MEDI 24 |
| Dipeptidyl peptidase IV (DPP-IV) is a serine protease which specifically cleaves dipeptides after a penultimate N-terminal proline or alanine. DPP-IV is involved in the degradation of a number of peptides, most notably of the incretins glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP). GLP-1 exerts a potent glucose-dependent insulinotropic action and thereby contributes to the maintenance of glycaemic control. In addition, it inhibits glucagon release from pancreatic alpha-cells and in animal models has been shown to preserve beta-cell mass. Therefore, DPP-IV inhibitors are a promising new class of antidiabetic agents with a low risk of hypoglycaemia and a potential for disease modification. Here, we describe the discovery process that started with a micromolar screening hit and, after optimization of the key substituents at N1, N-7 and C-8 of the xanthine, culminated in the identification of BI 1356 (IC50 = 1 nM) that is currently in Phase IIb clinical trials. The SAR, in vivo characterization and the X-ray structure of BI 1356 in complex with DPP-IV will be discussed. |
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General Oral Session
1:30 PM-4:50 PM, Sunday, August 19, 2007 BCEC -- 210A, Oral
Division of Medicinal Chemistry |