4.5 Article

Discovery of VTP-27999, an Alkyl Amine Renin Inhibitor with Potential for Clinical Utility

Journal

ACS MEDICINAL CHEMISTRY LETTERS
Volume 2, Issue 10, Pages 747-751

Publisher

AMER CHEMICAL SOC
DOI: 10.1021/ml200137x

Keywords

Renin; aspartyl protease; hypertension; structure-based drug design

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Structure guided optimization of a series of nonpeptidic alkyl amine renin inhibitors allowed the rational incorporation of additional polar functionality. Replacement of the c-yclohexylmethyl group occupying the SI pocket with a (R)-(tetrahydropyran-3-yl)methyl group and utilization of a different attachment point led to the identification of clinical candidate 9. This compound demonstrated excellent selectivity over related and unrelated off-targets, >15% oral bioavailability in three species, oral efficacy in a double transgenic rat model of hypertension, and good exposure in humans.

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