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Ibrexafungerp: An orally active β-1,3-glucan synthesis inhibitor

  • James M. Apgar
  • , Robert R. Wilkening
  • , Dann L. Parker
  • , Dongfang Meng
  • , Kenneth J. Wildonger
  • , Donald Sperbeck
  • , Mark L. Greenlee
  • , James M. Balkovec
  • , Amy M. Flattery
  • , George K. Abruzzo
  • , Andrew M. Galgoci
  • , Robert A. Giacobbe
  • , Charles J. Gill
  • , Ming Jo Hsu
  • , Paul Liberator
  • , Andrew S. Misura
  • , Mary Motyl
  • , Jennifer Nielsen Kahn
  • , Maryann Powles
  • , Fred Racine
  • Jasminka Dragovic, Weiming Fan, Robin Kirwan, Shu Lee, Hao Liu, Ahmed Mamai, Kingsley Nelson, Michael Peel

Research output: Contribution to journalArticlepeer-review

Abstract

We previously reported medicinal chemistry efforts that identified MK-5204, an orally efficacious β-1,3-glucan synthesis inhibitor derived from the natural product enfumafungin. Further extensive optimization of the C2 triazole substituent identified 4-pyridyl as the preferred replacement for the carboxamide of MK-5204, leading to improvements in antifungal activity in the presence of serum, and increased oral exposure. Reoptimizing the aminoether at C3 in the presence of this newly discovered C2 substituent, confirmed that the (R) t-butyl, methyl aminoether of MK-5204 provided the best balance of these two key parameters, culminating in the discovery of ibrexafungerp, which is currently in phase III clinical trials. Ibrexafungerp displayed significantly improved oral efficacy in murine infection models, making it a superior candidate for clinical development as an oral treatment for Candida and Aspergillus infections.

Original languageEnglish
Article number127661
JournalBioorganic and Medicinal Chemistry Letters
Volume32
DOIs
StatePublished - Jan 15 2021

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Medicine
  • Molecular Biology
  • Pharmaceutical Science
  • Drug Discovery
  • Clinical Biochemistry
  • Organic Chemistry

Keywords

  • Enfumafungin
  • Ibrexafungerp
  • MK-3118
  • SCY-078
  • β-1,3-glucan synthesis inhibitor

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