Discovery of AZD8154, a Dual PI3Kγδ Inhibitor for the Treatment of Asthma

J Med Chem. 2021 Jun 24;64(12):8053-8075. doi: 10.1021/acs.jmedchem.1c00434. Epub 2021 Jun 3.

Abstract

Starting from our previously described PI3Kγ inhibitors, we describe the exploration of structure-activity relationships that led to the discovery of highly potent dual PI3Kγδ inhibitors. We explored changes in two positions of the molecules, including macrocyclization, but ultimately identified a simpler series with the desired potency profile that had suitable physicochemical properties for inhalation. We were able to demonstrate efficacy in a rat ovalbumin challenge model of allergic asthma and in cells derived from asthmatic patients. The optimized compound, AZD8154, has a long duration of action in the lung and low systemic exposure coupled with high selectivity against off-targets.

MeSH terms

  • Animals
  • Asthma / chemically induced
  • Asthma / drug therapy*
  • Class I Phosphatidylinositol 3-Kinases / metabolism
  • Class Ib Phosphatidylinositol 3-Kinase / metabolism*
  • Crystallography, X-Ray
  • Humans
  • Leukocytes, Mononuclear / drug effects
  • Male
  • Molecular Structure
  • Ovalbumin
  • Phosphatidylinositol 3-Kinases / metabolism
  • Protein Binding
  • Protein Kinase Inhibitors / chemical synthesis
  • Protein Kinase Inhibitors / metabolism
  • Protein Kinase Inhibitors / pharmacokinetics
  • Protein Kinase Inhibitors / therapeutic use*
  • Rats
  • Rats, Inbred BN
  • Structure-Activity Relationship
  • Sulfonamides / chemical synthesis
  • Sulfonamides / metabolism
  • Sulfonamides / pharmacokinetics
  • Sulfonamides / therapeutic use*
  • Thiazoles / chemical synthesis
  • Thiazoles / metabolism
  • Thiazoles / pharmacokinetics
  • Thiazoles / therapeutic use*

Substances

  • Protein Kinase Inhibitors
  • Sulfonamides
  • Thiazoles
  • Ovalbumin
  • Class I Phosphatidylinositol 3-Kinases
  • Class Ib Phosphatidylinositol 3-Kinase
  • PIK3CD protein, human
  • PIK3CG protein, human
  • Pik3cd protein, rat