Discovery of potent and orally bioavailable indazole-based glucagon receptor antagonists for the treatment of type 2 diabetes

Bioorg Med Chem Lett. 2019 Oct 15;29(20):126668. doi: 10.1016/j.bmcl.2019.126668. Epub 2019 Sep 4.

Abstract

Type 2 diabetes mellitus (T2DM) is characterized by chronically elevated plasma glucose levels. The inhibition of glucagon-induced hepatic glucose output via antagonism of the glucagon receptor (GCGR) using a small-molecule antagonist is a promising mechanism for improving glycemic control in the diabetic state. The present work discloses the discovery of indazole-based β-alanine derivatives as potent GCGR antagonists through an efficient enantioselective synthesis and structure-activity relationship (SAR) exploration and optimization. Compounds within this class exhibited excellent pharmacokinetic properties in multiple preclinical species. In an acute dog glucagon challenge test, compound 13K significantly inhibited glucagon-mediated blood glucose increase when dosed orally at 10 mg/kg.

Keywords: Diabetes mellitus; Glucagon receptor antagonist; Indazole; Molecular modeling.

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Blood Glucose / drug effects
  • Carbohydrate Metabolism
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Dogs
  • Dose-Response Relationship, Drug
  • Drug Evaluation, Preclinical
  • Humans
  • Hypoglycemic Agents / chemical synthesis*
  • Hypoglycemic Agents / pharmacokinetics
  • Indazoles / chemistry*
  • Liver / metabolism
  • Mice
  • Models, Molecular
  • Molecular Structure
  • Protein Binding
  • Rats
  • Receptors, Glucagon / antagonists & inhibitors*
  • Structure-Activity Relationship
  • beta-Alanine / chemical synthesis*
  • beta-Alanine / pharmacokinetics

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Indazoles
  • Receptors, Glucagon
  • beta-Alanine