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partment, the pharmacokineticprofile of these agents would also feature a low volume ofdistributionand low systemicclearance.According to several years of research and development, wehave identified the potent, extremely selective and direct FXainhibitor, apixaban. Letrozole Apixaban isone from the most promising specific, single-target oralanticoagulants in late clinical development. In clinical trials,apixaban has been shown to provide predictable andconsistent anticoagulation, accompanied by promisingefficacy and safety profiles in the prevention and treatmentof numerous thromboembolic diseases. The pharmacologicaland clinical profiles of apixaban suggest that ithas the possible to address several from the limitations ofwarfarin therapy, at present the standard of care in chronicoral anticoagulation.
Letrozole In this assessment, we summarize thechemistry and pre-clinical profile of apixaban.ChemistryApixaban is really a small-molecule, selective FXa inhibitor. It ischemically described as 1--7-oxo-6--4,5,6,7-tetrahydro-1H-pyrazolopyridine-3-carboxamide. The molecular formulafor apixaban is C25H25N5O4, which corresponds to amolecular weight of 459.5.Discovery of apixabanIn the early 1990s, DuPont scientists invested a greatamount of effort in the development of inhibitors of glycoproteinIIb/IIIa. These efforts resulted in a number of compoundsthat were advanced to clinical trials as potentialanti-platelet agents. By the mid-1990s, scientists at DuPonthad recognized similarities among the platelet glycoproteinGPIIb/IIIa peptide sequence Arg-Gly-Aspandthe prothrombin substrate FXa sequence, Glu-Gly-Arg.
Consequently, a high-throughput mapk inhibitor lead evaluationprogram was initiated to screen the IIb/IIIa library for FXainhibitory activity. This effort resulted in the identificationof a smaller number of isoxazoline derivatives for instance 1. Utilizing molecular modelingand structure-based design, an optimization strategyresulted in the identification of a benzamidine containingFXa inhibitor 2with enhanced potencyand potent antithrombotic activity in anexperimental model of thrombosis. Aside from thekey amidine P1 and the enzyme Asp189 interaction, thebiarylsulfonamide P4 moiety was developed to neatly stackin the S4 hydrophobic box of FXa, which contains theresidues Tyr99, Phe174 and Trp215, using the terminalO-phenylsulfonamide ring producing an edge-to-face interactionwith Trp215.
Subsequent re-optimizations led tovicinally substituted isoxazole analogs for instance compound3, which retained anti-FXa potencyand a pyrazole analog 4, which demonstrated13 pM binding affinity against FXa and fantastic antithromboticactivity inside a rabbit model of thrombosis. Thediscovery of SN429 was tremendously critical NSCLC in that mapk inhibitor itset the stage for an optimization strategy that led to thediscovery of a number of critical compounds, for instance 5, a phase I clinical candidate having a long terminalhalf-life of around 30 h in humans, and 6, a compound that was advanced to aphase II proof-of-principle clinical trial. Actually, razaxabanwas the very first smaller molecule FXa inhibitor to provideclinical validation from the effectiveness of FXa inhibitionstrategies.Development of razaxaban was promptly followed by theidentification of a novel bicyclic tetrahydropyrazolo-pyridinoneanalog 7.
The evolution from the bicyclic pyrazole template allowed forthe incorporation of a diverse set of P1 groups, the mostimportant of which was the p-methoxyphenyl analog 8. Compound 8 retained Letrozole potent FXaaffinity and fantastic anticoagulant activity in vitro, was efficaciousin in vivo rabbit antithrombotic models andshowed high oral bioavailability in dogs. A significantbreakthrough was subsequently achieved, via the incorporationof a pendent P4 lactam group and also a carboxamidopyrazole moiety, that led to the discovery of 9, a extremely potent andselective FXa inhibitor with fantastic efficacy in numerous animalmodels of thrombosis. Importantly, compound 9 alsoshowed a great pharmacokinetic profile in dogs, withlow clearance, low volume of distribution and high oralbioavailability.
The superior pre-clinical profile demonstratedby mapk inhibitor 9 enabled its rapid progression into clinicaldevelopment as apixaban. Figure 2 illustrates theX-ray structure of apixaban bound to FXa and shows thep-methoxyphenyl P1 deeply inserted into the S1 pocket,using the aryllactam P4 moiety neatly stacked in thehydrophobic S4 pocket.In vitro pharmacologyPotency, selectivity and kinetic mode of inhibitionApixaban is really a extremely potent, reversible, active-site inhibitorof human FXa, having a Ki of 0.08 nM at 25*C and 0.25 nMat 37*C in the FXa tripeptide substrateassay. Analysis ofenzyme kinetics shows that apixaban acts as a competitiveinhibitor of FXa versus the synthetic tripeptide substrate,indicating that it binds in the active web-site. Apixaban producesa rapid onset of inhibition below a range of conditionswith association rate continuous of 20of 1.3 nM. Insummary, apixaban is capable of inhibiting the activity offree FXa, thrombus-associated FXa and FXa within theprothrombinase complex. Apixaban