Q4 · MEDICINE
Article
Author: Wadman, Eric A.  ; Shi, Chongsheng  ; Ko, Soo S.  ; Decicco, Carl P.  ; Kariv, Ilona  ; Duncia, John V.  ; Tebben, Andrew J.  ; Wacker, Dean A.  ; Watson, Paul S.  ; Reddy, Prabhakar  ; Yeleswaram, Swamy  ; Yao, Wenqing  ; Solomon, Kimberly A.  ; Santella, Joseph B.  ; Carter, Percy H.  ; Welch, Patricia K.  ; Davies, Paul  ; Graden, Dani M.  ; Gardner, Daniel S.  ; Mandlekar, Sandhya  ; DeLucca, George V. 
Conformational analysis of trans-1,2-disubstituted cyclohexane CCR3 antagonist 2 revealed that the cyclohexane linker could be replaced by an acyclic syn-alpha-methyl-beta-hydroxypropyl linker. Synthesis and biological evaluation of mono- and disubstituted propyl linkers support this conformational correlation. It was also found that the alpha-methyl group to the urea lowered protein binding and that the beta-hydroxyl group lowered affinity for CYP2D6. Ab initio calculations show that the alpha-methyl group governs the spatial orientation of three key functionalities within the molecule. alpha-Methyl-beta-hydroxypropyl urea 31 with a chemotaxis IC(50)=38 pM for eosinophils was chosen to enter clinical development for the treatment of asthma.