We describe herein the design, syntheses and structure-activity relationships (SAR) of novel zwitterionic compounds as non-thiazolidinedion (TZD) based peroxisome proliferator activated receptor (PPAR) α/γ dual agonists. In the previous report, we obtained compound 1 showing potent PPARα/γ dual agonistic activities, together with a great glucose lowering effect in the db/db mice. However, this compound possessed fatal issues such as potent cytochrome P450 (CYP)3A4 direct inhibitory activity. Thus, we carried out the medicinal optimization to improve these while maintaining the potent PPAR agonistic activity. As a result, the issues were addressed by changing the furan ring to a low lipophilic 1,3,4-oxadiazole ring. Additionally, these oxadiazole derivatives exhibited a significant decrease in plasma glucose and plasma triglyceride levels without marked weight gain.Key words peroxisome proliferator activated receptor; cytochrome P450; drug-drug interactionThe number of people living with diabetes is growing rapidly worldwide. While the number of individuals with diabetes was 151 million in 2002, this number is 366 million at present and is estimated to be 552 million by 2030.1) Of these cases, type 2 diabetes is the majority in both developing and developed countries, whose populations currently account for >90% of all diabetes worldwide.2) In the type 2 diabetic people who show it, insulin resistence poses a cardiovascular risk factor including dyslipidemia, coagulopathy, hypertension and obesity.3) Many drug targets have been investigated to treat type 2 diabetes such as peroxisome proliferator-activated receptor (PPAR), dipeptidyl peptidase IV (DPP-4), glucagonlike peptides-1 (GLP-1), etc. Among these, PPAR is noted as a worthy target to improve metabolic syndrome. PPARs consist of three isoforms, i.e. PPARα, PPARγ and PPARδ, which are members of the superfamily of nuclear transcription factors that include the receptors for steroid, retinoid and thyroid hormones. Activation of PPARγ leads to mitigated insulin resistance by promoting hypertrophied adipocyte differentiation and improving the balance of physiological active substances. 4,5) However their activation has been plagued by adverse effects including weight gain, fluid retention and edema.6) On the other hand, PPARα activation has been identified to mediate the lipid-lowering activity in the study with the fibrate class of hypolipidemic drugs. Furthermore, some PPARα agonists have been reported to reduce weight gain in rodents without an effect on food intake. 7,8) Therefore, PPARα/γ dual agonists are expected to improve blood glucose levels and lipid parameters, together with lowering side effects, i.e. weight gain, caused by PPARγ activation.In the previous report, 9) we obtained zwitterionic compounds showing the PPARα/γ dual agonistic activities. Especially, compound 1 provided highly potent dual activities (α: EC 50 =1.7 nM, γ: EC 50 =4.7 nM, shown in Fig. 1), accompanied by a great glucose lowering effect in the db/db mice. Moreover, it remedied ...