Discovery of an Oral, Rule of 5 Compliant, Interleukin 17A Protein-Protein Interaction Modulator for the Potential Treatment of Psoriasis and Other Inflammatory Diseases.
Andrews, M.D., Dack, K.N., de Groot, M.J., Lambert, M., Sennbro, C.J., Larsen, M., Stahlhut, M.(2022) J Med Chem 65: 8828-8842
- PubMed: 35767390 
- DOI: https://doi.org/10.1021/acs.jmedchem.2c00422
- Primary Citation of Related Structures:  
7AMA, 7AMG - PubMed Abstract: 
Interleukin 17A (IL-17A) is an interleukin cytokine whose dysregulation is implicated in autoimmune disorders such as psoriasis, and monoclonal antibodies against the IL-17A pathway are now well-established and very effective treatments. This article outlines the work that led to the identification of 23 as an oral, small-molecule protein-protein interaction modulator (PPIm) clinical development candidate. Protein crystallography provided knowledge of the key binding interactions between small-molecule ligands and the IL-17A dimer, and this helped in the multiparameter optimization toward identifying an orally bioavailable, Rule of 5 compliant PPIm of IL-17A. Overlap of early ligands led to a series of benzhydrylglycine-containing compounds that allowed the identification of dimethylpyrazole as a key substituent that gave PPIm with oral bioavailability. Exploration of the amino acid portion of the structure then led to dicyclopropylalanine as a group that gave potent and metabolically stable compounds, including the development candidate 23 .
Organizational Affiliation: 
Drug Design, LEO Pharma Research & Early Development, 2750 Ballerup, Denmark.