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