1. Discovery of DS-1093a: An oral hypoxia-inducible factor prolyl hydroxylase inhibitor for the treatment of renal anemia.
- Author
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Tanaka N, Fukuda T, Takano R, Sasaki K, Tsuji T, Goto R, Kuribayashi T, Yamaguchi K, Niitsu Y, Ishii K, Hashimoto M, Takahashi S, and Obayashi H
- Subjects
- Animals, Rats, Humans, Administration, Oral, Structure-Activity Relationship, Renal Insufficiency, Chronic drug therapy, Drug Discovery, Molecular Structure, Pyrimidines chemistry, Pyrimidines pharmacology, Pyrimidines chemical synthesis, Dose-Response Relationship, Drug, Hypoxia-Inducible Factor-Proline Dioxygenases antagonists & inhibitors, Hypoxia-Inducible Factor-Proline Dioxygenases metabolism, Anemia drug therapy, Prolyl-Hydroxylase Inhibitors pharmacology, Prolyl-Hydroxylase Inhibitors chemistry
- Abstract
Inhibition of the hypoxia-inducible factor prolyl hydroxylase (HIF-PHD) represents a promising strategy for discovering next-generation treatments for renal anemia. We discovered DS44470011 in our previous study, which showed potent in vitro activity and in vivo efficacy based on HIF-PHD inhibition. However, DS44470011 was also found to exert genotoxic effects. By converting the biphenyl structure, which is suspected to be the cause of this genotoxicity, to a 1-phenylpiperidine structure, we were able to avoid genotoxicity and further improve the in vitro activity and in vivo efficacy. Furthermore, through the optimization of pyrimidine derivatives, we discovered DS-1093a, which has a wide safety margin with potent in vitro activity and an optimal pharmacokinetic profile. DS-1093a achieved an increase in hemoglobin levels in an adenine-induced rat model of chronic kidney disease after its continuous administration for 4 days., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)
- Published
- 2024
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