1. Identification of a dual δ OR antagonist/μ OR agonist as a potential therapeutic for diarrhea-predominant Irritable Bowel Syndrome (IBS-d)
- Author
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Chaozhong Cai, Alexey B. Dyatkin, Paul R. Wade, Kavash Robert W, Sui-Po Zhang, Henry J. Breslin, Craig J. Diamond, Wei He, Tamara A. Miskowski, and Pamela J. Hornby
- Subjects
Diarrhea ,Agonist ,Stereochemistry ,medicine.drug_class ,Clinical Biochemistry ,Receptors, Opioid, mu ,Pharmaceutical Science ,Pharmacology ,Biochemistry ,Irritable Bowel Syndrome ,Structure-Activity Relationship ,Clinical Trials, Phase II as Topic ,Opioid receptor ,Receptors, Opioid, delta ,Drug Discovery ,medicine ,Humans ,Structure–activity relationship ,Receptor ,Molecular Biology ,Irritable bowel syndrome ,Molecular Structure ,Chemistry ,Organic Chemistry ,Antagonist ,medicine.disease ,Opioid ,Molecular Medicine ,medicine.symptom ,medicine.drug - Abstract
A small set of acyclic analogs 5 were prepared to explore their structure-activity relationships (SARs) relative to heterocyclic core, opioid receptor (OR) agonists 4. Compound 5l was found to have very favorable OR binding affinities at the δ and μ ORs (r K(i) δ=1.3 nM; r K(i) μ=0.9 nM; h K(i) μ=1.7 nM), with less affinity for the κ OR (gp K(i) κ=55 nM). The OR functional profile for 5l varied from the previously described dual δ/μ OR agonists 4, with 5l being a potent, mixed dual δ OR antagonist/μ OR agonist [δ IC(50)=89 nM (HVD); μ EC(50)=1 nM (GPI); κ EC(50)=1.6 μM (GPC)]. Compound 5l has progressed through a clinical Phase II Proof of Concept study on 800 patients suffering from diarrhea-predominant Irritable Bowel Syndrome (IBS-d). This Phase II study was recently completed successfully, with 5l demonstrating statistically significant efficacy over placebo.
- Published
- 2012
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