Discovery of a Partial Glucokinase Activator Clinical Candidate: Diethyl ((3-(3-((5-(Azetidine-1-carbonyl)pyrazin-2-yl)oxy)-5-isopropoxybenzamido)-1 H -pyrazol-1-yl)methyl)phosphonate (BMS-820132).
Shi, Y., Wang, Y., Meng, W., Brigance, R.P., Ryono, D.E., Bolton, S., Zhang, H., Chen, S., Smirk, R., Tao, S., Tino, J.A., Williams, K.N., Sulsky, R., Nielsen, L., Ellsworth, B., Wong, M.K.Y., Sun, J.H., Leith, L.W., Sun, D., Wu, D.R., Gupta, A., Rampulla, R., Mathur, A., Chen, B.C., Wang, A., Fuentes-Catanio, H.G., Kunselman, L., Cap, M., Zalaznick, J., Ma, X., Liu, H., Taylor, J.R., Zebo, R., Jones, B., Kalinowski, S., Swartz, J., Staal, A., O'Malley, K., Kopcho, L., Muckelbauer, J.K., Krystek Jr., S.R., Spronk, S.A., Marcinkeviciene, J., Everlof, G., Chen, X.Q., Xu, C., Li, Y.X., Langish, R.A., Yang, Y., Wang, Q., Behnia, K., Fura, A., Janovitz, E.B., Pannacciulli, N., Griffen, S., Zinker, B.A., Krupinski, J., Kirby, M., Whaley, J., Zahler, R., Barrish, J.C., Robl, J.A., Cheng, P.T.W.(2022) J Med Chem 65: 4291-4317
- PubMed: 35179904 
- DOI: https://doi.org/10.1021/acs.jmedchem.1c02110
- Primary Citation of Related Structures:  
7T78, 7T79 - PubMed Abstract: 
Glucokinase (GK) is a key regulator of glucose homeostasis, and its small-molecule activators represent a promising opportunity for the treatment of type 2 diabetes. Several GK activators have been advanced into clinical trials and have demonstrated promising efficacy; however, hypoglycemia represents a key risk for this mechanism. In an effort to mitigate this hypoglycemia risk while maintaining the efficacy of the GK mechanism, we have investigated a series of amino heteroaryl phosphonate benzamides as ''partial" GK activators. The structure-activity relationship studies starting from a "full GK activator" 11 , which culminated in the discovery of the "partial GK activator" 31 (BMS-820132), are discussed. The synthesis and in vitro and in vivo preclinical pharmacology profiles of 31 and its pharmacokinetics (PK) are described. Based on its promising in vivo efficacy and preclinical ADME and safety profiles, 31 was advanced into human clinical trials.
Organizational Affiliation: 
Fibrosis Chemistry, Small Molecule Drug Discovery, Research & Early Development, Bristol Myers Squibb Company, Princeton, New Jersey 08543-4000, United States.