Discovery of 3-Methyl-N-(1-oxy-3‘,4‘,5‘,6‘-tetrahydro-2‘H-[2,4‘-bipyridine]-1‘-ylmethyl)benzamide (ABT-670), an Orally Bioavailable Dopamine D4 Agonist for the Treatment of Erectile DysfunctionClick to copy article linkArticle link copied!
- Meena V. Patel
- Teodozyj Kolasa
- Kathleen Mortell
- Mark A. Matulenko
- Ahmed A. Hakeem
- Jeffrey J. Rohde
- Sherry L. Nelson
- Marlon D. Cowart
- Masaki Nakane
- Loan N. Miller
- Marie E. Uchic
- Marc A. Terranova
- Odile F. El-Kouhen
- Diana L. Donnelly-Roberts
- Marian T. Namovic
- Peter R. Hollingsworth
- Renjie Chang
- Brenda R. Martino
- Jill M. Wetter
- Kennan C. Marsh
- Ruth Martin
- John F. Darbyshire
- Gary Gintant
- Gin C. Hsieh
- Robert B. Moreland
- James P. Sullivan
- Jorge D. Brioni
- Andrew O. Stewart
Abstract

The goal of this study was to identify a structurally distinct D4-selective agonist with superior oral bioavailability to our first-generation clinical candidate 1a (ABT-724) for the potential treatment of erectile dysfunction. Arylpiperazines such as (heteroarylmethyl)piperazine 1a, benzamide 2, and acetamides such as 3a,b exhibit poor oral bioavailability. Structure−activity relationship (SAR) studies with the arylpiperidine template provided potent partial agonists such as 4d and 5k that demonstrated no improvement in oral bioavailability. Further optimization with the (N-oxy-2-pyridinyl)piperidine template led to the discovery of compound 6b (ABT-670), which exhibited excellent oral bioavailability in rat, dog, and monkey (68%, 85%, and 91%, respectively) with comparable efficacy, safety, and tolerability to 1a. The N-oxy-2-pyridinyl moiety not only provided the structural motif required for agonist function but also reduced metabolism rates. The SAR study leading to the discovery of 6b is described herein.
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