Design, synthesis, and biological activities of novel hexahydropyrazino[1,2-a]indole derivatives as potent inhibitors of apoptosis (IAP) proteins antagonists with improved membrane permeability across MDR1 expressing cells.
Shiokawa, Z., Hashimoto, K., Saito, B., Oguro, Y., Sumi, H., Yabuki, M., Yoshimatsu, M., Kosugi, Y., Debori, Y., Morishita, N., Dougan, D.R., Snell, G.P., Yoshida, S., Ishikawa, T.(2013) Bioorg Med Chem 21: 7938-7954
- PubMed: 24169315 
- DOI: 10.1016/j.bmc.2013.09.067
- Primary Citation of Related Structures:  
4MTI, 4MU7 - PubMed Abstract: 
We previously reported octahydropyrrolo[1,2-a]pyrazine derivative 2 (T-3256336) as a potent antagonist for inhibitors of apoptosis (IAP) proteins. Because compound 2 was susceptible to MDR1 mediated efflux, we developed another scaffold, hexahydropyrazino[1,2-a]indole, using structure-based drug design ...