Spirocyclic
scaffolds are incorporated in various approved drugs
and drug candidates. The increasing interest in less planar bioactive
compounds has given rise to the development of synthetic methodologies
for the preparation of spirocyclic scaffolds. In this Perspective,
we summarize the diverse synthetic routes to obtain spirocyclic systems.
The impact of spirocycles on potency and selectivity, including the
aspect of stereochemistry, is discussed. Furthermore, we examine the
changes in physicochemical properties as well as in in vitro and in
vivo ADME using selected studies that compare spirocyclic compounds
to their nonspirocyclic counterparts. In conclusion, the value of
spirocyclic scaffolds in medicinal chemistry is discussed.