Potent, Orally Bioavailable Calcitonin Gene-Related Peptide Receptor Antagonists for the Treatment of Migraine: Discovery of N-[(3R,6S)-6-(2,3-Difluorophenyl)-2-oxo-1- (2,2,2-trif
文摘
Calcitonin gene-related peptide (CGRP) has been implicatedin the pathogenesis of migraine. Herein we describe optimization ofCGRP receptor antagonists based on an earlier lead structure containinga (3R)-amino-(6S)-phenylcaprolactam core. Replacement of the phenylimidazolinone with an azabenzimidazolone gave stable derivatives withlowered serum shifts. Extensive SAR studies of the C-6 aryl moietyrevealed the potency-enhancing effect of the 2,3-difluorophenyl group,and trifluoroethylation of the N-1 amide position resulted in improvedoral bioavailabilities, ultimately leading to clinical candidate 38 (MK-0974).