Discovery of Potent 1,3-Cyclobutane-Containing Dual A2A/A2B Receptor Antagonists with Low Projected Human Dose for

Zachary G Brill1, Alec H Christian2, Lorena Rico2

  • 1Merck & Co., Inc., South San Francisco, California 94158 United States.

Insights

Researchers developed potent dual antagonists targeting adenosine receptors A2A and A2B to overcome tumor-induced immunosuppression and enhance cancer immunotherapy effectiveness.

Area of Science:

  • Medicinal Chemistry
  • Immunology
  • Pharmacology

Background:

  • Tumor microenvironment often causes immunosuppression, enabling tumor immune evasion.
  • This immunosuppression can lead to resistance to immuno-oncology therapies.
  • Adenosine receptors A2A and A2B play a role in mediating this immunosuppression.

Purpose of the Study:

  • To develop potent and selective dual antagonists for adenosine receptors A2A and A2B.
  • To improve pharmacokinetic and solubility profiles of lead compounds.
  • To explore combination therapy with checkpoint inhibitors for enhanced anti-tumor immunity.

Main Methods:

  • Design and synthesis of novel dual A2A/A2B receptor antagonists.
  • Utilized a 1,3-cyclobutane linker for optimal molecular structure.
  • Employed high-throughput experimentation (HTE) for efficient chemical synthesis and optimization.
  • Evaluated compound potency, selectivity, and pharmacokinetic properties.

Main Results:

  • Identified a lead molecule (compound 34) with a favorable balance of potency and physicochemical properties.
  • Compound 34 exhibited an exceptional effective half-life across multiple species.
  • Developed efficient late-stage synthetic routes for complex derivatives using HTE.

Conclusions:

  • Dual A2A/A2B receptor antagonists show promise for overcoming adenosine-mediated immunosuppression in the tumor microenvironment.
  • The developed compounds offer improved drug-like properties for potential therapeutic applications.
  • This work provides a foundation for novel combination strategies in immuno-oncology.

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