Identification of a potent, state-dependent inhibitor of Nav1. 7 with oral efficacy in the formalin model of persistent pain

H Bregman, L Berry, JL Buchanan… - Journal of medicinal …, 2011 - ACS Publications
H Bregman, L Berry, JL Buchanan, A Chen, B Du, E Feric, M Hierl, L Huang, D Immke…
Journal of medicinal chemistry, 2011ACS Publications
Clinical human genetic studies have recently identified the tetrodotoxin (TTX) sensitive
neuronal voltage gated sodium channel Nav1. 7 (SCN9A) as a critical mediator of pain
sensitization. Herein, we report structure–activity relationships for a novel series of 2, 4-
diaminotriazines that inhibit hNav1. 7. Optimization efforts culminated in compound 52,
which demonstrated pharmacokinetic properties appropriate for in vivo testing in rats. The
binding site of compound 52 on Nav1. 7 was determined to be distinct from that of local …
Clinical human genetic studies have recently identified the tetrodotoxin (TTX) sensitive neuronal voltage gated sodium channel Nav1.7 (SCN9A) as a critical mediator of pain sensitization. Herein, we report structure–activity relationships for a novel series of 2,4-diaminotriazines that inhibit hNav1.7. Optimization efforts culminated in compound 52, which demonstrated pharmacokinetic properties appropriate for in vivo testing in rats. The binding site of compound 52 on Nav1.7 was determined to be distinct from that of local anesthetics. Compound 52 inhibited tetrodotoxin-sensitive sodium channels recorded from rat sensory neurons and exhibited modest selectivity against the hERG potassium channel and against cloned and native tetrodotoxin-resistant sodium channels. Upon oral administration to rats, compound 52 produced dose- and exposure-dependent efficacy in the formalin model of pain.
ACS Publications