The
oxycyclohexyl acid BMS-986278 (33) is a potent
lysophosphatidic acid receptor 1 (LPA1) antagonist, with
a human LPA1
K
b of 6.9 nM.
The structure–activity relationship (SAR) studies starting
from the LPA1 antagonist clinical compound BMS-986020 (1), which culminated in the discovery of 33,
are discussed. The detailed in vitro and in vivo preclinical pharmacology
profiles of 33, as well as its pharmacokinetics/metabolism
profile, are described. On the basis of its in vivo efficacy in rodent
chronic lung fibrosis models and excellent overall ADME (absorption,
distribution, metabolism, excretion) properties in multiple preclinical
species, 33 was advanced into clinical trials, including
an ongoing Phase 2 clinical trial in patients with lung fibrosis (NCT04308681).