2020
DOI: 10.1021/acsmedchemlett.0c00335
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Driving Potency with Rotationally Stable Atropisomers: Discovery of Pyridopyrimidinedione-Carbazole Inhibitors of BTK

Abstract: Bruton's tyrosine kinase (BTK) has been shown to play a key role in the pathogenesis of autoimmunity. Therefore, the inhibition of the kinase activity of BTK with a small molecule inhibitor could offer a breakthrough in the clinical treatment of many autoimmune diseases. This Letter describes the discovery of BMS-986143 through systematic structure− activity relationship (SAR) development. This compound benefits from defined chirality derived from two rotationally stable atropisomeric axes, providing a potent … Show more

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Cited by 7 publications
(6 citation statements)
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“…However, problems were encountered in tolerability studies across multiple species [29a] . Further structural activity development incorporated consideration of atropisomerism and ultimately led to a single atropisomer candidate, with substantial improvement in tolerability and blood potency ( 9 ) [29b] …”
Section: Atropisomerism In Medicinal Chemistrymentioning
confidence: 99%
“…However, problems were encountered in tolerability studies across multiple species [29a] . Further structural activity development incorporated consideration of atropisomerism and ultimately led to a single atropisomer candidate, with substantial improvement in tolerability and blood potency ( 9 ) [29b] …”
Section: Atropisomerism In Medicinal Chemistrymentioning
confidence: 99%
“…BMS-986143 provided an ~11-fold enhancement of BTK inhibition (IC 50 = 0.26 vs. 3 nM), and a 6-fold increase in human whole blood potency (IC 50 = 90 vs. 550 nM) when compared to BMS-935177, as well as improved kinase selectivity. BMS-986143 exhibited dose-dependent inhibition of clinical disease progression in both CIA and CAIA models [ 97 ].…”
Section: Current Development Of Btk Inhibitors For the Treatment Of Autoimmune And Inflammatory Diseasesmentioning
confidence: 99%
“…Restricting the number of accessible conformations along the axes of atropisomerism holds the potential to enhance pharmacology, optimize pharmacokinetics, improve physicochemical properties, and enhance safety profiles and toxicology. [6][7][8][9] According to a qualitative, cross-disciplinary guide, 10 atropisomers are classified into three groups based on their axial (torsional) rotation energy barriers and racemic half-life (t 1/2 ) (Figure 1). Class 1 atropisomers have rotation barriers around the chiral axis below 20 kcal/mol and racemize within nanoseconds to seconds at physiological temperatures, showing no axial chirality.…”
Section: Introductionmentioning
confidence: 99%