Author: Conn, Edward L. ; Rose, Colin R. ; Brandt, Thomas A. ; Li, Qifang ; Weaver, John D. ; Genung, Nathan E. ; Fernando, Dilinie P. ; Price Wiglesworth, Kristin E. ; Herrinton, Paul M. ; Zahn, Todd ; Lavergne, Sophie Y. ; Kung, Daniel W. ; Edmonds, David J. ; Herr, Michael ; Thuma, Benjamin A. ; Xiao, Jun ; Dent, Philip D. ; Vetelino, Michael G. ; Edmonds, Ian D. ; Shavnya, Andre ; Yip, Ka Ning ; Cabral, Shawn ; Polivkova, Jana ; Zhang, Yingxin ; Aspnes, Gary E. ; Wang, Guoqiang ; Smith, Aaron C. ; Panteleev, Jane ; Widlicka, Daniel W. ; Keene, Nandell F. ; Dowling, Matthew S.
Indole acids I, II, and III are potent 5'-adenosine monophosphate-activated protein kinase (AMPK) activators for the potential treatment of diabetic nephropathy.Compounds I-III were scaled to supply material for preclin. studies, and indole III was selected for advancement to first-in-human clin. trials and scaled to kilogram quantities.The progression of the synthesis strategy for these AMPK activators is described, as routes were selected for efficient structure-activity relationship generation and then improved for larger scales.The developed sequences employed practical isolations of intermediates and APIs, reproducible cross-coupling, hydrolysis, and other transformations, and enhanced safety and purity profiles and led to the production of 40-50 g of I and II and 2.4 kg of III.Multiple polymorphs of III were observed, and conditions for the reproducible formation of crystalline material suitable for clin. development were identified.