Discovery of AMG 232, a Potent, Selective, and Orally Bioavailable MDM2鈥損53 Inhibitor in Clinical Development
文摘
We recently reported the discovery of AM-8553 (<b>1b>), a potent and selective piperidinone inhibitor of the MDM2鈥損53 interaction. Continued research investigation of the N-alkyl substituent of this series, focused in particular on a previously underutilized interaction in a shallow cleft on the MDM2 surface, led to the discovery of a one-carbon tethered sulfone which gave rise to substantial improvements in biochemical and cellular potency. Further investigation produced AMG 232 (<b>2b>), which is currently being evaluated in human clinical trials for the treatment of cancer. Compound <b>2b> is an extremely potent MDM2 inhibitor (SPR Kb>Db> = 0.045 nM, SJSA-1 EdU ICb>50b> = 9.1 nM), with remarkable pharmacokinetic properties and in vivo antitumor activity in the SJSA-1 osteosarcoma xenograft model (EDb>50b> = 9.1 mg/kg).