2009
DOI: 10.1021/jm900210d
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Discovery of (S)-N-{2-[1-(3-Ethoxy-4-methoxyphenyl)-2-methanesulfonylethyl]-1,3-dioxo-2,3-dihydro-1H-isoindol-4-yl}acetamide (Apremilast), a Potent and Orally Active Phosphodiesterase 4 and Tumor Necrosis Factor-α Inhibitor

Abstract: In this communication, we report the discovery of 1S (apremilast), a novel potent and orally active phosphodiesterase 4 (PDE4) and tumor necrosis factor-alpha inhibitor. The optimization of previously reported 3-(1,3-dioxo-1,3-dihydroisoindol-2-yl)-3-(3,4-dimethoxyphenyl)propionic acid PDE4 inhibitors led to this series of sulfone analogues. Evaluation of the structure-activity relationship of substitutions on the phthalimide group led to the discovery of an acetylamino analogue 1S, which is currently in clini… Show more

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Cited by 153 publications
(75 citation statements)
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“…Using apremilast causes inhibition of PDE4 enzyme and as a result, degradation of cAMP is prevented. This causes increased levels of cAMP in PDE4-expressing cells, which prevents synthesis of many pro-inflammatory markers including TNF-a, IFN-g, interleukins and chemokines (e.g., CXCL9, CXCL10 and CCL4) [37,43]. Elevation of cAMP in human keratinocytes after use of PDE4 inhibitors such as apremilast might explain some of the pathophysiological response of psoriasis to these medications.…”
Section: Drug Name (Generic)mentioning
confidence: 99%
“…Using apremilast causes inhibition of PDE4 enzyme and as a result, degradation of cAMP is prevented. This causes increased levels of cAMP in PDE4-expressing cells, which prevents synthesis of many pro-inflammatory markers including TNF-a, IFN-g, interleukins and chemokines (e.g., CXCL9, CXCL10 and CCL4) [37,43]. Elevation of cAMP in human keratinocytes after use of PDE4 inhibitors such as apremilast might explain some of the pathophysiological response of psoriasis to these medications.…”
Section: Drug Name (Generic)mentioning
confidence: 99%
“…In addition, the structure of 35 in complex with TNF-α dimer was solved [92]. Celgene Corporation recently developed apremilast ( 36 , Figure 8) as an orally active dual phosphodiesterase-4 (PDE4) and TNF-α inhibitor that could be used to treat the autoimmune disorder psoriasis [93]. Compound 36 , has a dihydroisoindole ring template and is an ( S )-enantiomer, whereas the corresponding ( R ) enantiomer of 36 was 5-fold less potent.…”
Section: Tnf-α Inhibitorsmentioning
confidence: 99%
“…Apremilast ((S)-N-(2-[1-(3-Ethoxy-4-methoxy-phenyl)-2-methanesulfonylethyl]-1,2-dioxo-2,3-dihydro-1H-isoindol-4-yl) acetamide) is a phosphodiester 4 (PDE4) inhibitor [194]. Elevated tumor necrosis factor-α (TNF-α) levels are associated with several inflammatory diseases.…”
Section: Uveitismentioning
confidence: 99%