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DNDI-6174 is a preclinical candidate for visceral leishmaniasis that targets the cytochrome bc1.


ABSTRACT: New drugs for visceral leishmaniasis that are safe, low cost, and adapted to the field are urgently required. Despite concerted efforts over the last several years, the number of new chemical entities that are suitable for clinical development for the treatment of Leishmania remains low. Here, we describe the discovery and preclinical development of DNDI-6174, an inhibitor of Leishmania cytochrome bc1 complex activity that originated from a phenotypically identified pyrrolopyrimidine series. This compound fulfills all target candidate profile criteria required for progression into preclinical development. In addition to good metabolic stability and pharmacokinetic properties, DNDI-6174 demonstrates potent in vitro activity against a variety of Leishmania species and can reduce parasite burden in animal models of infection, with the potential to approach sterile cure. No major flags were identified in preliminary safety studies, including an exploratory 14-day toxicology study in the rat. DNDI-6174 is a cytochrome bc1 complex inhibitor with acceptable development properties to enter preclinical development for visceral leishmaniasis.

SUBMITTER: Braillard S 

PROVIDER: S-EPMC7615677 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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DNDI-6174 is a preclinical candidate for visceral leishmaniasis that targets the cytochrome bc<sub>1</sub>.

Braillard Stéphanie S   Keenan Martine M   Breese Karen J KJ   Heppell Jacob J   Abbott Michael M   Islam Rafiqul R   Shackleford David M DM   Katneni Kasiram K   Crighton Elly E   Chen Gong G   Patil Rahul R   Lee Given G   White Karen L KL   Carvalho Sandra S   Wall Richard J RJ   Chemi Giulia G   Zuccotto Fabio F   González Silvia S   Marco Maria M   Deakyne Julianna J   Standing David D   Brunori Gino G   Lyon Jonathan J JJ   Castañeda-Casado Pablo P   Camino Isabel I   Martinez Martinez Maria S MS   Zulfiqar Bilal B   Avery Vicky M VM   Feijens Pim-Bart PB   Van Pelt Natascha N   Matheeussen An A   Hendrickx Sarah S   Maes Louis L   Caljon Guy G   Yardley Vanessa V   Wyllie Susan S   Charman Susan A SA   Chatelain Eric E  

Science translational medicine 20231213 726


New drugs for visceral leishmaniasis that are safe, low cost, and adapted to the field are urgently required. Despite concerted efforts over the last several years, the number of new chemical entities that are suitable for clinical development for the treatment of <i>Leishmania</i> remains low. Here, we describe the discovery and preclinical development of DNDI-6174, an inhibitor of <i>Leishmania</i> cytochrome bc<sub>1</sub> complex activity that originated from a phenotypically identified pyrr  ...[more]

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