Conformationally constrained ortho-anilino diaryl ureas: discovery of 1-(2-(1'-neopentylspiro[indoline-3,4'-piperidine]-1-yl)phenyl)-3-(4-(trifluoromethoxy)phenyl)urea, a potent, selective, and bioavailable P2Y1 antagonist

J Med Chem. 2013 Nov 27;56(22):9275-95. doi: 10.1021/jm4013906. Epub 2013 Nov 12.

Abstract

Preclinical antithrombotic efficacy and bleeding models have demonstrated that P2Y1 antagonists are efficacious as antiplatelet agents and may offer a safety advantage over P2Y12 antagonists in terms of reduced bleeding liabilities. In this article, we describe the structural modification of the tert-butyl phenoxy portion of lead compound 1 and the subsequent discovery of a novel series of conformationally constrained ortho-anilino diaryl ureas. In particular, spiropiperidine indoline-substituted diaryl ureas are described as potent, orally bioavailable small-molecule P2Y1 antagonists with improved activity in functional assays and improved oral bioavailability in rats. Homology modeling and rat PK/PD studies on benchmark compound 3l will also be presented. Compound 3l was our first P2Y1 antagonist to demonstrate a robust oral antithrombotic effect with mild bleeding liability in the rat thrombosis and hemostasis models.

MeSH terms

  • Animals
  • Biological Availability
  • Drug Design*
  • Humans
  • Indoles / chemistry
  • Models, Molecular
  • Molecular Conformation*
  • Phenylurea Compounds / chemistry
  • Phenylurea Compounds / metabolism
  • Phenylurea Compounds / pharmacokinetics*
  • Phenylurea Compounds / pharmacology*
  • Purinergic P2Y Receptor Antagonists / chemistry
  • Purinergic P2Y Receptor Antagonists / metabolism
  • Purinergic P2Y Receptor Antagonists / pharmacokinetics*
  • Purinergic P2Y Receptor Antagonists / pharmacology*
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Purinergic P2Y1 / chemistry
  • Receptors, Purinergic P2Y1 / metabolism*
  • Sequence Homology, Amino Acid
  • Spiro Compounds / chemistry
  • Spiro Compounds / metabolism
  • Spiro Compounds / pharmacokinetics*
  • Spiro Compounds / pharmacology*
  • Urea / chemistry
  • Urea / metabolism
  • Urea / pharmacokinetics*
  • Urea / pharmacology*

Substances

  • 1-(2-(1'-neopentylspiro(indoline-3,4'-piperidine)-1-yl)phenyl)-3-(4-(trifluoromethoxy)phenyl)urea
  • Indoles
  • Phenylurea Compounds
  • Purinergic P2Y Receptor Antagonists
  • Receptors, Purinergic P2Y1
  • Spiro Compounds
  • indoline
  • Urea