Potent, brain-penetrant, hydroisoindoline-based human neurokinin-1 receptor antagonists

Jinlong Jiang, Jaime L. Bunda, Geoge A. Doss, Gary G. Chicchi, Marc M. Kurtz, Kwei Lan C. Tsao, Xinchun Tong, Song Zheng, Alana Upthagrove, Koppara Samuel, Richard Tschirret-Guth, Sanjeev Kumar, Alan Wheeldon, Emma J. Carlson, Richard Hargreaves, Donald Burns, Terence Hamill, Christine Ryan, Stephen M. Krause, Wai Si EngRobert J. DeVita, Sander G. Mills

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

3-[(3aR,4R,5S,7aS)-5-{(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]ethoxy} -4-(4-fluorophenyl)octahydro-2H-isoindol-2-yl]-cyclopent-2-en-1-one (17) is a high affinity, brain-penetrant, hydroisoindoline-based neurokinin-1 (NK1) receptor antagonist with a long central duration of action in preclinical species and a minimal drug-drug interaction profile. Positron emission tomography (PET) studies in rhesus showed that this compound provides 90% NK1 receptor blockade in rhesus brain at a plasma level of 67 nM, which is about 10-fold more potent than aprepitant, an NK1 antagonist marketed for the prevention of chemotherapy-induced and postoperative nausea and vomiting (CINV and PONV). The synthesis of this enantiomerically pure compound containing five stereocenters includes a Diels-Alder condensation, one chiral separation of the cyclohexanol intermediate, an ether formation using a trichloroacetimidate intermediate, and bis-alkylation to form the cyclic amine.

Original languageEnglish
Pages (from-to)3039-3046
Number of pages8
JournalJournal of Medicinal Chemistry
Volume52
Issue number9
DOIs
StatePublished - 14 May 2009
Externally publishedYes

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