Synthetic Studies to Help Elucidate the Metabolism of the Preclinical Candidate TBAJ-876—A Less Toxic and More Potent Analogue of Bedaquiline

Bedaquiline is a novel drug approved in 2012 by the FDA for treatment of drug-resistant tuberculosis (TB). Although it shows high efficacy towards drug-resistant forms of TB, its use has been limited by the potential for significant side effects. In particular, bedaquiline is a very lipophilic compo...

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Main Authors: Peter J. Choi, Daniel Conole, Hamish S. Sutherland, Adrian Blaser, Amy S.T. Tong, Christopher B. Cooper, Anna M. Upton, Brian D. Palmer, William A. Denny
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/25/6/1423
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author Peter J. Choi
Daniel Conole
Hamish S. Sutherland
Adrian Blaser
Amy S.T. Tong
Christopher B. Cooper
Anna M. Upton
Brian D. Palmer
William A. Denny
author_facet Peter J. Choi
Daniel Conole
Hamish S. Sutherland
Adrian Blaser
Amy S.T. Tong
Christopher B. Cooper
Anna M. Upton
Brian D. Palmer
William A. Denny
author_sort Peter J. Choi
collection DOAJ
description Bedaquiline is a novel drug approved in 2012 by the FDA for treatment of drug-resistant tuberculosis (TB). Although it shows high efficacy towards drug-resistant forms of TB, its use has been limited by the potential for significant side effects. In particular, bedaquiline is a very lipophilic compound with an associated long terminal half-life and shows potent inhibition of the cardiac potassium hERG channel, resulting in QTc interval prolongation in humans that may result in cardiac arrhythmia. To address these issues, we carried out a drug discovery programme to develop an improved second generation analogue of bedaquiline. From this medicinal chemistry program, a candidate (TBAJ-876) has been selected to undergo further preclinical evaluation. During this evaluation, three major metabolites arising from TBAJ-876 were observed in several preclinical animal models. We report here our synthetic efforts to unequivocally structurally characterize these three metabolites through their independent directed synthesis.
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spelling doaj.art-2c871cfcedf94323adc59bd51b4d499c2022-12-21T19:58:27ZengMDPI AGMolecules1420-30492020-03-01256142310.3390/molecules25061423molecules25061423Synthetic Studies to Help Elucidate the Metabolism of the Preclinical Candidate TBAJ-876—A Less Toxic and More Potent Analogue of BedaquilinePeter J. Choi0Daniel Conole1Hamish S. Sutherland2Adrian Blaser3Amy S.T. Tong4Christopher B. Cooper5Anna M. Upton6Brian D. Palmer7William A. Denny8Auckland Cancer Society Research Centre, School of Medical Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandAuckland Cancer Society Research Centre, School of Medical Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandAuckland Cancer Society Research Centre, School of Medical Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandAuckland Cancer Society Research Centre, School of Medical Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandAuckland Cancer Society Research Centre, School of Medical Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandGlobal Alliance for TB Drug Development, 40 Wall St, New York, NY 10005, USAGlobal Alliance for TB Drug Development, 40 Wall St, New York, NY 10005, USAAuckland Cancer Society Research Centre, School of Medical Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandAuckland Cancer Society Research Centre, School of Medical Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandBedaquiline is a novel drug approved in 2012 by the FDA for treatment of drug-resistant tuberculosis (TB). Although it shows high efficacy towards drug-resistant forms of TB, its use has been limited by the potential for significant side effects. In particular, bedaquiline is a very lipophilic compound with an associated long terminal half-life and shows potent inhibition of the cardiac potassium hERG channel, resulting in QTc interval prolongation in humans that may result in cardiac arrhythmia. To address these issues, we carried out a drug discovery programme to develop an improved second generation analogue of bedaquiline. From this medicinal chemistry program, a candidate (TBAJ-876) has been selected to undergo further preclinical evaluation. During this evaluation, three major metabolites arising from TBAJ-876 were observed in several preclinical animal models. We report here our synthetic efforts to unequivocally structurally characterize these three metabolites through their independent directed synthesis.https://www.mdpi.com/1420-3049/25/6/1423bedaquilinetmc207sirturobedaquiline analoguestbaj-876mycobacterium tuberculosistuberculosisdrug development
spellingShingle Peter J. Choi
Daniel Conole
Hamish S. Sutherland
Adrian Blaser
Amy S.T. Tong
Christopher B. Cooper
Anna M. Upton
Brian D. Palmer
William A. Denny
Synthetic Studies to Help Elucidate the Metabolism of the Preclinical Candidate TBAJ-876—A Less Toxic and More Potent Analogue of Bedaquiline
Molecules
bedaquiline
tmc207
sirturo
bedaquiline analogues
tbaj-876
mycobacterium tuberculosis
tuberculosis
drug development
title Synthetic Studies to Help Elucidate the Metabolism of the Preclinical Candidate TBAJ-876—A Less Toxic and More Potent Analogue of Bedaquiline
title_full Synthetic Studies to Help Elucidate the Metabolism of the Preclinical Candidate TBAJ-876—A Less Toxic and More Potent Analogue of Bedaquiline
title_fullStr Synthetic Studies to Help Elucidate the Metabolism of the Preclinical Candidate TBAJ-876—A Less Toxic and More Potent Analogue of Bedaquiline
title_full_unstemmed Synthetic Studies to Help Elucidate the Metabolism of the Preclinical Candidate TBAJ-876—A Less Toxic and More Potent Analogue of Bedaquiline
title_short Synthetic Studies to Help Elucidate the Metabolism of the Preclinical Candidate TBAJ-876—A Less Toxic and More Potent Analogue of Bedaquiline
title_sort synthetic studies to help elucidate the metabolism of the preclinical candidate tbaj 876 a less toxic and more potent analogue of bedaquiline
topic bedaquiline
tmc207
sirturo
bedaquiline analogues
tbaj-876
mycobacterium tuberculosis
tuberculosis
drug development
url https://www.mdpi.com/1420-3049/25/6/1423
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