111.8, 95.8, 55.7, 53.5, 52.0, 49.0, 45.5, 33.2 (2C),
31.3 (2C), 28.9 (q, JCF = 29.9 Hz). 19F NMR (DMSO-d6):δ −64.3.
HRMS (ES+): m/z [M +
H]+ calcd for C22H28F3N6O4S 529.1840, found 529.1822.
A solution of 3-bromo-4,6-dichloro-1H-pyrazolo[3,4-d]pyrimidine (40 g, 149 mmol), 3,4-dihydro-2H-pyran (41 mL, 447 mmol), and p-toluenesulfonic
acid monohydrate (5.7 g, 30 mmol) in THF (650 mL) was stirred at 70
°C for 2 h. After cooling, the solvent was evaporated, ether
(200 mL) added, and the resulting suspension stirred for 2 h at 40
°C, slowly cooled, and the resulting solid collected, washed
with ether, and dried to give 41a (41.5 g, 118 mmol,
79% yield). 1H NMR (CDCl3-d): δ 6.00 (dd, J = 2.6 and 6.0 Hz,
1H), 4.18–4.10 (m, 1H), 3.84–3.76 (m, 1H), 2.62–2.49
(m, 1H), 2.20–2.13 (m, 1H), 1.86–1.63 (m, 4H). MS (ES+) m/z 349.0, 351.0, 353.0
[M + H]+.
A solution of 3-bromo-4,6-dichloro-1H-pyrazolo[3,4-d]pyrimidine (65.5 g, 244 mmol) in DCM (1.5 L) at 0 °C
was added DIPEA (125 mL, 733 mmol) dropwise (30 min) and the resulting
solution stirred at 0 °C for 5 min. After this time, 2-(trimethylsilyl)ethoxymethyl
chloride (51.5 mL, 293 mmol) was added dropwise (40 min) and stirred
at 3–4 °C for 1.5 h. Water (1 L) was added to the reaction
and the phases separated. The organic layer was washed with H2O (1 L), dried over Na2SO4, filtered,
and concentrated to give 41b as a brown solid which was
used without purification (101 g, 245 mmol, quant yield). 1H NMR (DMSO-d6): δ 5.7 (s, 2H),
3.6 (dd, J = 8.1, 8.1 Hz, 2H), 0.85 (dd, J = 8.1, 8.1 Hz, 2H), 0.95 (s, 9H). MS (ES+) m/z 395.0, 397.0 [M + H]+.
To 41a (35.8 g, 102 mmol) in MeOH
(160 mL) was added a solution of sodium methoxide (5.5 g, 102 mmol)
in MeOH (500 mL) dropwise over 1 h and the resulting suspension stirred
for 30 min. Solvent was evaporated, EtOAc added and washed with satd
aq NaHCO3 then dried over sodium sulfate and solvent evaporated
to give 42a which was used without purification (35.5
g). 1H NMR (DMSO-d6): δ
5.84 (dd, J = 2.5 and 5.8 Hz, 1H), 4.14 (s, 3H),
3.99–3.93 (m, 1H), 3.73–3.68 (m, 1H), 2.35–2.26
(m, 1H), 2.03–1.96 (m, 1H), 1.93–1.87 (m, 1H), 1.80–1.72
(m, 1H), 1.60–1.53 (m, 2H). MS (ES+) m/z 347, 349 [M + H]+.
To 41b (772 g, 1.94 mol) in MeOH (20 L) was
added sodium methoxide (115.2 g, 2.13 mol) in MeOH (230 mL) dropwise
and the resulting solution stirred at room temperature for 30 min.
The reaction mixture was partitioned between EtOAc (10 L) and brine
(2 L) and the organic layer separated, washed with brine (2 L), dried
over Na2SO4, filtered, and concentrated. This
residue was purified by column chromatography on silica gel (100–200
mesh silica gel) eluted with petroleum ether:EtOAc (100:1–100:2)
to give a crude product. This crude product was purified by recrystallization
from petroleum ether (1 L) to give 42b as a white solid
(450 g, 1.14 mol, 58.8% yield). 1H NMR (DMSO-d6): δ 5.62 (s, 2H), 4.14 (s, 3H), 3.59 (t, J = 8.2 Hz, 2H), 0.84 (t, J = 8.1 Hz, 2H),
0.07 (s, 9H). MS (ES+) m/z 392.9. 395.0 [M + H]+.
To 43b (3.9 g, 6.6 mmol) and 2-methoxyphenylboronic
acid (1.37 g, 8.9 mmol) was added [1,1′-bis(diphenylphosphino)ferrocene]palladium(II)
dichloride (483 mg, 0.66 mmol), sodium carbonate (2.1 g, 39.6 mmol),
DME (160 mL), and H2O (80 mL) under argon. The resulting
mixture was stirred at 110 °C for 30 min. The reaction mixture
was filtered then concentrated under vacuum. The residue was taken
up in EtOAc and washed with a satd aq soln NH4CI. The layers
were separated and the organic phase washed with brine, dried over
Na2SO4, and concentrated. The crude material
was purified by flash column chromatography (6:4 cyclohexane in EtOAc)
to afford 44a which was used without further purification
(4.04 g, 6.6 mmol, quant yield). MS (ES+) m/z 613.3 [M + H]+.
A mixture of 43b (0.25 g, 0.43 mmol), morpholine
(0.186 mL, 2.14 mmol), cesium carbonate (0.39 g, 1.20 mmol), 4.5-bis(diphenylphospino)-9.9-dimethylxanthene
(0.03 g, 0.05 mmol), and palladium acetate (9.6 mg, 0.043 mmol) in
1,4-dioxane (4.08 mL) was purged with argon and heated at 110 °C
overnight. The resulting mixture was partitioned between ethyl acetate
(75 mL) and water (150 mL). The phases were separated and the aqueous
phase extracted with ethyl acetate (1 × 75 mL). The organic phases
were combined with two further additional experiments, dried with
Na2SO4, filtered, and concentrated to give 44b as a brown oil (250 mg, 0.42 mmol, 45% overall yield from
all three experiments) which was used without purification. MS (ES+) m/z 592.2 [M + H]+.
The reaction was run in two batches: To a mixture
of 43a (2.6 g, 4.8 mmol), sodium tert-butoxide (1.4 g, 14.3 mmol), xantphos (0.66 g, 1.14 mmol), and Pd2 dba3 (0.436 g, 0.48 mmol) in dioxane (160 mL)
was added morpholine (4.16 mL, 47.6 mmol) and the mixture heated at
110 °C for 30 min. The reaction mixture was filtered through
Celite, then diluted with ethyl acetate and washed with satd NH4Cl. The aqueous phase was extracted with ethyl acetate, washed
with brine, dried over Na2SO4, filtered, and
evaporated. The crude material from both batches was combined and
purified by flash chromatography (50–80% EtOAc/cyclohexane)
to give 44c (2.6 g, 4.7 mmol, 49% overall yield from
both experiments). 1H NMR (DMSO-d6): δ 7.18–7.09 (m, 1H), 7.00 (d, J = 8.0 Hz, 1H), 5.55–5.49 (m, 1H), 4.00–3.91 (m, 4H),
3.78–3.64 (m, 5H), 3.58–3.50 (m, 1H), 3.30–3.22
(m, 4H), 3.11–3.05 (m, 1H), 2.91 (d, J = 6.4
Hz, 2H), 2.42–2.31 (m, 1H), 2.09 (sept, J =
6.7 Hz, 1H), 2.03–1.89 (m, 5H), 1.80–1.62 (m, 2H), 1.55–1.50
(m, 2H), 1.41–1.30 (m, 4H), 1.04 (d, J = 6.7
Hz, 6H). MS (ES+) m/z 552.5 [M + H]+.
A mixture of 43d (35 g, 59.2 mmol)
in 1,4-dioxane (1000 mL) was purged with argon, (R)-3-methylmorpholine (59.8 g, 592 mmol), Tris(dibenzylideneacetone)dipalladium(0)
(5.42 g, 5.92 mmol), and dicyclohexyl(2′,6′-diisopropoxy-[1,1′-biphenyl]-2-yl)phosphine
(5.52 g, 11.83 mmol) added and purged with argon. Potassium bis (trimethylsilyl)amide
(0.5 M in toluene, 237 mL, 118 mmol) was added and purged and the
mixture stirred at 110 °C for 2 h. The crude mixture was cooled,
filtered through Celite, partitioned between ethyl acetate (500 mL)
and brine (1 L), the phases separated, and the organic phase washed
with further brine (1 L). The combined aqueous layers were extracted
with ethyl acetate (1 L) and the organic layers combined, dried over
Na2SO4, filtered, and concentrated. Crude material
was purified by flash chromatography (cyclohexane/EtOAc gradient 0–30%)
to give 44e as a brown solid (16.91 g, 27.6 mmol, 47%). 1H NMR (DMSO-d6): δ 7.20–7.10
(m, 1H), 7.04–6.96 (m, 1H), 5.35–5.25 (m, 2H), 4.05–3.90
(m, 4H), 3.82–3.63 (m, 3H), 3.61–3.49 (m, 3H), 3.26–3.15
(m, 2H), 3.09–3.03 (m, 1H), 2.89 (d, J = 6.4
Hz, 2H), 2.07 (sept, J = 6.7 Hz, 1H), 1.95–1.86
(m, 3H), 1.38 (s, 3H), 1.36–1.28 (m, 3H), 1.04 (d, J = 6.6 Hz, 3H), 1.00 (d, J = 6.7 Hz,
6H), 0.84–0.76 (m, 2H), −0.10 (s, 9H). MS (ES+) m/z 612.3 [M + H]+.
Intramacrophage Leishmania donovani Assay
This assay was conducted as previously described.[14]
Kinetic Aqueous Solubility Assessment.[23]
The aqueous solubility of test compounds
were measured
using an in-house method utilizing quantification via chemiluminescent
nitrogen detection (CLND): a 5 μL of 10 mM DMSO stock solution
was diluted to 100 μL with pH 7.4 phosphate buffered saline
and equilibrated for 1 h at RT, filtered through Millipore Multiscreen
HTS-PCF filter plates (MSSL BPC). The eluent is quantified by suitably
calibrated flow injection CLND. This assay has a dynamic range between
the lower detection limit of 1 and 500 μM, governed by the protocol’s
1:20 dilution into pH 7.4 phosphate buffer solution from nominal 10
mM DMSO stock.
Solubility of Solid Compounds in Fasted Simulated
Intestinal
Fluid.[32]
Solubility of test compounds
in fasted simulated intestinal fluid (FaSSIF) were determined at pH
6.5 after 4 h equilibration at room temperature. One mL of FaSSIF
buffer (3 mM sodium taurocholate, 0.75 mM lecithin in sodium phosphate
buffer at pH 6.5) was added to manually weighed 1 mg of solid compound
in a 2 mL HPLC autosampler vial. The resulting suspension is shaken
at 900 rpm for 4 h at room temperature and then transferred to a Multiscreen
HTS, 96-well solubility filter plate. The residual solid was removed
by filtration. The supernatant solution was quantified by HPLC-UV
using single-point calibration of a known concentration of the compound
in DMSO. The dynamic range of the assay was 1–1000 μg/mL.
Measurement of ChromLogD[23,31]
The chromatographic
hydrophobicity index (CHI)[45] values are
measured using reversed phase HPLC column (50 mm × 2 mm 3 μM
Gemini NX C18, Phenomenex, UK) with fast acetonitrile gradient at
starting mobile phase of pHs 2, 7.4, and 10.5. CHI values are derived
directly from the gradient retention times by using a calibration
line obtained for standard compounds. The CHI value approximated the
volume% organic concentration when the compound was eluted. CHI is
linearly transformed into ChromLogD[23,31] by least-squares
fitting of experimental CHI values to calculated ClogP values for
over 20K research compounds using the following formula: ChromlogD
= 0.0857 × CHI-2.00.
Stability in Microsomes
Test compound
(0.5 μM)
was incubated with either female CD1 mouse (Xenotech) or human (IVT)
liver microsomes and their action started with addition of excess
NADPH (8 mg/mL 50 mM potassium phosphate buffer, pH 7.4). Immediately,
at time zero, then at 3, 6, 9, 15, and 30 min, an aliquot (50 μL)
of the incubation mixture was removed and mixed with acetonitrile
(100 μL) to stop the reaction. Internal standard was added to
all samples, the samples centrifuged to sediment precipitated protein,
and the plates then sealed prior to UPLC-MS/MS analysis using a Quattro
Premier XE (Waters Corporation, USA). XLfit (IDBS, UK) was used to
calculate the exponential decay and consequently the rate constant
(k) from the ratio of the peak area of test compound
to internal standard at each time point. The rate of intrinsic clearance
(Cli) of each test compound was then calculated using the
equation Cli (mL/min/g liver) = k × V × microsomal protein yield, where V (mL/mg protein) is the incubation volume/mg protein added and microsomal
protein yield is taken as 52.5 mg protein/g liver. Verapamil (0.5
μM) was used as a positive control to confirm acceptable assay
performance.
Plasma Protein Binding Experiments
In brief, a 96-well
equilibrium dialysis apparatus was used to determine the free fraction
in mouse plasma for each compound (HT Dialysis LLC, Gales Ferry, CT).
Membranes (12–14 kDa A cutoff) were conditioned in deionized
water for 60 min, followed by conditioning in 80:20 deionized water:ethanol
for 20 min and then rinsed in isotonic buffer before use. Female CD1
mouse plasma was removed from the freezer and allowed to thaw on the
day of experiment. Thawed plasma was then centrifuged (Allegra X12-R,
Beckman Coulter, USA), spiked with test compound (final concentration
10 μg/mL), and 150 μL aliquots (n = 6
replicate determinations) loaded into the 96-well equilibrium dialysis
plate. Dialysis vs isotonic buffer (150 μL) was carried out
for 5 h in a temperature controlled incubator at ca. 37 °C (Barworld
scientific Ltd., UK) using an orbital microplate shaker at 100 rpm
(Barworld scientific Ltd., UK). At the end of the incubation period,
50 μL aliquots of plasma or buffer were transferred to micronic
tubes (Micronic BV, The Netherlands) and the composition in each tube
balanced with control fluid (50 μL), such that the volume of
buffer to plasma was the same. Sample extraction was performed by
the addition of 200 μL of acetonitrile containing an appropriate
internal standard. Samples were allowed to mix for 1 min and then
centrifuged at 3000 rpm in 96-well blocks for 15 min (Allegra X12-R,
Beckman Coulter, USA), after which 150 μL of supernatant was
removed to 50 μL of water. All samples were analyzed by UPLC-MS/MS
on a Quattro Premier XE mass spectrometer (Waters Corporation, USA).
The unbound fraction was determined as the ratio of the peak area
in buffer to that in plasma.
Melting Point (mtp) Determination
Determination of
melting point of compounds were measured by thermal analysis, performing
differential scanning calorimetry, (DSC) experiments, which measured
temperatures and heat flows associated with thermal transitions in
a material. The equipment utilized was from TA Instruments (Q20, RCS
Refrigerator), using the system Software Q Advantage for Q Series
and Analysis Software TA universal analysis.As general operating
conditions, the following were set up: start temperature 25 °C,
end temperature 350 °C, heating rate 10 °C/min. The sample
quantity ranged from 1 to 3 mg, placed in a hermetic pan. The corresponding
analysis with the thermal transitions occurred was obtained based
on a reference blank sample (empty pan) to get the difference between
the sample and the reference in the energy response when heating equally
both pans.
pKa Determination.[35]
The Sirius T3 (Sirius Analytical Inc.,
UK) instrument
has been used for pKa determination of
the compounds. The pKa determination is
based on acid–base titration, and the protonation/deprotonation
of the molecule is measured either by UV spectroscopy or potentiometrically.
The pKa value is calculated from the pH,
where the 50–50% of the protonated and unprotonated form of
the molecules are present.The UV-metric method provides pKa results for samples with chromophores whose
UV absorbance changes as a function of pH. It typically required 5
μL of a 10 mM solution of the samples, and the UV absorbance
was monitored over 54 pH values in a buffered solution in about 5
min.When the ionization center was far from the UV, the chromophore
pH-metric method based on potentiometric acid–base titration
was used. The pH of each point in the titration curve was calculated
using equations that contain pKa, and
the calculated points were fitted to the measured curve by manipulating
the pKa. The pKa that provided the best fit was taken to be the measured pKa.Usually 0.5–1 mg of solid material
is required for the measurements.
When the compound precipitated at some point during the pH titration,
the cosolvent method using methanol was applied using various concentration
of cosolvent. The pKa in water was calculated
using the Yasuda–Shedlovsky extrapolation method.
X-ray Diffraction
Studies of 1 and 15
Data for both
studies were collected with an Oxford Diffraction
Gemini A Ultra diffractometer at 150(2) K using Cu Kα X-radiation
(λ = 1.54178 Å).
Crystal Data and Refinement Summary for 1
C19H28F3N7O3S; M = 491.54; colorless tablet from the slow
evaporation of a solution
of 1 in DMSO and 1-butanol; 0.32 mm × 0.15 mm ×
0.07 mm; triclinic; space group P1 (#1); a = 8.68517(18) Å, b = 16.0121(3)
Å, c = 17.5996(4) Å, α = 95.8623(16)°,
β = 102.6295(18)°, γ = 100.2962(16)°, V = 2324.30(8) Å3; Z =
4; Dcalc = 1.405 Mgm–3; θmax = 67.03°; reflections collected = 33974;
independent reflections = 33974; Rint =
0.0000 (HKLF 5 treatment owing to crystal splitting); coverage = 99.2%;
restraints = 896; parameters = 1395; S = 1.041; R [I > 2σ(I)] = 0.0526; wR2 (all data)
= 0.1479;
absolute structure parameter = 0.022(9); and largest difference peak
and hole = 0.572 and 0.322 eÅ–3.
Crystal
Data and Refinement Summary for 15
C19H22F3N7O2S; M = 469.50;
colorless block from the slow evaporation and seeding
of a solution of 15 in DMSO and DMF; 0.21 mm × 0.14
mm × 0.06 mm; triclinic; space group P1 (#2); a = 8.5590(2) Å, b = 8.6492(2) Å, c = 14.0372(4) Å, α = 85.196(2)°, β
= 89.219(2)°, γ = 85.087(2)°, V =
1031.68(4) Å3; Z = 2; calc = 1.511 Mgm–3; θmax = 66.74°; reflections collected = 22081;
independent reflections = 3644; Rint =
0.0351; coverage = 99.4%; restraints = 0; parameters = 301; S = 1.048; R1 [I > 2σ(I)] = 0.0346; wR (all data) = 0.0956; and largest difference peak and hole
= 0.253 and 0.454 eÅ–3.A description
of the refinements and the full tables associated with the crystal
structures are given in the Supporting Information. Crystallographic information files have been deposited with the
Cambridge Crystallographic Data Centre. CCDC 1857125 (1) and 1857128 (15) contain the supplementary crystallographic
data for this paper. The data can be obtained free of charge from
The Cambridge Crystallographic Data Centre via www.ccdc.cam.ac.uk/structures.
In Vivo Pharmacokinetics
Mouse
Test compound 15 was dosed intravenously
or orally by gavage as a solution at 3 or 10 mg free base/kg respectively
(dose volume, 5 or 10 mL/kg respectively; dose vehicle, 10% (v/v)
dimethyl sulfoxide (DMSO), 60% polyethylene glycol 400, and 30% deionized
water) to female Balb/c mice (n = 3). Blood samples
were taken from each mouse at 0.08, 0.25, 0.5, 1, 2, 4, 6, 8, and
24 h post dose and mixed with two volumes of distilled water. After
suitable sample preparation, the concentration of test compound in
blood was determined by UPLC-MS/MS using a Quattro Premier XE (Waters,
USA). Pharmacokinetic parameters were derived from the mean blood
concentration time curve using PK solutions software v 2.0 (Summit
Research Services, USA).
Rat
Male Sprague–Dawley rats
(n = 3) were dosed with 1, 30, 31, 33, and 39 either intravenously
at a
target dose of 1 mg/kg or orally at a target dose of 10, 100, and
300 mg/kg.Following discrete intravenous tail vein dosing from
a solution of 5% DMSO:20% Encapsin in saline, serial blood samples
(∼200 μL) were taken via lateral tail vein at 0.08, 0.25,
0.5, 1, 2, 4, 8, and 24 h post dose and placed into individual tubes
containing potassium EDTA and thoroughly mixed. Blood samples were
placed on ice immediately after collection. Within 2 h of collection,
70 μL of blood sample was transferred to a tube containing 130
μL of 0.1N Hepes buffer. Following dilution, samples were stored
at approximately −20 °C or below until analysis.Following discrete oral gavage dosing from a suspension of 1% methyl
cellulose at target doses of 10, 100, and 300 mg/kg, respectively,
serial blood samples (∼200 μL) were taken via lateral
tail vein at 0.25, 0.5, 0.75, 1, 2, 4, 6, 8, and 24 h post dose and
placed into individual tubes containing potassium EDTA and thoroughly
mixed. Blood samples were placed on ice immediately after collection.
Within 2 h of collection, 70 μL of blood sample was transferred
to a tube containing 130 μL of 0.1N Hepes buffer. Following
dilution, samples were stored at approximately −20 °C
or below until analysis.Samples were analyzed for parent using
a method based on protein
precipitation followed by LCMS/MS with a quantitative range between
2.90 and 2860 ng/mL.Once analyzed, if concentrations were above
the dynamic range of
the standard curve, prediluted samples were diluted with blank matrix
(1:2.86 whole blood:0.1N Hepes buffer) and processed normally for
analysis.
Data Analysis
Data analysis and
calculation of pharmacokinetic
parameters was performed using Phoenix, WinNonLin version 6.3.Following the intravenous administration, the whole blood clearance
(Cl) was calculated by determining the dose administered to each animal
and dividing by the AUC0–∞. The estimate
of the volume of distribution at steady state (Vss) was calculated as MRT × Cl, where MRT is the mean
residence time, calculated by AUMC0–∞/AUC0–∞For both intravenous and oral administration,
the systemic exposures
were determined by calculating the area under the blood concentration–time
curve (AUC) from the start of dosing to the last observed quantifiable
concentration (AUC0-t) by using the linear up-log
down trapezoidal rule. The slope of the terminal elimination phase
was estimated by linear regression of the terminal data points (minimum
3 points) from a natural log concentration vs time plot of the data.
The half-life (t1/2) of the terminal elimination
phase was calculated as t1/2 = 0.693/k
(where k is the elimination rate constant).Graphs were generated using Microsoft Excel.
In Vivo Efficacy
Studies
Groups of female BALB/c mice
(5 per group) were inoculated intravenously with approximately 2 ×
107L. donovani amastigotes
(LV9; WHO designation: MHOM/ET/67/HU3) harvested from the spleen of
an infected hamster.[46] From day 7 postinfection,
groups of mice were treated with either drug vehicle only (orally),
with pentostam (15 mg/kg subcutaneously) with miltefosine (12 or 30
mg/kg orally), with compound 15 (50 mg/kg orally), with
compound 30 (10, 25, 50, and 100 mg/kg orally), with
compound 37 (25 mg/kg orally), or with compounds 1, 31, and 39 (10 and 25 mg/kg orally).
Miltefosine was dosed once daily for 5 or 10 days, compound 15 was dosed twice daily for 5 days, compound 30 was dosed twice daily for 5 and 10 days, and compounds 1, 31, 37, and 39 were dosed
twice daily for 10 days. Drug dosing solutions were prepared fresh
each day and the vehicle was deionized water for miltefosine and pentostam,
10% (v/v) dimethyl sulfoxide (DMSO), 60% polyethylene glycol 400,
and 30% deionized water for 15 and 0.5% HPMC, 0.4% Tween
80, and 0.5% benzyl alcohol for 1, 31, 37, and 39. On day 14 (5 days dosing groups)
or 19 (10 days dosing groups) all animals were humanely euthanized,
liver smears made, and parasite burdens determined by counting the
number of amastigotes/500 liver cells. Parasite burden is expressed
in Leishman–Donovan units (LDU): the number of amastigotes
per 500 nucleated cells multiplied by the organ weight in grammes.[30]
Preclinical Safety Studies
Cytochrome
P450 Enzyme Isoform 3A4
CYP3A4 inhibition
and metabolism dependent inhibition (MDI) was assessed using a marker
substrate (midazolam), monitoring production of CYP3A4 specific metabolite
in the presence and absence of test compound at eight concentrations
up to 100 μM (0.1 to 100 μM, final organic content ≤0.5%).
Known inhibitors of CYP3A4 were included as positive control (troleandomycin,
ketoconazole, and erythromycin). Data quoted as IC50 and
fold shift in IC50 (MDI).Incubation mixture containing
pooled human liver microsomes (final concentration 0.1 mg/mL), and
either substrate, standard inhibitor, or test compound was preincubated
at 37 °C for 20 min. Either substrate or cofactor was then added
and incubated in plate shaker for another 5 min at 37 °C. Ice-cold
acetonitrile 2:1 (v/v) was added to terminate reaction. Depletion
of substrates was measured by LC-MS/MS, and pIC50 was measured.
If a greater than 1.5-fold change in pIC50 was observed
upon preincubation with cofactor values compared to preincubation
with substrate values, this suggests that the test compound is a metabolism
dependent inhibitor.
Chemoproteomic Profiling on Kinobeads
This assay was
conducted as previously described.[17]
Ames
The standard protocol was used for this assay.[38]
Mouse Lymphoma Assay (MLA)
The standard
protocol was
used for this assay.[41]
Human Ether-a-go-go
Related Gene (hERG)
The standard
protocol was used for this assay.[39,40]
Rat 7-Day
Toxicology
Test compounds were administered
to male Crl:WI(Han) rats in a 7 day, oral gavage, repeat-dose study
at doses of 100, 300, and 1000 mg/kg/day.
Rat Cardiovascular Study
Conscious unrestrained telemetered
male rats (CRL:WI (Han) were given a single oral dose of either vehicle
or test article (up to 1000 mg/kg) cardiovascular and electrocardiographic
parameters, and body temperature were monitored for 2 h prior to and
for 24 h after dose.
Ethical Statements
Mouse and Rat Pharmacokinetics
All animal studies were
ethically reviewed and carried out in accordance with Animals (Scientific
Procedures) Act 1986 and the GSK/Dundee University Policy on the Care,
Welfare, and Treatment of Animals
In Vivo Efficacy
All regulated procedures, at the University
of Dundee, on living animals was carried out under the authority of
a project license issued by the Home Office under the Animals (Scientific
Procedures) Act 1986, as amended in 2012 (and in compliance with EU
Directive EU/2010/63). License applications will have been approved
by the University’s Ethical Review Committee (ERC) before submission
to the Home Office. The ERC has a general remit to develop and oversee
policy on all aspects of the use of animals on University premises
and is a subcommittee of the University Court, its highest governing
body.
Rat Toxicology Studies
All animal studies were ethically
reviewed and carried out in accordance with Animals (Scientific Procedures)
Act 1986 and the GSK Policy on the Care, Welfare, and Treatment of
Animals
Human Biological Samples
All were
sourced ethically
and their research use was in accord with the terms of the informed
consents.
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