Xiaojun Zhang, Wen Jiang, Jeremy M Richter, J Alex Bates, Samuel K Reznik, Sylwia Stachura, Richard Rampulla, Dyamanna Doddalingappa, Sankar Ulaganathan, Ji Hua, Jeffrey S Bostwick, Chi Sum, Shana Posy, Sarah Malmstrom, Joyce Dickey, David Harden, R Michael Lawrence, Victor R Guarino, William A Schumacher, Pancras Wong, Jing Yang, David A Gordon, Ruth R Wexler, Scott Priestley
PAR4 is a promising antithrombotic target with potential for separation of efficacy from bleeding risk relative to current antiplatelet therapies. In an effort to discover a novel PAR4 antagonist chemotype, a quinoxaline-based HTS hit 3 with low μM potency was identified. Optimization of the HTS hit through the use of positional SAR scanning and the design of conformationally constrained cores led to the discovery of a quinoxaline-benzothiazole series as potent and selective PAR4 antagonists. The lead compound 48 , possessing a 2 nM IC50 against PAR4 activation by γ-thrombin in platelet-rich plasma (PRP) and greater than 2500-fold selectivity versus PAR1, demonstrated robust antithrombotic efficacy and minimal bleeding in the cynomolgus monkey models...
February 22, 2024: Journal of Medicinal Chemistry