Abstract
Bioisoteric replacement of the metabolically labile N-methyl amide group of a series of benzoxazinones with small heterocyclic rings has led to novel series of fused tricyclic benzoxazines which are potent 5-HT(1A/B/D) receptor antagonists with and without concomitant human serotonin transporter (hSerT) activity. Optimizing against multiple parameters in parallel identified 6-{2-[4-(2-methyl-5-quinolinyl)-1-piperazinyl]ethyl}-4H-imidazo[5,1-c][1,4]benzoxazine-3-carboxamide (GSK588045) as a potent 5-HT(1A/B/D) receptor antagonist with a high degree of selectivity over human ether-a-go-go related gene (hERG) potassium channels, favorable pharmacokinetics, and excellent activity in vivo in rodent pharmacodynamic (PD) models. On the basis of its outstanding overall profile, this compound was progressed as a clinical candidate with the ultimate aim to assess its potential as a faster acting antidepressant/anxiolytic with reduced side-effect burden.
MeSH terms
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Animals
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Anti-Anxiety Agents / chemical synthesis*
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Anti-Anxiety Agents / pharmacokinetics
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Anti-Anxiety Agents / pharmacology
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Antidepressive Agents / chemical synthesis*
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Antidepressive Agents / pharmacokinetics
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Antidepressive Agents / pharmacology
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Benzoxazines / chemical synthesis*
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Benzoxazines / pharmacokinetics
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Benzoxazines / pharmacology
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Callithrix
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Cell Line
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Cerebral Cortex / metabolism
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Cricetinae
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Cricetulus
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Cytochrome P-450 Enzyme System / metabolism
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ERG1 Potassium Channel
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Ether-A-Go-Go Potassium Channels / metabolism
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Guinea Pigs
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Humans
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In Vitro Techniques
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Male
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Microsomes, Liver / metabolism
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Protein Binding
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Radioligand Assay
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Rats
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Rats, Sprague-Dawley
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Serotonin 5-HT1 Receptor Antagonists*
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Serotonin Plasma Membrane Transport Proteins / metabolism
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Structure-Activity Relationship
Substances
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6-(2-(4-(2-methyl-5-quinolinyl)-1-piperazinyl)ethyl)-4H-imidazo(5,1-c)(1,4)benzoxazine-3-carboxamide
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Anti-Anxiety Agents
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Antidepressive Agents
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Benzoxazines
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ERG1 Potassium Channel
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Ether-A-Go-Go Potassium Channels
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KCNH2 protein, human
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Serotonin 5-HT1 Receptor Antagonists
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Serotonin Plasma Membrane Transport Proteins
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Cytochrome P-450 Enzyme System