Potent, orally bioavailable calcitonin gene-related peptide receptor antagonists for the treatment of migraine: discovery of N-[(3R,6S)-6-(2,3-difluorophenyl)-2-oxo-1- (2,2,2-trifluoroethyl)azepan-3-yl]-4- (2-oxo-2,3-dihydro-1H-imidazo[4,5-b]pyridin- 1-yl)piperidine-1-carboxamide (MK-0974)

J Med Chem. 2007 Nov 15;50(23):5564-7. doi: 10.1021/jm070668p. Epub 2007 Oct 11.

Abstract

Calcitonin gene-related peptide (CGRP) has been implicated in the pathogenesis of migraine. Herein we describe optimization of CGRP receptor antagonists based on an earlier lead structure containing a (3R)-amino-(6S)-phenylcaprolactam core. Replacement of the phenylimidazolinone with an azabenzimidazolone gave stable derivatives with lowered serum shifts. Extensive SAR studies of the C-6 aryl moiety revealed the potency-enhancing effect of the 2,3-difluorophenyl group, and trifluoroethylation of the N-1 amide position resulted in improved oral bioavailabilities, ultimately leading to clinical candidate 38 (MK-0974).

MeSH terms

  • Administration, Oral
  • Animals
  • Azepines / chemical synthesis*
  • Azepines / pharmacokinetics
  • Azepines / pharmacology
  • Biological Availability
  • Caco-2 Cells
  • Calcitonin Gene-Related Peptide Receptor Antagonists*
  • Cell Membrane Permeability
  • Dogs
  • Humans
  • Imidazoles / chemical synthesis*
  • Imidazoles / pharmacokinetics
  • Imidazoles / pharmacology
  • Macaca mulatta
  • Migraine Disorders / drug therapy*
  • Rats
  • Regional Blood Flow / drug effects
  • Skin / blood supply
  • Stereoisomerism
  • Structure-Activity Relationship

Substances

  • Azepines
  • Calcitonin Gene-Related Peptide Receptor Antagonists
  • Imidazoles
  • telcagepant