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UCT943, a Next-Generation Plasmodium falciparum PI4K Inhibitor Preclinical Candidate for the Treatment of Malaria.


ABSTRACT: The 2-aminopyridine MMV048 was the first drug candidate inhibiting Plasmodium phosphatidylinositol 4-kinase (PI4K), a novel drug target for malaria, to enter clinical development. In an effort to identify the next generation of PI4K inhibitors, the series was optimized to improve properties such as solubility and antiplasmodial potency across the parasite life cycle, leading to the 2-aminopyrazine UCT943. The compound displayed higher asexual blood stage, transmission-blocking, and liver stage activities than MMV048 and was more potent against resistant Plasmodium falciparum and Plasmodium vivax clinical isolates. Excellent in vitro antiplasmodial activity translated into high efficacy in Plasmodium berghei and humanized P. falciparum NOD-scid IL-2R? null mouse models. The high passive permeability and high aqueous solubility of UCT943, combined with low to moderate in vivo intrinsic clearance, resulted in sustained exposure and high bioavailability in preclinical species. In addition, the predicted human dose for a curative single administration using monkey and dog pharmacokinetics was low, ranging from 50 to 80 mg. As a next-generation Plasmodium PI4K inhibitor, UCT943, based on the combined preclinical data, has the potential to form part of a single-exposure radical cure and prophylaxis (SERCaP) to treat, prevent, and block the transmission of malaria.

SUBMITTER: Brunschwig C 

PROVIDER: S-EPMC6125526 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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UCT943, a Next-Generation Plasmodium falciparum PI4K Inhibitor Preclinical Candidate for the Treatment of Malaria.

Brunschwig Christel C   Lawrence Nina N   Taylor Dale D   Abay Efrem E   Njoroge Mathew M   Basarab Gregory S GS   Le Manach Claire C   Paquet Tanya T   Cabrera Diego Gonzàlez DG   Nchinda Aloysius T AT   de Kock Carmen C   Wiesner Lubbe L   Denti Paolo P   Waterson David D   Blasco Benjamin B   Leroy Didier D   Witty Michael J MJ   Donini Cristina C   Duffy James J   Wittlin Sergio S   White Karen L KL   Charman Susan A SA   Jiménez-Díaz Maria Belén MB   Angulo-Barturen Iñigo I   Herreros Esperanza E   Gamo Francisco Javier FJ   Rochford Rosemary R   Mancama Dalu D   Coetzer Theresa L TL   van der Watt Mariëtte E ME   Reader Janette J   Birkholtz Lyn-Marie LM   Marsh Kennan C KC   Solapure Suresh M SM   Burke John E JE   Burke John E JE   McPhail Jacob A JA   Vanaerschot Manu M   Fidock David A DA   Fish Paul V PV   Siegl Peter P   Smith Dennis A DA   Wirjanata Grennady G   Wirjanata Grennady G   Noviyanti Rintis R   Price Ric N RN   Marfurt Jutta J   Silue Kigbafori D KD   Street Leslie J LJ   Chibale Kelly K  

Antimicrobial agents and chemotherapy 20180827 9


The 2-aminopyridine MMV048 was the first drug candidate inhibiting <i>Plasmodium</i> phosphatidylinositol 4-kinase (PI4K), a novel drug target for malaria, to enter clinical development. In an effort to identify the next generation of PI4K inhibitors, the series was optimized to improve properties such as solubility and antiplasmodial potency across the parasite life cycle, leading to the 2-aminopyrazine UCT943. The compound displayed higher asexual blood stage, transmission-blocking, and liver  ...[more]

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