MEDI 57 |
| Diabetes mellitus is a chronic disease which is estimated to affect more than 171 million people worldwide. Poor HbA1c control in type 2 diabetic patients currently continues to stimulate the discovery and development of novel therapeutic agents. One such approach is the inhibition of the renal sodium-glucose co-transporters (SGLT2). Although several O-aryl glucosides, including the natural product phlorizin, have been shown to improve hyperglycemia in diabetic animal models, efficacy appeared to be limited by metabolic instability due to b-glucosidase activity. To address this issue, we replaced the oxygen linkage between the glucose and aglycone moieties with a carbon linkage, which led to metabolically stable SGLT2 inhibitors and culminated in the discovery of the clinical candidate dapagliflozin (BMS-512148). SAR for substitution of the aglycone central and distal aryl rings, synthetic methods, and the in vitro and in vivo profiles of select compounds will be described. |
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Poster Session
7:00 PM-9:00 PM, Sunday, August 19, 2007 BCEC -- Exhibit Hall - B2, Poster
Sci-Mix
Division of Medicinal Chemistry |