Discovery of (R)-N-(3-(7-methyl-1H-indazol-5-yl)-1-(4-(1-methylpiperidin-4-yl)-1-oxopropan-2-yl)-4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidine-1-carboxamide (BMS-742413): a potent human CGRP antagonist with superior safety profile for the treatment of migraine through intranasal delivery

Bioorg Med Chem Lett. 2013 Jun 1;23(11):3157-61. doi: 10.1016/j.bmcl.2013.04.012. Epub 2013 Apr 12.

Abstract

Calcitonin gene-related peptide (CGRP) receptor antagonists have been shown to be efficacious as abortive migraine therapeutics with the absence of cardiovascular liabilities that are associated with triptans. Herein, we report the discovery of a highly potent CGRP receptor antagonist, BMS-742413, with the potential to provide rapid onset of action through intranasal delivery. The compound displays excellent aqueous solubility, oxidative stability, and toxicological profile. BMS-742413 has good intranasal bioavailability in the rabbit and shows a robust, dose-dependent inhibition of CGRP-induced increases in marmoset facial blood flow.

MeSH terms

  • Administration, Intranasal
  • Amides / chemistry*
  • Amides / pharmacology
  • Amides / therapeutic use
  • Animals
  • Caco-2 Cells
  • Calcitonin Gene-Related Peptide Receptor Antagonists*
  • Callithrix
  • Coronary Vessels / drug effects
  • Drug Evaluation, Preclinical
  • Face / blood supply
  • Humans
  • Indazoles / chemistry*
  • Indazoles / pharmacology
  • Indazoles / therapeutic use
  • Migraine Disorders / drug therapy
  • Quinolones / chemistry*
  • Quinolones / pharmacology
  • Quinolones / therapeutic use
  • Rabbits
  • Rats
  • Receptors, Calcitonin Gene-Related Peptide / metabolism
  • Respiratory Mucosa / drug effects
  • Respiratory Mucosa / pathology

Substances

  • Amides
  • Calcitonin Gene-Related Peptide Receptor Antagonists
  • Indazoles
  • N-(3-(7-methyl-1H-indazol-5-yl)-1-(4-(1-methylpiperidin-4-yl)-1-oxopropan-2-yl))-4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidine-1-carboxamide
  • Quinolones
  • Receptors, Calcitonin Gene-Related Peptide