A novel orally bioavailable renin inhibitor, DS-8108b (
5), showing potent renin inhibitory activity and excellent in vivo efficacy is described. We report herein the synthesis and pharmacological effects of
5 including renin inhibitory activity in vitro, suppressive effects of ex vivo plasma renin activity (PRA) in cynomolgus monkey, pharmacokinetic data, and blood pressure-lowering effects in an animal model. Compound
5 demonstrated inhibitory activities toward human renin (IC
50 = 0.9 nM) and human and monkey PRA (IC
50 = 1.9 and 6.3 nM, respectively). Oral administration of single doses of 3 and 10 mg/kg of
5 in cynomolgus monkey on pretreatment with furosemide led to dose-dependent significant reductions in ex vivo PRA and sustained lowering of mean arterial blood pressure for more than 12 h.
Keywords:
renin inhibitor; hypertension; plasma renin activity; 4-aminoadamantan-1-ol