Discovery of TD-8954, a clinical stage 5-HT(4) receptor agonist with gastrointestinal prokinetic properties

Bioorg Med Chem Lett. 2013 Jul 15;23(14):4210-5. doi: 10.1016/j.bmcl.2013.05.018. Epub 2013 May 16.

Abstract

The discovery of a series of 5-HT4 receptor agonists based on a novel 2-alkylbenzimidazole aromatic core is described. Optimization of the 2-substituent of the benzimidazole ring led to a series of agonists with subnanomolar binding affinity and moderate-to-high intrinsic activity relative to that of 5-HT. Consistent with our previously described multivalent design approach to this target, subsequent optimization of the linker and secondary binding group regions of the series afforded compound 18 (TD-8954), a potent and selective 5-HT4 receptor agonist in vitro with demonstrated prokinetic activity in multiple species.

MeSH terms

  • Animals
  • Benzimidazoles / chemical synthesis
  • Benzimidazoles / chemistry*
  • Benzimidazoles / pharmacokinetics
  • Crystallography, X-Ray
  • Dogs
  • Drug Evaluation, Preclinical
  • Guinea Pigs
  • Half-Life
  • Intestinal Mucosa / metabolism
  • Male
  • Molecular Conformation
  • Piperidines / chemical synthesis
  • Piperidines / chemistry*
  • Piperidines / pharmacokinetics
  • Protein Isoforms / antagonists & inhibitors
  • Protein Isoforms / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Serotonin, 5-HT4 / chemistry*
  • Receptors, Serotonin, 5-HT4 / metabolism
  • Serotonin 5-HT4 Receptor Agonists / chemical synthesis
  • Serotonin 5-HT4 Receptor Agonists / chemistry*
  • Serotonin 5-HT4 Receptor Agonists / pharmacokinetics

Substances

  • 4-((4-((2-isopropyl-1H-benzoimidazole-4-carbonyl)amino)methyl)piperidin-1-ylmethyl)piperidine-1-carboxylic acid methyl ester
  • Benzimidazoles
  • Piperidines
  • Protein Isoforms
  • Serotonin 5-HT4 Receptor Agonists
  • Receptors, Serotonin, 5-HT4
  • benzimidazole