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editorial
. 2022 Apr 22;13(5):763–764. doi: 10.1021/acsmedchemlett.2c00150

Indazole and Benzoisoxazole Compounds as Dihydroorotate Dehydrogenase Inhibitors for Treating Acute Myelogenous Leukemia

Ram W Sabnis 1,*
PMCID: PMC9109513  PMID: 35586439

Important Compound Classes

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Title

Indazole and Benzoisoxazole Dihydroorotate Dehydrogenase Inhibitors

Patent Publication Number

WO 2021/240424 A1

URL:https://patents.google.com/patent/WO2021240424A1/en

Publication Date

December 2, 2021

Priority Application

US 63/031,815

Priority Date

May 29, 2020

Inventors

Kuduk, S.; Zhang, X.

Assignee Company

Janssen Biotech Inc., USA

Disease Area

Acute myelogenous leukemia (AML)

Biological Target

Dihydroorotate dehydrogenase (DHODH)

Summary

Acute myelogenous leukemia (AML) is a clonal disease of the blood and bone marrow resulting from mutations that occur in normal hematopoietic stem cells. AML is a heterogeneous disease in that it presents with a range of cytogenetic, morphological, and immunophenotypic features and is characterized by an accumulation of clonal, abnormal myeloid progenitor cells, known as myeloblasts. These cells demonstrate disruption of normal myeloid differentiation and excessive proliferation, resulting in the decreased formation of hematopoietic cells.

Dihydroorotate dehydrogenase (DHODH) is a flavin mononucleotide (FMN) flavoprotein located in the inner mitochondrial membrane that catalyzes the oxidation of dihydroorotate to orotate, the fourth step in the de novo pyrimidine biosynthesis pathway. Inhibition of DHODH decreases the synthesis of pyrimidines, important precursors for nucleotide synthesis, but also the biosynthesis of glycoproteins and phospholipids. DHODH inhibition drives AML differentiation in vitro and results in dose-dependent antileukemic effects, decreased leukemic stem cells, and prolonged survival in vivo. Small-molecule DHODH inhibitors mediate antiproliferative activity against AML cells, with concomitant cell cycle arrest and induction of apoptosis.

The present application describes a series of indazole and benzoisoxazole compounds as DHODH inhibitors that are useful for treatment of cancer, autoimmune, and inflammatory diseases, particularly for the treatment of AML. Further, the application discloses compounds, their preparation, use, and pharmaceutical composition, and treatment.

Definitions

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Q = O or N-Rc, wherein Rc is H, CH3, or CH(CH3)3;

R3 = O-R4 or NH-R4; and

R5 = H, C1-3alkyl, F, or Cl.

Key Structures

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Biological Assay

In vitro DHODH enzymatic assay and in vitro MOLM-13 cellular assay were performed. The compounds described in this application were tested for their ability to inhibit DHODH and MOLM-13. The DHODH IC50 (nM) and MOLM-13 IC50 (nM) are shown in the table below.

Biological Data

The table below shows representative compounds that were tested for DHODH and MOLM-13 inhibition. The biological data obtained from testing the representative examples are listed in the following table.graphic file with name ml2c00150_0005.jpg

Claims

Total claims: 14

Compound claims: 7

Pharmaceutical composition claims: 1

Method of treatment claims: 6

The author declares no competing financial interest.

References

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