GSK3527497,
a preclinical candidate for the inhibition of TRPV4,
was identified starting from the previously reported pyrrolidine sulfonamide
TRPV4 inhibitors 1 and 2. Optimization of
projected human dose was accomplished by specifically focusing on
in vivo pharmacokinetic parameters CLu, Vdssu, and MRT. We highlight the use of conformational changes as a novel
approach to modulate Vdssu and present results that suggest
that molecular-shape-dependent binding to tissue components governs
Vdssu in addition to bulk physicochemical properties. Optimization
of CLu within the series was guided by in vitro metabolite
identification, and the poor FaSSIF solubility imparted by the crystalline
properties of the pyrrolidine diol scaffold was improved by the introduction
of a charged moiety to enable excellent exposure from high crystalline
doses. GSK3527497 is a preclinical candidate suitable for oral and
iv administration that is projected to inhibit TRPV4 effectively in
patients from a low daily clinical dose.