Optimization of GPR40 Agonists for Type 2 Diabetes
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Abstract
GPR40
(FFA1 and FFAR1) has gained significant interest as a target
for the treatment of type 2 diabetes. TAK-875 (<b>1</b>), a
GPR40 agonist, lowered hemoglobin A1c (HbA1c) and lowered both postprandial
and fasting blood glucose levels in type 2 diabetic patients in phase
II clinical trials. We optimized phenylpropanoic acid derivatives
as GPR40 agonists and identified AMG 837 (<b>2</b>) as a clinical
candidate. Here we report our efforts in searching for structurally
distinct back-ups for AMG 837. These efforts led to the identification
of more polar GPR40 agonists, such as AM-4668 (<b>10</b>), that
have improved potency, excellent pharmacokinetic properties across
species, and minimum central nervous system (CNS) penetration