文摘
To resolve the metabolite redox cycling associated with our earlier clinical compound <b>2b>, we carried out lead optimization of lead molecule <b>1b>. Compound <b>4b> showed improved lipophilic ligand efficiency and demonstrated robust glucose lowering in diet-induced obese mice without a liability in predictive preclinical drug safety studies. Thus, it was selected as a clinical candidate and further studied in type 2 diabetic patients. Clinical data suggests no evidence of metabolite cycling, which is consistent with the preclinical profiling of metabolism.<br>
Keywords:
Glucokinase activator; type 2 diabetes; lipophilic ligand efficiency; metabolite; redox cycling