In vivo pharmacological characterization of TD-4208, a novel lung-selective inhaled muscarinic antagonist with sustained bronchoprotective effect in experimental animal models

J Pharmacol Exp Ther. 2013 Aug;346(2):241-50. doi: 10.1124/jpet.113.203554. Epub 2013 May 17.

Abstract

Tiotropium is currently the only once-daily, long-acting muscarinic antagonist (LAMA) approved in the United States and other countries for the treatment of chronic obstructive pulmonary disease (COPD). Glycopyrronium has shown promise as a LAMA and was recently approved for once-daily maintenance treatment of COPD in the European Union. Here, we describe the in vivo preclinical efficacy and lung selectivity of a novel inhaled muscarinic antagonist, TD-4208 (biphenyl-2-ylcarbamic acid 1-(2-{[4-(4-carbamoylpiperidin-1-ylmethyl)benzoyl]methylamino}ethyl)piperidin-4-yl ester) and compare its profile to tiotropium and glycopyrronium. In anesthetized dogs, TD-4208, along with tiotropium and glycopyrronium, produced sustained inhibition of acetylcholine-induced bronchoconstriction for up to 24 hours. In anesthetized rats, inhaled TD-4208 exhibited dose-dependent 24-hour bronchoprotection against methacholine-induced bronchoconstriction. The estimated 24-hour potency (expressed as concentration of dosing solution) was 45.0 µg/ml. The bronchoprotective potencies of TD-4208 and tiotropium were maintained after 7 days of once-daily dosing, whereas glycopyrronium showed a 6-fold loss in potency after repeat dosing. To assess systemic functional activity using a clinically relevant readout, the antisialagogue effect of compounds was also evaluated. The calculated lung selectivity index (i.e., ratio of antisialagogue and bronchoprotective potency) of TD-4208 was superior to glycopyrronium after both single and repeat dosing regimens and was superior to tiotropium after repeat dosing. In conclusion, the in vivo preclinical profile suggests that TD-4208 has the potential to be a long-acting bronchodilator for once-daily treatment of respiratory diseases. Its greater functional selectivity for the lung in preclinical models may translate to an improved tolerability profile compared with marketed muscarinic receptor antagonists.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcholine / pharmacology
  • Administration, Inhalation
  • Animals
  • Benzamides / pharmacology*
  • Bronchoconstriction / drug effects
  • Bronchodilator Agents / administration & dosage
  • Bronchodilator Agents / pharmacology*
  • Carbamates / pharmacology*
  • Dogs
  • Dose-Response Relationship, Drug
  • Glycopyrrolate / administration & dosage
  • Glycopyrrolate / pharmacology
  • Lung / drug effects*
  • Lung / physiology
  • Male
  • Methacholine Chloride
  • Muscarinic Antagonists / administration & dosage
  • Muscarinic Antagonists / pharmacology*
  • Pilocarpine
  • Rats
  • Rats, Sprague-Dawley
  • Receptor, Muscarinic M1 / antagonists & inhibitors
  • Receptor, Muscarinic M3 / antagonists & inhibitors
  • Salivation / drug effects
  • Scopolamine Derivatives / administration & dosage
  • Scopolamine Derivatives / pharmacology
  • Tiotropium Bromide

Substances

  • Benzamides
  • Bronchodilator Agents
  • Carbamates
  • Muscarinic Antagonists
  • Receptor, Muscarinic M1
  • Receptor, Muscarinic M3
  • Scopolamine Derivatives
  • Pilocarpine
  • Methacholine Chloride
  • revefenacin
  • Acetylcholine
  • Glycopyrrolate
  • Tiotropium Bromide