AZD0284, a Potent, Selective, and Orally Bioavailable Inverse Agonist of Retinoic Acid Receptor-Related Orphan Receptor C2

J Med Chem. 2021 Sep 23;64(18):13807-13829. doi: 10.1021/acs.jmedchem.1c01197. Epub 2021 Aug 31.

Abstract

Inverse agonists of the nuclear receptor RORC2 have been widely pursued as a potential treatment for a variety of autoimmune diseases. We have discovered a novel series of isoindoline-based inverse agonists of the nuclear receptor RORC2, derived from our recently disclosed RORC2 inverse agonist 2. Extensive structure-activity relationship (SAR) studies resulted in AZD0284 (20), which combined potent inhibition of IL-17A secretion from primary human TH17 cells with excellent metabolic stability and good PK in preclinical species. In two preclinical in vivo studies, compound 20 reduced thymocyte numbers in mice and showed dose-dependent reduction of IL-17A containing γδ-T cells and of IL-17A and IL-22 RNA in the imiquimod induced inflammation model. Based on these data and a favorable safety profile, 20 was progressed to phase 1 clinical studies.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / chemical synthesis
  • Anti-Inflammatory Agents / pharmacokinetics
  • Anti-Inflammatory Agents / therapeutic use*
  • Dogs
  • Drug Inverse Agonism
  • Female
  • Humans
  • Imiquimod
  • Inflammation / chemically induced
  • Inflammation / drug therapy*
  • Isoindoles / cerebrospinal fluid
  • Isoindoles / chemical synthesis
  • Isoindoles / pharmacokinetics
  • Isoindoles / therapeutic use*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Molecular Structure
  • Orphan Nuclear Receptors / agonists*
  • Rats
  • Rats, Wistar
  • Structure-Activity Relationship
  • Sulfones / cerebrospinal fluid
  • Sulfones / chemical synthesis
  • Sulfones / pharmacokinetics
  • Sulfones / therapeutic use*
  • Th17 Cells
  • Thymocytes / drug effects

Substances

  • Anti-Inflammatory Agents
  • Isoindoles
  • Orphan Nuclear Receptors
  • Sulfones
  • AZD-0284
  • Imiquimod