Optimization of 1,3,4-Benzotriazepine-Based CCK2 Antagonists to Obtain Potent, Orally Active Inhibitors of Gastrin-Mediated Gastric Acid Secretion
文摘
Starting from a novel, achiral 1,3,4-benzotriazepine-based CCK2 receptor antagonist, a process of optimizationhas afforded further compounds of this type that maintain the nanomolar affinity for recombinant, humanCCK2 receptors and high selectivity over CCK1 receptors observed in the initial lead but display morepotent inhibition of pentagastrin-stimulated gastric acid secretion in vivo. Moreover, this has largely beenachieved without altering their potency at wild-type canine and rat receptors, as judged by their displacementof [125I]-BH-CCK-8S in a radioligand binding assay and by their activity in an isolated, perfused rat stomachbioassay, respectively. 2-(5-Cyclohexyl-1-(2-cyclopentyl-2-oxo-ethyl)-2-oxo-1,2-dihydro-3H-1,3,4-benzotriazepin-3-yl)-N-(3-(5-oxo-2,5-dihydro- [1,2,4]oxadiazol-3-yl)-phenyl)-acetamide (47) was identified as themost effective compound stemming from this approach, proving to be a potent inhibitor of pentagastrin-stimulated gastric acid secretion in rats and dogs by intravenous bolus as well as by enteral administration.