Discovery of Potent Protease-Activated Receptor 4 Antagonists with in Vivo Antithrombotic Efficacy

J Med Chem. 2019 Aug 22;62(16):7400-7416. doi: 10.1021/acs.jmedchem.9b00186. Epub 2019 Aug 5.

Abstract

In an effort to identify novel antithrombotics, we have investigated protease-activated receptor 4 (PAR4) antagonism by developing and evaluating a tool compound, UDM-001651, in a monkey thrombosis model. Beginning with a high-throughput screening hit, we identified an imidazothiadiazole-based PAR4 antagonist chemotype. Detailed structure-activity relationship studies enabled optimization to a potent, selective, and orally bioavailable PAR4 antagonist, UDM-001651. UDM-001651 was evaluated in a monkey thrombosis model and shown to have robust antithrombotic efficacy and no prolongation of kidney bleeding time. This combination of excellent efficacy and safety margin strongly validates PAR4 antagonism as a promising antithrombotic mechanism.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Benzofurans / chemistry
  • Benzofurans / pharmacokinetics
  • Benzofurans / pharmacology*
  • Biological Availability
  • Disease Models, Animal
  • Fibrinolytic Agents / chemistry
  • Fibrinolytic Agents / pharmacokinetics
  • Fibrinolytic Agents / pharmacology*
  • HEK293 Cells
  • Hemorrhage / metabolism
  • Hemorrhage / prevention & control*
  • Humans
  • Macaca fascicularis
  • Models, Chemical
  • Molecular Structure
  • Platelet Aggregation / drug effects
  • Receptors, Thrombin / antagonists & inhibitors*
  • Receptors, Thrombin / genetics
  • Receptors, Thrombin / metabolism
  • Structure-Activity Relationship
  • Thrombosis / metabolism
  • Thrombosis / prevention & control*

Substances

  • Benzofurans
  • Fibrinolytic Agents
  • Receptors, Thrombin
  • protease-activated receptor 4