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Discovery of N-(2,4-Di-tert-butyl-5-hydroxyphenyl)-4-oxo-1,4-dihydroquinoline-3-carboxamide (VX-770, Ivacaftor), a Potent and Orally Bioavailable CFTR Potentiator
Author(s) -
Sabine Hadidaꝉ,
Fredrick Van Goor,
Jinglan Zhou,
Vijayalaksmi Arumugam,
Jason McCartney,
Anna Hazlewood,
Caroline J. Decker,
Paul A. Negulescu,
Peter D. J. Grootenhuis
Publication year - 2014
Publication title -
journal of medicinal chemistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.01
H-Index - 261
eISSN - 1520-4804
pISSN - 0022-2623
DOI - 10.1021/jm5012808
Subject(s) - ivacaftor , chemistry , potentiator , carboxamide , pharmacology , bioavailability , benzazepines , stereochemistry , cystic fibrosis transmembrane conductance regulator , biochemistry , medicine , gene
Quinolinone-3-carboxamide 1, a novel CFTR potentiator, was discovered using high-throughput screening in NIH-3T3 cells expressing the F508del-CFTR mutation. Extensive medicinal chemistry and iterative structure-activity relationship (SAR) studies to evaluate potency, selectivity, and pharmacokinetic properties resulted in the identification of N-(2,4-di-tert-butyl-5-hydroxyphenyl)-4-oxo-1,4-dihydroquinoline-3-carboxamide (VX-770, 48, ivacaftor), an investigational drug candidate approved by the FDA for the treatment of CF patients 6 years of age and older carrying the G551D mutation.

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