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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5613_Библиотеки_им_академика_М_И_Перельмана

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Chemistry and Pharmacology of Drug Discovery
The first task was to determine the appropriate functional groups on 38 that would enable a robust, high-yielding synthesis of this intermediate. After experimentation, the so­called “acid route” was developed commencing with bis-deoxychlorination of commercially available dihydroxy pyridazine carboxylic ester 39 and subsequent saponification to yield carboxylic acid 40, which was able to be carried through the S and Pd-catalyzed amidation steps.
Figure 16. Retrosynthetic analysis of 1
N
Ar
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Chapter 15. Deucravacitinib (Sotyktu)
Scheme 3. First pass proof of concept for “acid route”
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Proof of concept for this route was successfully achieved on the first pass and ultimately evolved into the commercial process (Scheme
After extensive development and multiple iterations of design and testing, details hereon in highlight optimization of this first pass process including key reactions and conditions that were ultimately settled on and employed in the final commercial process.
Chemistry and Pharmacology of Drug Discovery
32
3).
6.2.1. Synthesis of Aniline Fragment 33
Devising an efficient and cost-effective synthesis to aniline 33 was of paramount importance due to the modest yielding and poorly regioselective triazole methylation step. The optimized synthesis to aniline 33 commenced with a cyclocondensation reaction between cheap commercially available 5-chloro-2-methoxybenzonitrile 43 and N­methylformohydrazide 44, affording the free base which was transformed to the bisulfate
salt 45 (Scheme 4). The nitration reaction to form 46 was extremely clean (>99% in­process purity). In the final step, a one-pot hydrogenation/hydrogenolysis to reduce both the nitro group and the aryl chloride moiety was readily achieved using gaseous hydrogen and palladium on carbon at modest pressure. Selective choices of hydrogen pressure, catalyst loading, reaction temperature, and reaction concentration (guided by design of
experiment studies) minimized impurity formation to <0.1% (Scheme 4).
Scheme 4. Synthesis of aniline 33
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Chapter 15. Deucravacitinib (Sotyktu)
6.2.2. Synthesis of Pyridazine Core 40-01
The process chemistry synthesis to dihydroxypyridazine 39 was not too dissimilar to the discovery route and will not be discussed further here (shown in Scheme
deoxychlorination of 39 with POCl3 to the corresponding dichloropyridazine carboxylic ester 47 was straightforward but required careful quenching with water to ensure
homogeneity of the reaction mixture (Scheme 5). This proved crucial for minimizing the formation of hydrolytic impurities. Ester 47 was telescoped into the subsequent hydrolysis step but the resulting free pyridazine carboxylic acid underwent spontaneous decarboxylation. It was found that addition of lithium bromide and water followed by slow addition of DIPEA effected the hydrolysis resulting in the stable crystalline lithium monohydrate salt 40-01. Overall, the chlorination-hydrolysis telescope reproducibly
afforded 40-01 in good yield and high purity on a >200 kg scale (Scheme
1). Double
5).
Scheme 5. Synthesis of dichloropyridazine carboxylic acid salt 40-01
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Chemistry and Pharmacology of Drug Discovery
6.2.3. Nucleophilic Aromatic Substitution Between 33 and 40-01 to Afford 48
Initially, the desired product in its free acid form (presumably a zwitterion) was found to be both hygroscopic and susceptible to decarboxylation at elevated temperatures. To circumvent these issues and improve selectivity for the desired product over the undesired regioisomer and the disubstituted adduct (structures not shown), a screen of Lewis acids revealed that stoichiometric Zn(OAc) selectivity. Conveniently, the stable product salt precipitated spontaneously from the reaction solution as the zinc salt 48. Adding small amounts of isopropanol as co-solvent, expedited product filtering (due to improved crystal morphology). The zinc salt was
reproducibly isolated in excellent yield and purity on >100 kg scale (Scheme 6).
could mediate the reaction with near-perfect
2
Scheme 6. Synthesis of carboxylic acid zinc salt 48
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Chapter 15. Deucravacitinib (Sotyktu)
6.2.4. Penultimate Step: Palladium-Catalyzed C–N Coupling of 48 and Cyclopropyl Amide 35 to Afford 49
Scheme 7. Penultimate Step: Synthesis of carboxylic acid zinc salt 49
This was the last step in the discovery synthesis but was switched to a penultimate step in the process route to minimize cost and avoid the use of a Pd catalyst in the final step. High­throughput experimentation (HTE) was employed to identify the most suitable catalyst/ligand/base replacements. From a cost, availability, and stability standpoint,
Pd(OAc) a significant impact on reaction kinetics and a comprehensive investigation led to the finding that a combination of DBU and K zinc carboxylate as well as enhancing the rate of the reaction. Ligand screening with the
was chosen as the catalyst for the commercial process (Scheme 7). The base had
2
was optimal for complete dissolution of the
2CO3
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dual-base combination revealed SL-J009 as the preferred ligand due to lower palladium catalyst loading requirements. With respect to solvent, an iterative process determined that an acetonitrile/toluene combination ensured the correct balance between reactivity and solubility of the zinc carboxylate 48. The product was isolated as zinc salt 49 in excellent yield and purity, after a seeded crystallization. The robust process was successfully and
reproducibly scaled multiple times to >80 kg/batch (Scheme 7).
Chemistry and Pharmacology of Drug Discovery
6.2.5. API Step: Amidation with CD3NH2 to Afford 1
The final step in the commercial process to deucravacitinib was amidation between zinc carboxylate 49 and trideuteromethylamine. Due to handling and commercial availability concerns, trideuteromethylamine (a gas) was procured as its crystalline hydrochloride salt.
Scheme 8. Commercial API step: synthesis of 1
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Chapter 15. Deucravacitinib (Sotyktu)
Conducting laboratory scale optimization based on HTS data revealed the most effective coupling reagents to be EDC/HOBt. Polar aprotic solvents worked best (presumably due to solvation of poorly soluble salt 49), and the nucleophilic sp
2
-hybridized amine base, N­methylimidazole (NMI), proved superior. The optimal reaction and crystallization/recrystallization parameters gave suitable impurity purge, excellent yield and consistently pure deucravacitinib 1 (>99.5% purity) at scales of >100 kg per batch
(Scheme
8).
In summary, an efficient, high-yielding synthesis of 1 in eight steps from
inexpensive commercial materials was developed, enabling production of more than a metric ton of deucravacitinib for clinical and commercial use (Scheme
9). The convergence
of the synthesis was maximized through development of novel, mild conditions for the regioselective synthesis of a 1-methyl-3-aryl triazole. Subsequent optimization afforded protocols that produced intermediates and drug substance of very high purity, while in
32
tandem achieving sustainability goals and a greener synthesis.
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Chemistry and Pharmacology of Drug Discovery
7. Summary
In summary, deucravacitinib (Soyktu) is a first-in-class, oral, selective, allosteric tyrosine kinase 2 (TYK2) inhibitor that was granted approval by the FDA in September 2022 for moderate-to-severe plaque psoriasis. The approval was based on results from two pivotal Phase 3 POETYK PSO-1 and POETYK PSO-2 clinical trials, which demonstrated superior efficacy of once-daily Sotyktu compared to placebo and twice-daily Otezla in 1684 patients aged 18 years and older with moderate-to-severe plaque psoriasis. The approval of deucravacitinib represented a watershed moment for manufacturer and originator, BMS, with it being the first of its kind in more ways than one: it is the first approved drug targeting a pseudokinase domain. This unique allosteric mechanism differentiates deucravacitinib from all other reported JAK/TYK2 inhibitors due to its exquisite selectivity for TYK2 and its impressive benefit-safety profile that is not attainable through JAK1/2/3 inhibition. It is also the first approved de novo deuterated
Scheme 9. Commercial process to deucravacitinib (1)
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drug. A “magic methyl” on the amide moiety was found to be responsible for the remarkable selectivity through binding within a rare “alanine pocket” in the ligand binding
domain of TYK2 JH2. This was protected from N-demethylation via deuteration, thus preventing formation of the less selective primary amide.
From identification of hits from an HTS campaign to extensive lead optimization, the discovery of deucravacitinib ran into many issues that are routinely encountered in a typical drug discovery program, including potency, selectivity, metabolism, permeability, bioavailability, hERG/cardiotoxicity etc. All of these issues were solved through innovative structure-based drug design strategies and very clever medicinal chemistry. Of note was the heterocyclic core modifications (pyridine to pyridazine) to provide optimal permeability and exposure, replacement of the C6 amino heterocycle with a cyclopropyl carboxamide to mitigate hERG activity, deuteration to mitigate levels of an undesired metabolite, and intelligent use of modelling to replace a structural water molecule within the binding site, leading to significant potency enhancement. These optimizations culminated in a molecule that had excellent PK properties across species with minimal profiling liabilities.
Key highlights from the process chemistry route included the development of a novel cyclocondensation reaction to afford a methylated 1,2,4-triazole with excellent regioselectivity, and implementation of the amidation with trideuteromethylamine as the final step, serving to simultaneously reduce costs and control residual metal levels. This exceptional work led to a highly cost-effective, efficient and sustainable commercial route that enabled the production of more than a metric ton of deucravacitinib.
The fascinating drug discovery and development story of deucravacitinib provides the reader with a cornucopia of knowledge in drug design, medicinal chemistry, and process development. The tour de force of many scientists across several disciplines, involved in bringing this innovative oral treatment to patients with moderate-to-severe plaque psoriasis, constitutes a truly heroic effort.
Chapter 15. Deucravacitinib (Sotyktu)
References
1. El-Gabalawy, H.; Guenther, L. C.; Bernstein, C.N. Epidemiology of
2. https://www.psoriasis.org/psoriasis-statistics/
3. See: https://my.clevelandclinic.org/health/diseases/6866-psoriasis
4. Clark, J. D.; Flanagan, M. E.; Telliez, J.-B. Discovery and development
immune-mediated inflammatory diseases: incidence, prevalence, natural history, and comorbidities. J. Rheumatol. 2010, 37 (Suppl 85), 2–10.
of Janus kinase (JAK) inhibitors for inflammatory diseases. J. Med. Chem. 2014, 57, 5023−5038.