CRTh2: can residence time help?

CRTh2: Can Residence Time Help ?
RSC-SCI Symposium on GPCR2 in Medicinal Chemistry
Allschwil, Basel
15-17 September 2014
Rick Roberts
Almirall
Barcelona, Spain
Introduction
Paul Ehrlich, The Lancet (1913), 182, 445
“A substance will not work unless it is bound”
100 years on:
“What
What a substance does once it’s
it s bound
may depend on how long it’s bound for”
2
The influence of Binding Kinetics
Residence time / Dissociation half-life
minutes
hours
days
level
seconds
PD
PK
time
Mechanistic
Partial vs Full agonism
 M3 agonists
 A2A agonists
Surmountable
Efficacy vs substrate concentration
 Lovastatin
Candasartan
Mechanism-based toxicity
 Clozapine
Haloperidol
 Celecoxib
Aspirin
Potency has little influence over these behaviours
3
Insurmountable
Pharmacodynamic
Duration of Action
 Ipratropium vs Aclidinium
Kinetic Selectivity
 M3 vs M2 antagonism
The CRTh2 Programme
4
Brief introduction to CRTh2
Real name:
 Chemoattractant Receptorhomologous molecule
expressed on T-Helper 2 cells
 Also known as DP2
CRTh2 activation:
 induces a reduction of intracellular cAMP
and calcium mobilization.
 is involved in chemotaxis of Th2
lymphocytes, eosinophils, mast cells and
basophils.
CRTh2 and DP1 review. Nat. Rev. Drug Disc. (2007), 6, 313
 inhibits the apoptosis of Th2 lymphocytes
CRTh2 antagonism:
 stimulates the production of IL4, IL5, and
IL13, leading to:
 eosinophil
i
hil recruitment
i
and
d survival
i l
 mucus secretion
 airway hyper-responsiveness
 immunoglobulin E (IgE) production
 etc
t
 Should block pro-inflammatory PGD2 effects on
key cell types
5
 Potential benefit in:
 asthma
 allergic rhinitis
 atopic dermatitis.
CRTh2 – A Target of interest
Indole acetic acids
HO
O
N
N
?
F
Oxagen-Eleventa
OC-459
Phase III
AstraZeneca
AZD-1981
Phase II
Actelion
Setipiprant
Phase III
Novartis
R = CF3 QAW-039
R = H QAV-680
Phase II/II
Aryl acetic acids
Merck
MK-7246
Phase I
Pulmagen-Teijin
ADC-3680
Phase II
Phenoxyacetic acids
?
Boehringer
BI671800
Phase II
Array
ARRY-502
Phase II
Roche
RG-7581
Phase I
AstraZeneca
AZD-5985 or
AZD-8075
Phase I/I
 All compounds are acids
Panmira
AM461
Phase I
6
Panmira
AM211
Phase I
Amgen
AMG-853
Phase II
 Plenty of Competition
 Plenty of Attrition
 First compounds high dose
and/or BID
Our internal programme
We want to find a
Once-a-day
Oral
low dose (≤ 10 mg)
CRTh2 antagonist for mild-moderate asthma


To maintain receptor occupancy beyond
normal PK and extend duration of action
level
Therefore, we chose to deliberately look for slowly dissociating CRTh2 antagonists:
PD
PK


to reduce the pressure of finding a
carboxylic acid with desirable PK properties
time
Pharmacodynamic
to add the possibility of extra protection
due to insurmountability against PGD2 burst
Insurmountable
7
Assays
8
GTPS vs PGD2 binding
[3H]PG
GD2 IC50 (nM)
[3H]PGD2
[35S]GTPS
Good correlation
[35S]GTPS Assay favoured
9
[35S]GTPS IC50 (nM)
CRTH2
Whole cell
Isolated Eosinophiil Shape Ch
hange IC50 (nM)
GTPS vs ESC Isolated cell
membranes
Compounds show higher
potency
t
in
i cellular
ll l assay
+ 0.1% BSA
Protein binding plays a role
10
[35S]GTPS IC50 (nM)
GTPS vs ESC Human Whole Blood
Whole cell
+ 4% HSA
Eosiinophil Sha
ape Chang
ge IC50 (nM)
CRTH2
More affinity for
HSA > BSA
membranes
More affinity for
BSA > HSA
+ 0.1% BSA
“Shift” assay
y simply
p y reflects affinity
y
of compounds for BSA and HSA.
ESC IC50 is “Real” Potency
11
[35S]GTPS IC50 (nM)
DP1
PGD2
Prostanoiid Recepto
or DP1 %Inh
hibition at 10 µM
GTPS vs DP1 Receptor Selectivity
>50% DP1
inhibition at 10 µM
CRTh2
[35S]GTPS IC50 (nM)
12
GTPS vs TP Receptor Selectivity
TP
PGD2
T
Thrombox
xane Recep
ptor TP %In
nhibition att 10 µM
TXA2
>50% TP
inhibition at 10 µM
CRTh2
Compounds are
CRTh2 selective
13
[35S]GTPS IC50 (nM)
In vitro dissociation assays CRTh2
GTPS binding
Compound


Membranes over-expressing human CRTh2
PGD2 agonism produces allows [35S]-GTPS
binding, detected by radioactivity
PDG2
3h
R d t time
Readout
ti
Ramatroban 0 → 10 µM
5000
Readout
4000
Ramatroban
Readout
1h
Classical
Cl
i l
Surmountable
inhibition
3000
2000
1000
0
0.1 nM
10 nM
1 µM
100 µM
PGD2 Concentration
1000
R
Readout
800
TM-30089
(CAY-10471)
600
Readout
15 min
Classical
Insurmountable
inhibition
400
200
0
0.1 nM
10 nM
1 µM
100 µM
PGD2 Concentration
CAY-10471 0 → 5 µM
14
In vitro dissociation assays CRTh2
Surmountability vs Insurmountability
Compound


Membranes over-expressing human CRTh2
PGD2 agonism produces allows [35S]GTPS
binding, detected by radioactivity
PDG2
3h
24 h
R d t time
Readout
ti
Ramatroban 0 → 10 µM
5000
Readout
4000
Ramatroban
Readout
1h
Classical
Cl
i l
Surmountable
inhibition
3000
2000
1000
0
0.1 nM
10 nM
1 µM
100 µM
PGD2 Concentration
Re-mountable inhibition
1000
TM-30089
(CAY-10471)
600
6000
Readout
15 min
Readout
R
Readout
R
800
400
2000
0.1 nM
15
4000
200
0
Surmountability
S
t bilit is
i jjustt a
question of time
Readout
24 h
10 nM
1 µM
100 µM
PGD2 Concentration
CAY-10471 0 → 5 µM
0.1 nM
10 nM
1 µM
PGD2 Concentration
100 µM
When is the insurmountable surmountable ?
Classical
Insurmountable inhibition
Competitive compounds
with different kinetics
Observational
timescale
A
B
timescale
A
Observational
timescale
B
Classical
Surmountable inhibition
B seems immobile in the
e periment Insurmountable
experiment:
Ins rmo ntable
A and B reach equilibrium
during the experiment.
Surmountable behaviour
timescale
PGD2 Release
from Mast cells
PGD2 Kinetics
~15 min
PGD2 Metabolism
~15
15 min
CRTh2 antagonist
Kinetics ~24 h
PGD2 burst
timescale
Long resident CRTh2 antagonists will have an insurmountable behaviour against PGD2 burst
16
In vitro dissociation assays CRTh2
Washout experiments





Compound PDG2
(1000 × Ki)
(5 × Ki)
Membranes pre-incubated with compound
Antagonist effectively swamped by agonist
Decay of inhibition followed by time
Automated Filtration reading
g in 96-well format
Readings from 2 min to 28 h
2h
R d t ti
Readout
times
Ramatroban
Mean Inhibition
n%
100
Surmountable
80
Dissociation t1/2 < 1 min
60
40
“Worst case” scenario for
dissociation half-life
f f
20
0
0
4
8
17
Mea
an Inhibition %
20
24
28
80
Dissociation t1/2 ~ 80 min
60
40
20
0
0
Insurmountable
16
Time (h)
100
TM-30089
(CAY-10471)
12
4
8
12
16
Time (h)
20
24
28

No rebinding possible.

Physiological
Ph
i l i l system
t
may
be less demanding
Mechanisms of slow dissociation
18
On rates by mechanism – also independent of potency
Simple fit
Induced fit
k1
kon
[R] + [L]
[RL]
[R] + [L]
k3
[RL]
k2
koff
Energy
k4
Energy
((RL))‡
(R·L)‡
(R·L)‡
Ea
slow
Ed
[R] + [L]
quick
[R] + [L]
[RL]
[RL]
Reaction coordinate
19
[RL*]
[RL*]
Reaction coordinate
On rates by mechanism
Simple fit
kon
[R] + [L]
[RL]
koff

If the off rate is slow,
the on rate is also slow
Once “on”, the ligand
behaves as an
insurmountable antagonist
However, the time to
“get on” is about 6 h.
Before this time the
ligand is a partial
antagonist
% Recep
ptor Occupan
ncy
Simple fit model
100
80
60
40
20
0
6
12
18
24
Time (h)
Simulation: Dissociation half-life 24 h
Concentration of [L] at 10 × IC50
Sufficient PK levels needed for sufficient time to ensure receptor becomes saturated
20
On rates by mechanism
Induced fit
k1
[R] + [L]
k3
[RL]
[RL*]
k2
k4
% Recep
ptor Occupan
ncy
The ligand binds quickly (Total RO%)
However at this point it behaves as a
classical surmountable ligand
Once “on”, the ligand
behaves as an
insurmountable antagonist
Induced fit model
100
80
Total RO%
60
RL*%
40
RL%
20
0
6
12
18
24
Time (h)
Simulation: k4 Dissociation half-life 24 h
Concentration of [L] at 10 × IC50
Sufficient PK levels needed for sufficient time to ensure receptor becomes saturated
21
Which mechanism is it ?

No radio-labelled
radio labelled ligands

No Biacore

Slow dissociating compounds get more potent with time
IC50 (nM
M)
Compound
Dissociation
half-life
Compounds are
active from t=0
“Real” potency may be better than in vitro potency
22
Changes in potency
not sufficient to
estimate which
mechanism is acting
Which mechanism is it ?
[[R]] + [L]
[ ]
k3
[[RL]]
k2
[[RL*]]
k4
2 h Pre-incubation at 10 × IC50
Dissociation t1/2 25 h ± 3.5
% Rece
eptor Occupa
ancy
k1
Induced fit model
100
80
Total RO%
60
RL*%
40
RL%
20
0
6
12
Time (h)
Majority
j y [[RL*]] fast
Dissociation
Residual [RL] fast
Dissociation
M h i
Mechanism
unknown,
k
b
but iinduced
d
d fifit suspected
d
23
18
24
How long is long? Mechanistic or Pharmacodynamic?
Necessary Receptor Occupancy for efficacy - Pharmacodynamic
T
Target
t
Cl
Class
R
Receptor
t O
Occupancy
GPCR
Antagonist
60-80%
Agonist high efficacy
2-30%
Agonist low efficacy
60-95%
Antagonist
65-95%
Agonist
5-80%
Transporters
All
60-85%
Enzyme
Inhibitors
70-99%
Ligand-gated ion channels
Grimwood and Hartig, Pharm. Therap. 122, 281, 2009
Expanded zone: 0 – 1 half
half-life
life
Exponential Decay
Exponential Decay
100
80
Sometime here, a GPCR
antagonist will stop being
effective after washout

60
40
2
3
20
4 5
0
0
2
4
6
8
10
Recepto
or Occupanc
cy
Recepttor Occupan
ncy
100
95%
90%
70%
60%
60
40
20
0
0.0
Half-lives
For a GPCR antagonist, count on about half a half-life extra of PD effect
24
80%
80
0.2
0.4
0.6
Half-lives
0.8
1.0
DoA Scenarios for full coverage over 24h
Many CRTh2 antagonists in
the clinic are twice daily
PK only effect:
“classic” drug. PK-PD relationship
Some PK
Some residence time
PK
PK
Cmax
PD effect
PK
Koff
Koff
Cmax
Residual
activity at 24h
Plasma
levels
IC50
IC50
t=0

Little PK
Really long residence time
Dissociation Half-life =
not necessary

IC50
24 h
Dissociation Half-life
~ 24 h
24 h
t=0

Dissociation Half-life
~ 48 h
To turn a twice-daily compound into a once-daily compound,
we want to add on a Dissociation half-life of ≥ 24h
25
Chemical Series
Structure-Activity Relationships (SAR)
St
Structure-Kinetic
t
Ki ti Relationships
R l ti
hi (SKR)
26
Are there slow-dissociating CRTh2 antagonists?
Ramatroban
TM-30642
TM-30643
TM-30089
(CAY-10471)
Structure not
disclosed
Merck
MK-7246
C
Compound
d
PGD2
P t
Potency
Dissociation
half-life*
Amira
AM432
Pulmagen
ADC-3680
R f
Reference
Ramatroban
pA2
36 nM
5 min
TM-30642
pA2
p
20 nM
8 min
MK-7246
Ki
2.5 nM
33 min
Mol. Pharmacol. (2011), 79, 69
PGD2
KD
11 nM
11 min
Bioorg. Med. Chem. Lett. (2011), 21, 1036
AM432
IC50
6 nM
89 min
ADC-3680
Ki
1.6 nM
20 min
American Thoracic Society (ATS), May 17-22, 2013
QAW-039
Kd
1 nM
12 min
ERS 8 September 2014
QAV 680
QAV-680
Kd
15 nM
1 min
ERS 8 September 2014
Published residence times are all “short”
27
Mol. Pharmacol. (2006), 69, 1441
--- / / ---
--- / / ---
Pyrazoles
 Indole nucleus developed by Oxagen. Beginnings of slow dissociation observed
 First series of Pyrazoles gave active compounds, but no significant residence time
(BMCL, 2013, 23, 3349)
 Second series of Reverse Pyrazoles gave a similar story
(Eur J Med Chem, 2014, 71, 168)
Indole
Pyrazoles
Reverse Pyrazoles
Ph
General
Oxagen
X = CH
X=N
General
GTPS IC50 (nM)
14
7
4
4 – 100
35
32 – 450
Dissociation t½ (h)
1.3
0.2
1.9
0.02 – 0.7
0.2
0.04 – 0.7
SAR pretty good. No SKR advances observed in either core or tail sections
Pyrazoles series abandoned for general lack of Residence time
28
Pipas
 Third series of Pyrazolopyrimidinones (Pipas) gave active compounds with long residence
(BMCL Accepted for publication)
 Core SAR flat. Core SKR varied
Pyrazolopyrimidinones (Pipas)
*
*
*
*
*
*
*
*
*
*
*
*
Indole
Oxagen
PiPa
N-Me
N-Bn
diMe
N-Me*
N-CHF2*
GTPS IC50 (nM)
14
5
5
1
4
5
2
Dissociation t½ (h)
1.3
2.3
5.3
6.6
10
8
21
29
Pipas
 Tail SAR flat. Tail SKR varied
 Sulphone positioning ultimately affects SKR
O
HO
O
S R
O
N
Ortho substitution
N
H
O
Para substitution
R1
R2
GTPS IC50
Dissociation t½
R
GTPS IC50
Dissociation t½
H
H
5 nM
2.3 h
Ph
170 nM
n.d.
MeO
H
4 nM
4.2 h
Me
900 nM
n.d.
H
F
5 nM
33h
3.3
B
Bn
3 nM
M
09h
0.9
MeO
F
7 nM
23 h
30

Pipa series was essentially impermeable.

Not suitable for an oral programme.

Series abandoned due to impermeability
Ultimately Potent but no duration
Biaryl series
 Fourth series of diverse biaryl compounds finally gave good activity and long residence time
(BMCL Accepted for publication)
 Core SAR and SKR varied
HO
N
O
O
CF3
A
Bicyclic
Heterocycle
*
*
*
*
*
*
*
*
*
*
*
*
*
*
5,6-ring
6,5-ring
Amira
Indazole
Indazole
Indole
Indazole
Indole
Azaindole
GTPS IC50 (nM)
16
48
48
19
19
37
9
Di
Dissociation
i ti t½ (h)
2
14
1.4
12
1.2
40
4.0
16
1.6
25
2.5
23
2.3
31
Biaryl series – Indazole core
 6 member ring
g SAR flat. SKR varied
R1
R2
GTPS IC50
Dissociation t½
H
H
19 nM
1.6 h
Cl
H
6 nM
3.2 h
F
H
4 nM
5h
H
Cl
16 nM
28h
2.8
F
Cl
15 nM
10.5 h

Small substituents in R1 led to moderate increased in both potency and dissociation t1/2

Substitution in R2 led to minimal changes in binding potency
G d starting
Good
t ti point
i t for
f the
th search
h off the
th desired
d i d Residence
R id
ti
time
32
Species differences
Percentage of identical residues among all ungapped
positions between the pairs
pairs.
Human
Human
Guinea Pig
Rat
Mouse
100%
73%
78%
80%
100%
69%
70%
100%
94%
Guinea Pig
Rat
Mouse
How similar are these species ?
33
100%
Guinea
a Pig IC50 (n
nM)
GTPS potencies human vs GP
Similar Potencies
Human IC50 (nM)
34
GTP human vs GP Residence Time
species
t½
Human
2h
Guinea pig
29 h
species
t½
Human
23 h
Guinea pig
1.9 h
Guinea Pig Dissoc
ciation halff-life (h)
Mechanistically
useful
Pharmacologically
useful
Human Dissociation half-life (h)
35
PK-PD Disconnection Simulations
PK half-life 1 h
“PD”
GPCR threshold
A 1 h Dissociation half-life is barely
y noticeable in the PD
Poor drug – short duration of action
A 12 h Dissociation half-life is definitely observable
A short acting drug keeps working long beyond its
expectations
t ti
At t = 0,
[Ligand] = 10×IC50
PK half-life 12 h
“PD”
GPCR threshold
A 1 h Dissociation half-life goes completely unnoticed
Good PK means once-a-day dosing
A 12 h Dissociation half
half-life
life is barely noticeable
A great drug is really efficacious over 24 h
At t = 0,
[Ligand] = 10
10×IC
IC50
Next day
Next dose
For the greatest observable effect, Dissociation half-life >> PK half-life
36
For a recent article, see Drug Disc. Today (2013), 18, 697
PK-PD disconnection model
3 mg / kg dose
diMe-Pyrrolopiridinone
guinea pig profile
Eosinophilia IC50 3 ng/ml
Dissociation t½
20 h
PK t½
0.9 h
PK
Timepoint
Plasma
Pl
levels
Eosinophilia
E
i
hili
Inhibition
1h
1300 ng/ml
100%
15 h
undetectable
70%
%Inhibition of
Eosinophilia
Koff
100
Short PK, Long residence time
PK-PD disconnection
80
IC50
3 ng/ml
70 %
Residual
activity at
15h
PK
60
40
20
0
37
Koff
Residual
activity
at 24h
IC50
t=0
24 h
PK-PD Disconnection in Guinea Pig Eosinophilia
O
Oxagen
BiA l
BiAryl
PiP
PiPas
Eosinophilia IC50 (ng/ml)
~50
~40
~5
Gp
p Dissociation Half-life
1h
15 h
20 h
Gp Pharmacokinetic Half-life
5h
3h
0.9 h
Oxagen PK-PD
2h
24h
Good PK
Short Dissociation
No separation PK-PD
OK PK
Good Dissociation
Small separation PK-PD
Long
g residence time translates to a PK-PD disconnection
Remember: half a half-life
38
Poor PK
Good Dissociation
Large separation PK-PD
Molecular Determinants of
Long Residence
39
Where is long Residence?
Selected general reports or Structure Kinetic Relationships (SKRs)
 Trend analysis of D2 antagonists. Bioorg. Med. Chem (2011), 19, 2231.
 Trend analysis of Pfizer and literature data. Med. Chem. Comm. (2012), 3, 449
 Review of molecular determinants
determinants. Drug Disc.
Disc Today.
Today (2013),
(2013) 18,
18 667
Molecular size / weight ?
Lipophilicity ?
Charged state ?
Rigidity ?
Don’t know ?
Selected specific reports or Structure Kinetic Relationships (SKRs)





Therapeutic Complement Inhibitors. J. Mol. Recognit. (2009), 22, 495
Slow dissociation M3 antagonists. J. Med. Chem. (2011), 54, 6888
CCR2 antagonists.
g
J. Med. Chem. ((2013),
), 56,, 7706
CDK8/CycC inhibitors. PNAS (2013), 110, 8081.
Adenosine A1 Receptor antagonists. J. Med. Chem. (2014), 57, 3213
40
Energetic concept of Residence Time
Standard model
kon
[R] + [L]
unbound
[RL]
koff
bound
Energy
SKR
Structure Kinetic Relationships (SKRs)
h
have
b
been llargely
l iignored:
d
Residence Time
Dissociation half-life
Slow or fast kinetics
Off-rate, koff
(R·L)‡
The Dissociation rate is controlled by 2 factors:
Off rate
koff
(1) The potency (SAR)
(2) The Transition state energy
[R] + [L]
Potency
Ki
[RL]
(R·L)‡
Potency
P
t
can b
be measured
d
If we can control the transition state energy, we can control the binding kinetics
41
Where is Long Residence ?
Are more active compounds
longer resident ?
CDK8/CycC inhibitors
PNAS (2013), 110, 8081.
Energy
Kd
Diss t½
5820 nM
< 1.4 min
Kd
Diss t½
10 nM
32 h
(R·L)‡
~1 order of
magnitude of
stickiness
“stickiness”
[R] + [L]
More
potent
Longer
resident?
[RL]
[RL]
Reaction coordinate
Clearly, Residence Time is linked to Potency
42
Where is long Residence?
Are more active compounds
longer resident ?
(R·L)‡
OH
Cl
O
Cl
N
H
O
O
IC50
Di t½
Diss
Slower
On/off
Energy
O
8 nM
5 min
i
OMe
IC50
Di t½
Diss
98 nM
21 h
(R·L)‡
CRTh2 program data
4 orders
d
off magnitude
it d off
“stickiness”
[R] + [L]
More
potent
Longer
resident?
[RL]
[RL]
Reaction coordinate
We are affecting
g the transition state more than
the final binding position
43
Homing in on Residence Time in the Biaryl series
4-Azaindole
Me-4-Azaindole
GTPS IC50 (nM)
14
16
Dissociation t½ (h)
13
1.3
21
A Magic Methyl for SKR ?
44
Homing in on Residence Time in the Biaryl series
IC50 5 nM
IC50 8 nM
Dissociation
Di
i ti
half-life
9h
Dissociation
Di
i ti
half-life
11 h
HO
S
O
O
inactive
N
HN
N
Long Residence Time in the Biaryls comes from an H-Bond Acceptor in ortho
45
IC50 4 nM
Dissociation
half-life
2 min
25
i
Amide Rotamers
50:50
by NMR
IC50 14 nM
Dissociation
half-life 2 h
N
HO
O
N
HO
CF3
O
OMe
O
CF3
O
OMe
inactive
IC50 27 nM
half-life
half
life 1.5 h
Long Residence Time in the Biaryls comes from an H-Bond Acceptor in ortho
in a specific position
46
H-Bond Acceptors – Steric requirements
Do very subtle steric effects first determine Potency binding, then residence binding?
R3
H
H
H
H
H
N
N
N
N
N
N
R3 Sterics
Potency
Residence
O
N
N
N
O
N
N
Me
Fused
Pyrazole
Isoxazole
Triazole
Amide
Large
g
Low
-
Medium
Medium
Low
Small
High
Medium
Minimum
High
High
Minimum
High
High
High
High
H
O
H
N
R1
H
Steric Requirements for HBA
H
N
N
H
H
H
N
N
R3 ≤ H
Bn
R3
R1 Sterics
Potency
R id
Residence
47
Oxazole
Pyrazole
Pyrazole
Minimum
Low
-
Small
Medium
-
Large
High
M di
Medium
R1 > H
R1
X
R2
R2 > H
Can we check the H-Bond Acceptor location?
O
HO
S O
N
O
N
F
2
Ab initio minimisation
48
Compound
1
2
3
GTPS IC50
20 nM
4 nM
6 nM
Dissociation t½
10 h
1.7 h
18 h
Can we achieve truly long residence?
If we understand it, we can harness it.
Position-by-position analysis of good
structural features for Residence Time
Minimum expression of
potency and long residence
Benzyl to bump
up lipophilicity
3º amide as
H-bond acceptor
Isoxazole as
H-bond acceptor
Acetic acid
O
HO
N
O
N
Chloro is
OK here
Cl
N
methyl stub
Azaindole
Azaindole
GTPS IC50 (nM)
14 nM
GTPS IC50 (nM)
Dissociation t½ (h)
1.5 h
Dissociation t½ (h)
2.5 nM
46 ± 15 h
cLogP
1.1
cLogP
4.8
cLogD
-1.1
cLogD
2.4
Once-a-day purely from Residence Time ?
49
Lead Compound Profile
In vitro and In vivo
Physical Chemistry
human GTPS IC50
4 nM
Solubility pH 1 and 7.4
ESC hWB IC50
3 nM
LogD
Dissociation t½ (h)
22 h
Caco (AB/BA)
gp GTPS IC50 (nM)
3 nM
Dissociation t½ (h)
14 h
Eosinophilia IC50
4 nM
Eosinophilia ID50 at 2 h
PK-PD Disconnection
0.020 mg/kg
Yes
hERG, Nav1.5, Cav1.2
Working heart
Cytotox
> 10 µM
Clean
> 100 µM
1.3
24 / 6
Pharmacokinetics
Rat Clearance
Volume
9 ml/min/kg
0.5 L/kg
Terminal half-life
1.6 h
Bioavailability
80%
Dog Clearance
Safety
> 1 mg/ml
Volume
Terminal half-life
Bioavailability
2 ml/min/kg
0.9 L/kg
8h
51%
GreenScreen
Clean
Pred. Human Clearance
CYP3A4
20 µM
Pred. Volume
1.4 L/kg
Pred. Terminal half-life
biphasic
Major metabolite
Acyl Glucuronide stability
Glucuronide
t½ > 4 h
PK-PD dose simulation
An oral, low dose (<10 mg), once-a-day CRTh2 Antagonist
50
2 ml/min/kg
2-6 mg QD
CRTh2: Can Residence Time Help ?

For a purely antagonistic effect, prolonging Receptor Occupancy prolongs PD effect

You will only really appreciate a PK-PD disconnection if Dissociation half-life > PK terminal half-life

For GPCR antagonism, you should count on extending the PD effect by half a half-life

A “PK phase” of antagonism is needed to “set” the ligand in the receptor, regardless of mechanism

We are pretty good at explaining what’s behind Structure-Activity Relationships (SAR)
Structure-Kinetic Relationships (SKR) are in their infancy and/or qualitative

R id
Residence
Ti
Time can b
be d
designed
i
d

To find Long Residence, you need to look for it
51
Acknowledgements
Medicinal Chemistry
Juan Antonio Alonso
Mª Antonia Buil
Oscar Casado
Marcos Castillo
Jordi Castro
Paul Eastwood
Cristina Esteve
Manel Ferrer
Pilar Forns
Elena Gómez
Jacob González
GalChimia
Sara López
Marta Mir
Imma Moreno
Sara Sevilla
Bernat Vidal
Laura Vidal
Pere Vilaseca
ADME
Manel de Luca
Peter Eichhorn
Laura Estrella
Dolores Marin
Juan Navarro
M t Vives
Montse
Vi
Miriam Zanuy
52
Respiratory Therapeutic Area
Mó i Bravo
Mónica
B
Marta Calbet
José Luís Gómez
Encarna Jiménez
Martin Lehner
Isabel Pagan
Biological Reagents and Screening
Fani Alcaraz
Miriam Andrés
Julia Díaz
Teresa Domènech
Vicente García
Rosa López
Adela Orellana
Sílvia Petit
Israel Ramos
Enric Villanova
Villano a
Integrative Pharmacology
Clara Armengol
Laia Benavent
Luis Boix
Elena Calama
Amadeu Gavaldà
B t í Lerga
Beatríz
L
Sonia Sánchez
Computational and Structural
Ch i t and
Chemistry
d Bi
Biology
l
Sandra Almer
Yolanda Carranza
Sònia Espinosa
Estrella Lozoya
Pathology and Toxicology
Ana Andréa
Mariona Aulí
Cloti Hernández
Hernánde
Neus Prats
Development
Cesc Carrera
Nieves Crespo
Juan Pérez Andrés
Juan Pérez García
Gemma Roglan
Francisco Sánchez
Carme Serra
Intellectual Property
Houda Meliana
Eulàlia
u à a Pinyol
yo
Management
Paul Beswick
Jordi Gràcia
Vi t Matassa
Victor
M t
Monste Miralpeix