Discovery of the Selective Protein Kinase C-θ Kinase Inhibitor, CC-90005

J Med Chem. 2021 Aug 26;64(16):11886-11903. doi: 10.1021/acs.jmedchem.1c00388. Epub 2021 Aug 6.

Abstract

The PKC-θ isoform of protein kinase C is selectively expressed in T lymphocytes and plays an important role in the T cell antigen receptor (TCR)-triggered activation of mature T cells, T cell proliferation, and the subsequent release of cytokines such as interleukin-2 (IL-2). Herein, we report the synthesis and structure-activity relationship (SAR) of a novel series of PKC-θ inhibitors. Through a combination of structure-guided design and exploratory SAR, suitable replacements for the basic C4 amine of the original lead (3) were identified. Property-guided design enabled the identification of appropriately substituted C2 groups to afford potent analogs with metabolic stability and permeability to support in vivo testing. With exquisite general kinase selectivity, cellular inhibition of T cell activation as assessed by IL-2 expression, a favorable safety profile, and demonstrated in vivo efficacy in models of acute and chronic T cell activation with oral dosing, CC-90005 (57) was selected for clinical development.

MeSH terms

  • Animals
  • Caco-2 Cells
  • Cell Proliferation / drug effects
  • Cyclohexanols / chemical synthesis
  • Cyclohexanols / metabolism
  • Cyclohexanols / therapeutic use*
  • Graft vs Host Disease / drug therapy*
  • Humans
  • Immunologic Factors / chemical synthesis
  • Immunologic Factors / metabolism
  • Immunologic Factors / therapeutic use*
  • Lymphocyte Activation / drug effects
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Molecular Docking Simulation
  • Molecular Structure
  • Protein Binding
  • Protein Kinase C-delta / antagonists & inhibitors
  • Protein Kinase C-delta / metabolism
  • Protein Kinase C-theta / antagonists & inhibitors*
  • Protein Kinase C-theta / metabolism
  • Protein Kinase Inhibitors / chemical synthesis
  • Protein Kinase Inhibitors / metabolism
  • Protein Kinase Inhibitors / therapeutic use*
  • Pyrimidines / chemical synthesis
  • Pyrimidines / metabolism
  • Pyrimidines / therapeutic use*
  • Structure-Activity Relationship
  • T-Lymphocytes / drug effects

Substances

  • Cyclohexanols
  • Immunologic Factors
  • Protein Kinase Inhibitors
  • Pyrimidines
  • Prkcd protein, mouse
  • Prkcq protein, mouse
  • Protein Kinase C-delta
  • Protein Kinase C-theta