Abstract
Combination studies of neurokinin 1 (NK1) receptor antagonists and serotonin-selective reuptake inhibitors (SSRIs) have shown promise in preclinical models of depression. Such a combination may offer important advantages over the current standard of care. Herein we describe the discovery and optimization of an indazole-based chemotype to provide a series of potent dual NK1 receptor antagonists/serotonin transporter (SERT) inhibitors to overcome issues of ion channel blockade. This effort culminated in the identification of compound 9, an analogue that demonstrated favorable oral bioavailability, excellent brain uptake, and robust in vivo efficacy in a validated depression model. Over the course of this work, a novel heterocycle-directed asymmetric hydrogenation was developed to facilitate installation of the key stereogenic center.
Keywords:
Depression; asymmetric hydrogenation; hERG; ion channels; neurokinin 1; serotonin transporter inhibitor.
MeSH terms
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Administration, Oral
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Animals
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Antidepressive Agents / chemical synthesis
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Antidepressive Agents / chemistry
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Antidepressive Agents / pharmacology*
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Antidepressive Agents / toxicity
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Depressive Disorder / drug therapy
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Disease Models, Animal
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Dose-Response Relationship, Drug
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Drug Discovery
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Drug Evaluation, Preclinical
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Gerbillinae
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Humans
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Indazoles / chemical synthesis
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Indazoles / chemistry
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Indazoles / pharmacology*
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Indazoles / toxicity
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Mice
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Molecular Structure
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Neurokinin-1 Receptor Antagonists / chemical synthesis
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Neurokinin-1 Receptor Antagonists / chemistry
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Neurokinin-1 Receptor Antagonists / pharmacology*
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Neurokinin-1 Receptor Antagonists / toxicity
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Rats
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Receptors, Neurokinin-1 / metabolism
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Selective Serotonin Reuptake Inhibitors / chemical synthesis
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Selective Serotonin Reuptake Inhibitors / chemistry
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Selective Serotonin Reuptake Inhibitors / pharmacology*
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Selective Serotonin Reuptake Inhibitors / toxicity
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Serotonin Plasma Membrane Transport Proteins / metabolism
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Structure-Activity Relationship
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Transcriptional Regulator ERG / metabolism
Substances
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Antidepressive Agents
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ERG protein, human
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Indazoles
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Neurokinin-1 Receptor Antagonists
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Receptors, Neurokinin-1
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Serotonin Plasma Membrane Transport Proteins
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Serotonin Uptake Inhibitors
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Transcriptional Regulator ERG