A series
of macrocyclic calcitonin gene-related peptide (CGRP)
receptor antagonists identified using structure-based design principles,
exemplified by HTL0028016 (1) and HTL0028125 (2), is described. Structural characterization by X-ray crystallography
of the interaction of two of the macrocycle antagonists with the CGRP
receptor ectodomain is described, along with structure–activity
relationships associated with point changes to the macrocyclic antagonists.
The identification of non-peptidic/natural product-derived, macrocyclic
ligands for a G protein coupled
receptor (GPCR) is noteworthy.