Q1 · MEDICINE
Article
Author: Shaffer, Christopher L. ; Boscoe, Brian P. ; Zhang, Lei ; Chenard, Lois K. ; Dunetz, Joshua R. ; Zaleska, Margaret M. ; Reese, Matthew R. ; Smith, Deborah L. ; Verhoest, Patrick R. ; Drozda, Susan E. ; Sakurada, Isao ; Fonseca, Kari R. ; Stepan, Antonia F. ; Cianfrogna, Julie ; Lazzaro, John T. ; Barreiro, Gabriela ; Galatsis, Paul ; Walker, Daniel P. ; Claffey, Michelle M. ; Chen, Laigao ; Mancuso, Jessica Y. ; Balan, Gayatri ; Rogers, Bruce N. ; Skaddan, Marc ; Wright, Ann S. ; Grimwood, Sarah ; Tuttle, Jamison B. ; Zasadny, Kenneth ; Coffman, Karen J. ; Miller, Emily L. ; Trapa, Patrick
A novel series of pyrazolopyrazines is herein disclosed as mGluR5 negative allosteric modulators (NAMs). Starting from a high-throughput screen (HTS) hit (1), a systematic structure-activity relationship (SAR) study was conducted with a specific focus on balancing pharmacological potency with physicochemical and pharmacokinetic (PK) properties. This effort led to the discovery of 1-methyl-3-(4-methylpyridin-3-yl)-6-(pyridin-2-ylmethoxy)-1H-pyrazolo[3,4-b]pyrazine (PF470, 14) as a highly potent, selective, and orally bioavailable mGluR5 NAM. Compound 14 demonstrated robust efficacy in a 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-rendered Parkinsonian nonhuman primate model of l-DOPA-induced dyskinesia (PD-LID). However, the progression of 14 to the clinic was terminated because of a potentially mechanism-mediated finding consistent with a delayed-type immune-mediated type IV hypersensitivity in a 90-day NHP regulatory toxicology study.