Discovery of N-(3-Carbamoyl-5,5,7,7-tetramethyl-5,7-dihydro-4H-thieno[2,3-c]pyran-2-yl)-lH-pyrazole-5-carboxamide (GLPG1837), a Novel Potentiator Which Can Open Class III Mutant Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) Channels to a High Extent

J Med Chem. 2018 Feb 22;61(4):1425-1435. doi: 10.1021/acs.jmedchem.7b01288. Epub 2018 Jan 10.

Abstract

Cystic fibrosis (CF) is caused by mutations in the gene for the cystic fibrosis transmembrane conductance regulator (CFTR). With the discovery of Ivacaftor and Orkambi, it has been shown that CFTR function can be partially restored by administering one or more small molecules. These molecules aim at either enhancing the amount of CFTR on the cell surface (correctors) or at improving the gating function of the CFTR channel (potentiators). Here we describe the discovery of a novel potentiator GLPG1837, which shows enhanced efficacy on CFTR mutants harboring class III mutations compared to Ivacaftor, the first marketed potentiator. The optimization of potency, efficacy, and pharmacokinetic profile will be described.

MeSH terms

  • Aminophenols / pharmacokinetics
  • Animals
  • Chloride Channel Agonists / chemistry*
  • Chloride Channel Agonists / pharmacokinetics
  • Cystic Fibrosis / drug therapy*
  • Cystic Fibrosis Transmembrane Conductance Regulator / genetics
  • Drug Discovery*
  • Humans
  • Mutant Proteins / drug effects*
  • Mutation
  • Pyrazoles / chemistry
  • Pyrazoles / pharmacokinetics
  • Quinolones / pharmacokinetics
  • Rats
  • Structure-Activity Relationship

Substances

  • Aminophenols
  • CFTR protein, human
  • Chloride Channel Agonists
  • Mutant Proteins
  • Pyrazoles
  • Quinolones
  • pyrazole-5-carboxamide
  • Cystic Fibrosis Transmembrane Conductance Regulator
  • ivacaftor