1
Marcinkowska, M., 1 Kamiński, K., 1 Bucki, A., 1 Pawłowski, M., 1 Wesołowska, A., 1 Kazek, G., 1 Siwek, A., 1 Kubowicz, P., 1 Pękala, E., 1 Mierzejewski, P., 2 Bieńkowski, P. 2 and Kołaczkowski, M., 1,3 Synthesis and biological evaluation of fluorinated imidazo[1,2-a]pyridine derivatives as potential antipsychotic agents 1 Jagiellonian University, Medical College, Cracow, Poland; 2 Institute of Psychiatry and Neurology, Warsaw, Poland. 3 Adamed Ltd., Pieńków, Poland [email protected] , [email protected] Studies were financed by National Science Center Poland (NCN), project nr: 5887/B/P01/2011/40; Evaluation of antipsychotic properties of GABA-A receptor ligands; discovery of novel selective GABA-A receptor ligands with antipsychotic properties’ References Introduction Zolpidem-liver metabolism Design of fluorinated Zolpidem analogues Currently available antipsychotics: 1. Typical antipsychotics (dopamine D2 receptor antagonists)- I generation 2. Atypical antipsychotics (act via wide range of receptors including serotonin 5-HT 2A receptors or D2 receptors)- II generation They all cause many SIDE EFFECTS 30-40% patients develop DRUG RESISTANCE GABAergic drugs in psychotic disorders Zolpidem as potential antipsychotic In vitro affinity of novel molecules Summary [1] Paton, C. et al., J Clin Psychopharm, 2007,27,198-204 [2] Wong, M. Y. G., Bastiampillai, T., Dhillon, R., Aust N Z J Psychiatry 2010, 44, 190-195 [3] Mierzejewski, P. Neurosci Lett. 2013, 556, 99-103 [4] Dang, A., Garg, A. & Rataboli, P. V. Cns Neurosci. Ther. 2011, 17, 387–397 [5] Shimizu, H. et al Bioorg. Med. Chem. Lett. 2011, 21, 4550-4555 There is a need to search for a new antipsychotic drugs with a different mechanism of action 1 Approximately 50% patients treated with GABAergic drugs experienced a significant improvement 2 Recently, our research group has confirmed specific antipsychotic properties of zolpidem , while testing different GABAergic drugs in animal model of psychosis 3 GABAergic drug Amfetamine induced hyperlocomotion MK-801 induced hyperlocomotion Diazepam n.a. n.a. Midazolam n.a. n.a. Alprazolam n.a. n.a. ZOLPIDEM 0.3 mg/kg 0.3 mg/kg Zopiklon n.a. n.a. Estazolam n.a. n.a. Only Zolpidem showed antipsychotic effect (0.3mg/kg) No sedative effect observed Different mechanism of action comparing to currently available antipsychotics; Zolpidem is a GABA-A receptor positive allosteric modulator Desired Fast liver metabolism Short t 0,5 = 2-3h Weak points Liver metabolism need to be improved Fast elimination and half time of about 2-3h 4 Blocking metabolic hotspots Incorporation of fluorine 5 : - provides analogs with increased metabolic stability due to strength of C-F bond - reduction of cytochrome P450 oxidative metabolism New series of fluorinated imidazo[1,2- a]pyridine derivatives In vitro GABA-A receptor benzodiazepine site affinity data In vitro biotransformation study of the most active compounds human liver microsomes human liver microsomes No metabolites No metabolites MK01 and JW16- metabolically stable fluorinated analogues MK1 JW16 Compound MM-79 displayed higher affinity for GABA-A receptors than zolpidem and compounds MK-1 and JW-16 showed comparable activity to the parent compound. Compound Ki (nM) MM79 24,6 Zolpidem 43,8 MK1 45,6 JW16 47,5 MK3 85,6 MM110 98 MM124 127 MM96 143,2 MM042 177 MM123 487 MM111 827 MK10 n.a. MK4 n.a. MM113 n.a. MM119 n.a. MK7 n.a. MK5 n.a. MM114 n.a. Zolpidem (reference) MM79 human liver microsomes human liver microsomes After 60 min hydroxylation occurred- MM-79 is not stable (GABA-A) K i = 45,6 [nM] (GABA-A) K i = 47,5 [nM] We obtain - metabolically stable fluorinated analogues of Zolpidem with comparable affinity to parent compound Zolpidem (GABA-A) K i =43,8 [nM] MK-1 JW-16 Metabolically unstable Metabolically stable

Synthesis and biological evaluation of fluorinated imidazo[1,2-a]pyridine derivatives as potential antipsychotic agents

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Currently available antipsychotics act primarily via antagonism of dopamine D2 receptors (typical antipsychotics) or via wider range of targets including mainly dopamine and serotonin receptors (atypical antipsychotics) [1]. However, those drugs have only limited efficacy and a long-term treatment may cause various undesirable side effects such as: extrapyramidal symptoms or hormonal and metabolic disorders [2]. Therefore, there is a need to search for new anti-psychotic drugs utilizing different mechanisms of action that could account for better efficacy and spare some of the troublesome side effects. Recently, our research group has confirmed specific antipsychotic properties of selective GABA-A modulator-zolpidem in animal models, indicating its novel application in the treatment of psychotic disorders [3]. However, zolpidem was introduced on the market as a fast and short-acting non-benzodiazepine hypnotic drug, due to its fast elimination and half time of about 2h [4]. In view of this fact, it can be concluded that short half time of zolpidem may not be suitable for an effective pharmacotheraphy of psychosis. With the aim of adjusting pharmacokinetic profile of zolpidem for the treatment of psychosis and maintaining the pharmacophoric features responsible for biological activity, we decided to introduce fluorine atoms or fluorinated groups to metabolically labile sites of parent compound and evaluate its influence on metabolic stability and affinity to GABA-A receptors. A series of fluorinated zolpidem analogues was synthesized and characterized for affinity towards GABA-A receptors. Two molecules displayed higher affinity for GABA-A receptors than zolpidem and four compounds showed comparable activity to the parent compound. In vitro biotransformation study revealed that replacement of both methyl groups with fluorine inhibited effectively phase I metabolism. Similar effect was observed for 4-(fluorophenyl)-6-methylimidazo[1,2-a]pyridine derivative. On the other hand, substitution of single methyl group with fluorine in the para position of phenyl ring was not sufficiently effective. Our research showed that replacement of methyl groups with fluorine improved affinity to GABA-A receptors and resulted in increased metabolic stability. The most interesting molecules were selected for evaluation in animal model of psychosis. [1]. Casey, D. et al J Clin Psych, 1997, 58, 55-62. [2]. Macdonald, A.J. et al., Age Ageing. 2002, 31, 58-64. [3]. Mierzejewski, P. et al Neurosci Lett 2013, 556, 99-103. [4]. von Moltke, L. et al Br J Clin Pharmacol 1999, 43, 89-97.

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Page 1: Synthesis and biological evaluation of fluorinated imidazo[1,2-a]pyridine derivatives as potential antipsychotic agents

Marcinkowska, M.,1 Kamiński, K.,1 Bucki, A.,1 Pawłowski, M.,1 Wesołowska, A.,1 Kazek, G.,1 Siwek, A.,1 Kubowicz, P.,1 Pękala, E.,1 Mierzejewski, P.,2 Bieńkowski, P.2 and Kołaczkowski, M.,1,3

Synthesis and biological evaluation of fluorinated imidazo[1,2-a]pyridine derivatives as potential antipsychotic agents

1Jagiellonian University, Medical College, Cracow, Poland; 2Institute of Psychiatry and Neurology, Warsaw, Poland. 3Adamed Ltd., Pieńków, Poland [email protected], [email protected]

Studies were financed by National Science Center Poland (NCN), project nr: 5887/B/P01/2011/40; ‘Evaluation of antipsychotic properties of GABA-A receptor ligands; discovery of novel selective GABA-A receptor ligands with antipsychotic properties’

References

Introduction Zolpidem-liver metabolism

Design of fluorinated Zolpidem analogues

Currently available antipsychotics:

•  1. Typical antipsychotics (dopamine D2 receptor antagonists)- I generation

•  2. Atypical antipsychotics (act via wide range of receptors including serotonin 5-HT2Areceptors or D2 receptors)- II generation

•  They all cause many SIDE EFFECTS •  30-40% patients develop DRUG RESISTANCE

GABAergic drugs in psychotic disorders

Zolpidem as potential antipsychotic

In vitro affinity of novel molecules  

Summary  

[1] Paton, C. et al., J Clin Psychopharm, 2007,27,198-204 [2] Wong, M. Y. G., Bastiampillai, T., Dhillon, R., Aust N Z J Psychiatry 2010, 44, 190-195 [3] Mierzejewski, P. Neurosci Lett. 2013, 556, 99-103 [4] Dang, A., Garg, A. & Rataboli, P. V. Cns Neurosci. Ther. 2011, 17, 387–397 [5] Shimizu, H. et al Bioorg. Med. Chem. Lett. 2011, 21, 4550-4555

 There is a need to search for a new antipsychotic drugs with a different mechanism of

action1

•  Approximately 50% patients treated with

GABAergic drugs experienced a significant improvement2

•  Recently, our research group has confirmed

specific antipsychotic properties of zolpidem, while testing different GABAergic drugs in animal model of psychosis3

GABAergic drug Amfetamine induced

hyperlocomotion

MK-801 induced hyperlocomotion

Diazepam   n.a.   n.a.  Midazolam   n.a.   n.a.  Alprazolam   n.a.   n.a.  ZOLPIDEM   0.3  mg/kg   0.3  mg/kg  Zopiklon   n.a.   n.a.  Estazolam   n.a.   n.a.  

•  Only Zolpidem showed antipsychotic effect (0.3mg/kg)

•  No sedative effect observed

q Dif ferent mechanism of act ion

comparing to currently available antipsychotics;

q  Zolpidem is a GABA-A receptor positive allosteric modulator

 

   Desired

q  Fast liver metabolism q  Short t0,5= 2-3h

Weak points

Liver metabolism need to be improved

Fast elimination and half time of about 2-3h4

 

Blocking metabolic hotspots

Incorporation of fluorine5: -  provides analogs with increased metabolic stability due to

strength of C-F bond -  reduction of cytochrome P450 oxidative metabolism

New series of fluorinated imidazo[1,2-a]pyridine derivatives

In vitro GABA-A receptor benzodiazepine site affinity data

In vitro biotransformation study of the most active compounds

N

N

N

O

F

F

N

N

N

O

F

MK01

JW16

human liver microsomes

human liver microsomes

No metabolites

No metabolites

MK01 and JW16- metabolically stable fluorinated analogues

MK-­‐1  

JW-­‐16  

Compound MM-79 displayed higher affinity for GABA-A receptors than zolpidem and compounds MK-1 and JW-16 showed comparable activity

to the parent compound.

Compound   Ki  (nM)    MM-­‐79     24,6  Zolpidem     43,8  MK-­‐1     45,6  JW-­‐16   47,5  MK-­‐3   85,6  

MM-­‐110     98  MM-­‐124     127  MM-­‐96     143,2  MM-­‐042     177  MM-­‐123     487  MM-­‐111     827  MK-­‐10     n.a.  MK-­‐4   n.a.  

MM-­‐113   n.a.  MM-­‐119   n.a.  MK-­‐7   n.a.  MK-­‐5   n.a.  

MM-­‐114   n.a.  

Zolpidem  (reference)  

MM-­‐79    

N

N

N

O

F

F

N

N

N

O

F

MK01

JW16

human liver microsomes

human liver microsomes

After 60 min hydroxylation occurred- MM-79 is not stable

(GABA-A) Ki= 45,6 [nM]

(GABA-A) Ki= 47,5 [nM]

We obtain - metabolically stable fluorinated analogues of Zolpidem with comparable affinity to parent compound

Zolpidem

(GABA-A) Ki=43,8 [nM]

MK-1

JW-16

Metabolically unstable

Metabolically stable