Efficacious Inhaled PDE4 Inhibitors with Low Emetic Potential and Long Duration of Action for the Treatment of COPD

Oral phosphodiesterase 4 (PDE4) inhibitors, such as cilomilast and roflumilast, have been shown to be efficacious against chronic obstructive pulmonary disease (COPD). However, these drugs have been hampered by mechanism-related side effects such as nausea and emesis at high doses. Compounds adminis...

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Veröffentlicht in:Journal of medicinal chemistry 2014-06, Vol.57 (11), p.4661-4676
Hauptverfasser: De Savi, Chris, Cox, Rhona J, Warner, Daniel J, Cook, Anthony R, Dickinson, Mark R, McDonough, Amy, Morrill, Louis C, Parker, Beth, Andrews, Glen, Young, Simon S, Gilmour, Peter S, Riley, Rob, Dearman, Matthew S
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container_end_page 4676
container_issue 11
container_start_page 4661
container_title Journal of medicinal chemistry
container_volume 57
creator De Savi, Chris
Cox, Rhona J
Warner, Daniel J
Cook, Anthony R
Dickinson, Mark R
McDonough, Amy
Morrill, Louis C
Parker, Beth
Andrews, Glen
Young, Simon S
Gilmour, Peter S
Riley, Rob
Dearman, Matthew S
description Oral phosphodiesterase 4 (PDE4) inhibitors, such as cilomilast and roflumilast, have been shown to be efficacious against chronic obstructive pulmonary disease (COPD). However, these drugs have been hampered by mechanism-related side effects such as nausea and emesis at high doses. Compounds administered by inhalation are delivered directly to the site of action and may improve the therapeutic index required to overcome side effects. This paper describes systematic and rational lead optimization to deliver highly potent, long-acting, and efficacious preclinical inhaled PDE4 inhibitors with low emetic potential.
doi_str_mv 10.1021/jm5001216
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subjects Administration, Inhalation
Animals
Anti-Inflammatory Agents - adverse effects
Anti-Inflammatory Agents - chemical synthesis
Anti-Inflammatory Agents - pharmacology
Benzamides - adverse effects
Benzamides - chemical synthesis
Benzamides - pharmacology
Dogs
Ferrets
Humans
Lipopolysaccharides - pharmacology
Lung - drug effects
Lung - immunology
Lung - pathology
Neutrophils - pathology
Niacinamide - adverse effects
Niacinamide - analogs & derivatives
Niacinamide - chemical synthesis
Niacinamide - pharmacology
Phosphodiesterase 4 Inhibitors - adverse effects
Phosphodiesterase 4 Inhibitors - chemical synthesis
Phosphodiesterase 4 Inhibitors - pharmacology
Pulmonary Disease, Chronic Obstructive - drug therapy
Rats
Stereoisomerism
Structure-Activity Relationship
Thiazoles - adverse effects
Thiazoles - chemical synthesis
Thiazoles - pharmacology
Vomiting - chemically induced
title Efficacious Inhaled PDE4 Inhibitors with Low Emetic Potential and Long Duration of Action for the Treatment of COPD
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