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Discovery of VU6028418: A Highly Selective and Orally Bioavailable M4 Muscarinic Acetylcholine Receptor Antagonist

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posted on 2021-08-02, 21:13 authored by Matthew Spock, Trever R. Carter, Katrina A. Bollinger, Changho Han, Logan A. Baker, Alice L. Rodriguez, Li Peng, Jonathan W. Dickerson, Aidong Qi, Jerri M. Rook, Jordan C. O’Neill, Katherine J. Watson, Sichen Chang, Thomas M. Bridges, Julie L. Engers, Darren W. Engers, Colleen M. Niswender, P. Jeffrey Conn, Craig W. Lindsley, Aaron M. Bender
Herein, we report the SAR leading to the discovery of VU6028418, a potent M4 mAChR antagonist with high subtype-selectivity and attractive DMPK properties in vitro and in vivo across multiple species. VU6028418 was subsequently evaluated as a preclinical candidate for the treatment of dystonia and other movement disorders. During the characterization of VU6028418, a novel use of deuterium incorporation as a means to modulate CYP inhibition was also discovered.

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