Structure-activity studies on benzhydrol-containing nipecotic acid and guvacine derivatives as potent, orally-active inhibitors of GABA uptake

J Med Chem. 1992 Oct 30;35(22):4238-48. doi: 10.1021/jm00100a032.

Abstract

The introduction of lipophilic groups onto the ring nitrogen of nipecotic acid and guvacine, two known GABA uptake inhibitors, afforded potent, orally-active anticonvulsant drugs. A series of compounds is reported which explores the structure-activity relationships (SAR) in this series. Among the areas explored: side-chain SAR (aromatic-, heterocyclic-, and tricyclic-containing side chains) and modifications to the tetrahydropyridine ring. The benzhydrol ether-containing side chains afforded the most potent compounds with several exhibiting in vitro IC50 values for GABA uptake of < 1 microM (including 5, Table I; 37, 43, Table IV; and 44, Table V). Compound 44 was selected for extensive evaluation and subsequently progressed to Phase 1 clinical trials with severe adverse effects seen after single dose administration to humans.

MeSH terms

  • Administration, Oral
  • Animals
  • Anticonvulsants / chemical synthesis*
  • Anticonvulsants / pharmacology
  • Benzhydryl Compounds / chemical synthesis
  • Benzhydryl Compounds / pharmacology
  • Blood-Brain Barrier
  • Humans
  • In Vitro Techniques
  • Mice
  • Neurotransmitter Uptake Inhibitors / chemical synthesis*
  • Neurotransmitter Uptake Inhibitors / pharmacology
  • Nicotinic Acids / chemical synthesis*
  • Nicotinic Acids / pharmacology
  • Nipecotic Acids / chemical synthesis*
  • Nipecotic Acids / pharmacology
  • Proline* / analogs & derivatives*
  • Rats
  • Structure-Activity Relationship
  • gamma-Aminobutyric Acid / metabolism*

Substances

  • Anticonvulsants
  • Benzhydryl Compounds
  • Neurotransmitter Uptake Inhibitors
  • Nicotinic Acids
  • Nipecotic Acids
  • nipecotic acid
  • guvacine
  • gamma-Aminobutyric Acid
  • Proline
  • homoproline