2012
DOI: 10.1021/ml300352x
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Discovery of HSD-621 as a Potential Agent for the Treatment of Type 2 Diabetes

Abstract: 11β-Hydroxysteroid dehydrogenase type 1 (11β-HSD1) catalyzes the conversion of inactive glucocorticoid cortisone to its active form, cortisol. The glucocorticoid receptor (GR) signaling pathway has been linked to the pathophysiology of diabetes and metabolic syndrome. Herein, the structure−activity relationship of a series of piperazine sulfonamide-based 11β-HSD1 inhibitors is described. (R)-3,3,3-Trifluoro-2-(5-(((R)-4-(4-fluoro-2-(trifluoromethyl)phenyl)-2-methylpiperazin-1-yl)sulfonyl)thiophen-2-yl)-2-hydro… Show more

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Cited by 16 publications
(6 citation statements)
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“…These and other preclinical findings build a strong case that inhibition of 11β-HSD1 may be an efficacious approach for the treatment of metabolic syndrome. As a result, much attention has been focused on the discovery and development of inhibitors of this enzyme. In clinical trials, Incyte, Merck, and others have demonstrated that 11β-HSD1 inhibitors improved glycaemic control, lipid profiles, and blood pressure with modest weight loss . In addition to this indication, we recently explored and proposed atheroprotection as an emerging indication for this target.…”
Section: Introductionmentioning
confidence: 99%
“…These and other preclinical findings build a strong case that inhibition of 11β-HSD1 may be an efficacious approach for the treatment of metabolic syndrome. As a result, much attention has been focused on the discovery and development of inhibitors of this enzyme. In clinical trials, Incyte, Merck, and others have demonstrated that 11β-HSD1 inhibitors improved glycaemic control, lipid profiles, and blood pressure with modest weight loss . In addition to this indication, we recently explored and proposed atheroprotection as an emerging indication for this target.…”
Section: Introductionmentioning
confidence: 99%
“…The group of non-steroidal 11β-HSD1 inhibitors includes, inter alia, 4-substituted 2-aminothiazole derivatives: Biovitrum BVT-2733, Biovitrum BVT-14225 and Biovitrum BVT-3498 [ 24 , 25 , 26 , 27 ] and highly selective 2-aminothiazol-4(5 H )-es: Amgen 2922 and AMG-221 (BVT-83370) [ 24 , 28 , 29 , 30 ]. In the case of the 11β-HSD2 isoform, the CBX diastereoisomer (18α-glycyrrhetinic acid 3β- O -hemisuccinate, αCBX) is an effective inhibitor [ 31 ], whereas, among the non-steroidal inhibitors, antifungal drugs: itraconazole and posaconazole, which are the triazole derivatives, can be mentioned Scheme 2 ) [ 32 ].…”
Section: Introductionmentioning
confidence: 99%
“…5 Extensive efforts have been pursued to develop 11β-HSD1 inhibitors as a potential treatment of type 2 diabetes from multiple groups. 6 Phase-I results were reported for 1 PF-00915275, 7 2 HSD-016, 8 3 HSD-621, 9 4 AMG221, 10 and 5 AZD8329. 11 Phase-II trials were conducted for INCB13739 (structure not disclosed) 12 and 6 MK-0916.…”
Section: Introductionmentioning
confidence: 99%