Q3 · MEDICINE
Article
Author: Srivastava, Anurag S. ; Kempson, James ; Mathur, Arvind ; Galella, Michael A. ; Sun, Dawn ; Zhao, Rulin ; Discenza, Lorell N. ; Yip, Shiuhang ; Pulicicchio, Claudine ; D’Arienzo, Celia J. ; Fura, Aberra ; Rampulla, Richard ; Pawluczyk, Joseph ; Burke, James R. ; Gillooly, Kathleen M. ; Ko, Soo ; Zhang, Yingru ; Watterson, Scott H. ; Wang, Bei ; Li, Peng ; Hou, Xiaoping ; Cheng, Lihong ; Barrish, Joel C. ; Salter-Cid, Luisa ; McIntyre, Kim W. ; Wu, Dauh-Rurng ; Wang, Chunlei ; Dai, Jun ; Vickery, Rodney ; Obermeier, Mary T. ; Tino, Joseph A. ; Taylor, Tracy L. ; Carter, Percy H. ; Pattoli, Mark A. ; Skala, Stacey
Bruton's tyrosine kinase (BTK) has been shown to play a key role in the pathogenesis of autoimmunity. Therefore, the inhibition of the kinase activity of BTK with a small molecule inhibitor could offer a breakthrough in the clinical treatment of many autoimmune diseases. This Letter describes the discovery of BMS-986143 through systematic structure-activity relationship (SAR) development. This compound benefits from defined chirality derived from two rotationally stable atropisomeric axes, providing a potent and selective single atropisomer with desirable efficacy and tolerability profiles.