Development of novel potent orally bioavailable oseltamivir derivatives active against resistant influenza A

J Med Chem. 2014 Feb 13;57(3):759-69. doi: 10.1021/jm401492x. Epub 2014 Feb 3.

Abstract

With the emergence of oseltamivir-resistant influenza viruses and in view of a highly pathogenic flu pandemic, it is important to develop new anti-influenza agents. Here, the development of neuraminidase (NA) inhibitors that were designed to overcome resistance mechanisms along with unfavorable pharmacokinetic (PK) properties is described. Several 5-guanidino- and 5-amidino-based oseltamivir derivatives were synthesized and profiled for their anti-influenza activity and in vitro and in vivo PK properties. Amidine 6 and guanidine 7 were comparably effective against a panel of different A/H1N1 and A/H3N2 strains and also inhibited mutant A/H1N1 neuraminidase. Among different prodrug strategies pursued, a simple amidoxime ethyl ester (9) exhibited a superior PK profile with an oral bioavailability of 31% (rats), which is comparable to oseltamivir (36%). Thus, bioisosteric replacement of the 5-guanidine with an acetamidine-in the form of its N-hydroxy prodrug-successfully tackled the two key limitations of currently used NA inhibitors, as exemplified with oseltamivir.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Amidines / chemical synthesis*
  • Amidines / pharmacokinetics
  • Amidines / pharmacology
  • Animals
  • Antiviral Agents / chemical synthesis*
  • Antiviral Agents / pharmacokinetics
  • Antiviral Agents / pharmacology
  • Biological Availability
  • Dogs
  • Drug Resistance, Viral*
  • Guanidines / chemical synthesis*
  • Guanidines / pharmacokinetics
  • Guanidines / pharmacology
  • Humans
  • Influenza A Virus, H1N1 Subtype / drug effects*
  • Influenza A Virus, H1N1 Subtype / genetics
  • Influenza A Virus, H3N2 Subtype / drug effects*
  • Madin Darby Canine Kidney Cells
  • Male
  • Molecular Docking Simulation
  • Mutation
  • Neuraminidase / antagonists & inhibitors
  • Neuraminidase / genetics
  • Oseltamivir / analogs & derivatives*
  • Oseltamivir / chemical synthesis*
  • Oseltamivir / pharmacokinetics
  • Oseltamivir / pharmacology
  • Prodrugs / chemical synthesis*
  • Prodrugs / pharmacokinetics
  • Prodrugs / pharmacology
  • Protein Binding
  • Rats
  • Rats, Sprague-Dawley
  • Stereoisomerism
  • Structure-Activity Relationship
  • Swine

Substances

  • Amidines
  • Antiviral Agents
  • Guanidines
  • Prodrugs
  • Oseltamivir
  • Neuraminidase