4区 · 医学
Article
作者: Tobin, Jenny  ; Perl, Nicholas R  ; Bernier, Sylvie G  ; Deming, Renee  ; Lee, Thomas W-H  ; Im, G-Yoon J  ; Renhowe, Paul A  ; Rennie, Glen R  ; Kim, Elise  ; Hudson, Colleen  ; Jia, Lei  ; Nakai, Takashi  ; Jung, Joon  ; Carvalho, Andrew  ; Iyengar, Rajesh R  ; Zimmer, Daniel P  ; Mermerian, Ara  ; Germano, Peter  ; Moore, Joel  ; Barden, Timothy C 
Soluble guanylate cyclase (sGC) is a clinically validated therapeutic target in the treatment of pulmonary hypertension. Modulators of sGC have the potential to treat diseases that are affected by dysregulation of the NO-sGC-cGMP signal transduction pathway. This letter describes the SAR efforts that led to the discovery of CYR715, a novel carboxylic acid-containing sGC stimulator, with an improved metabolic profile relative to our previously described stimulator, IWP-051. CYR715 addressed potential idiosyncratic drug toxicity (IDT) liabilities associated with the formation of reactive, migrating acyl glucuronides (AG) found in related carboxylic acid-containing analogs and demonstrated high oral bioavailability in rat and dose-dependent hemodynamic pharmacology in normotensive Sprague-Dawley rats.