TY - JOUR
T1 - Uct943, a next-generation Plasmodium falciparum pi4k inhibitor preclinical candidate for the treatment of malaria
AU - Brunschwig, Christel
AU - Lawrence, Nina
AU - Taylor, Dale
AU - Abay, Efrem
AU - Njoroge, Mathew
AU - Basarab, Gregory S.
AU - Le Manach, Claire
AU - Paquet, Tanya
AU - Cabrera, Diego Gonzàlez
AU - Nchinda, Aloysius T.
AU - De Kock, Carmen
AU - Wiesner, Lubbe
AU - Denti, Paolo
AU - Waterson, David
AU - Blasco, Benjamin
AU - Leroy, Didier
AU - Witty, Michael J.
AU - Donini, Cristina
AU - Duffy, James
AU - Wittlin, Sergio
AU - White, Karen L.
AU - Charman, Susan A.
AU - Jiménez-Díaz, Maria Belén
AU - Angulo-Barturen, Iñigo
AU - Herreros, Esperanza
AU - Gamo, Francisco Javier
AU - Rochford, Rosemary
AU - Mancama, Dalu
AU - Coetzer, Theresa L.
AU - Van der Watt, Mariëtte E.
AU - Reader, Janette
AU - Birkholtz, Lyn Marie
AU - Marsh, Kennan C.
AU - Solapure, Suresh M.
AU - Burke, John E.
AU - McPhail, Jacob A.
AU - Vanaerschot, Manu
AU - Fidock, David A.
AU - Fish, Paul V.
AU - Siegl, Peter
AU - Smith, Dennis A.
AU - Wirjanata, Grennady
AU - Noviyanti, Rintis
AU - Price, Ric N.
AU - Marfurt, Jutta
AU - Silue, Kigbafori D.
AU - Street, Leslie J.
AU - Chibaleb, Kelly
PY - 2018/9/1
Y1 - 2018/9/1
N2 - The 2-aminopyridine MMV048 was the first drug candidate inhibiting Plasmodium phosphatidylinositol 4-kinase (PI4K), a novel drug target for malaria, to enter clinical development. In an effort to identify the next generation of PI4K inhibitors, the series was optimized to improve properties such as solubility and antiplasmodial potency across the parasite life cycle, leading to the 2-aminopyrazine UCT943. The compound displayed higher asexual blood stage, transmission-blocking, and liver stage activities than MMV048 and was more potent against resistant Plasmodium falciparum and Plasmodium vivax clinical isolates. Excellent in vitro antiplasmodial activity translated into high efficacy in Plasmodium berghei and humanized P. falciparum NOD-scid IL-2Rnull mouse models. The high passive permeability and high aqueous solubility of UCT943, combined with low to moderate in vivo intrinsic clearance, resulted in sustained exposure and high bioavailability in preclinical species. In addition, the predicted human dose for a curative single administration using monkey and dog pharmacokinetics was low, ranging from 50 to 80 mg. As a next-generation Plasmodium PI4K inhibitor, UCT943, based on the combined preclinical data, has the potential to form part of a single-exposure radical cure and prophylaxis (SERCaP) to treat, prevent, and block the transmission of malaria.
AB - The 2-aminopyridine MMV048 was the first drug candidate inhibiting Plasmodium phosphatidylinositol 4-kinase (PI4K), a novel drug target for malaria, to enter clinical development. In an effort to identify the next generation of PI4K inhibitors, the series was optimized to improve properties such as solubility and antiplasmodial potency across the parasite life cycle, leading to the 2-aminopyrazine UCT943. The compound displayed higher asexual blood stage, transmission-blocking, and liver stage activities than MMV048 and was more potent against resistant Plasmodium falciparum and Plasmodium vivax clinical isolates. Excellent in vitro antiplasmodial activity translated into high efficacy in Plasmodium berghei and humanized P. falciparum NOD-scid IL-2Rnull mouse models. The high passive permeability and high aqueous solubility of UCT943, combined with low to moderate in vivo intrinsic clearance, resulted in sustained exposure and high bioavailability in preclinical species. In addition, the predicted human dose for a curative single administration using monkey and dog pharmacokinetics was low, ranging from 50 to 80 mg. As a next-generation Plasmodium PI4K inhibitor, UCT943, based on the combined preclinical data, has the potential to form part of a single-exposure radical cure and prophylaxis (SERCaP) to treat, prevent, and block the transmission of malaria.
KW - 1-phosphatidylinositol 4-kinase inhibitor
KW - Absorption
KW - Distribution metabolism
KW - Drug discovery
KW - Excretion
KW - Human dose prediction
KW - In vivo efficacy
KW - Malaria
KW - Pharmacokinetic/pharmacodynamic modeling
KW - Pharmacokinetics
KW - Plasmodium spp
UR - http://www.scopus.com/inward/record.url?scp=85052242696&partnerID=8YFLogxK
U2 - 10.1128/AAC.00012-18
DO - 10.1128/AAC.00012-18
M3 - Article
C2 - 29941635
AN - SCOPUS:85052242696
SN - 0066-4804
VL - 62
JO - Antimicrobial Agents and Chemotherapy
JF - Antimicrobial Agents and Chemotherapy
IS - 9
M1 - e00012-18
ER -