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新型TRPA1拮抗剂LY3526318的临床前和临床评价

Preclinical and clinical evaluation of a novel TRPA1 antagonist LY3526318.

作者信息

Broad Lisa M, Suico Jeffrey G, Turner P Kellie, Nie Si, Johnson Kirk W, Sanger Helen E, Wegiel Lindsay A, Sperry David C, Remick David, Moran Magdalene, Malekiani Sam, Del Camino Donato, Wu Xinyuan, Chong Jayhong A, Blair Nathaniel T, Wilke August V

机构信息

Eli Lilly and Company, Bracknell, United Kingdom.

Eli Lilly and Company, Indianapolis, IN, United States.

出版信息

Pain. 2025 Apr 18;166(8):1893-1908. doi: 10.1097/j.pain.0000000000003570.

Abstract

The transient receptor potential cation channel member A1 (TRPA1) is heavily implicated in nociceptive signaling in both physiological and pathological pain states. However, it has been challenging to develop TRPA1 antagonists with appropriate properties to advance into clinical development. Herein, we describe the preclinical characterization and early clinical development of LY3526318, a potent, selective, and orally bioavailable TRPA1 antagonist. In vitro studies showed that LY3526318 reversibly inhibited recombinant TRPA1 channels with nanomolar potency that was conserved across species. LY3526318 also inhibited the function of native human and rat TRPA1 channels, including nociceptive dorsal root ganglion neuronal TRPA1 channels. In vivo studies showed that LY3526318 blocked formalin-evoked flinching behaviors and chronic Freund adjuvant-induced cold hypersensitivity in rats. Only male rats were used in these studies. Initial phase 1, single- and multiple-ascending dose studies evaluating pharmacokinetic and safety parameters of LY3526318 revealed a suboptimal pharmacokinetic profile leading to the development and study of a spray-dried dispersion (SDD) formulation of LY3526318. When dosed once daily at 250 mg, LY3526318-SDD showed a t max of 4 hours and t 1/2 of 12 hours, maintaining plasma exposures demonstrated to engage the TRPA1 target. Adverse events were transient and mild across all phase 1 studies. In summary, LY3526318 blocked TRPA1 in vitro and in vivo, inhibited behavioral signs of enhanced nociception in animal models, and was safe and well tolerated in phase 1 clinical studies, with LY3526318-SDD displaying an appropriate pharmacokinetic profile to advance to proof-of-concept studies in patients with chronic pain.

摘要

瞬时受体电位阳离子通道亚家族A成员1(TRPA1)在生理和病理疼痛状态下的伤害性信号传导中都起着重要作用。然而,开发具有合适特性以推进到临床开发阶段的TRPA1拮抗剂一直具有挑战性。在此,我们描述了LY3526318的临床前特征及早期临床开发情况,LY3526318是一种强效、选择性且口服生物可利用的TRPA1拮抗剂。体外研究表明,LY3526318以纳摩尔级效力可逆地抑制重组TRPA1通道,且这种效力在不同物种间保持一致。LY3526318还抑制天然人类和大鼠TRPA1通道的功能,包括伤害性背根神经节神经元的TRPA1通道。体内研究表明,LY3526318可阻断福尔马林诱发的大鼠缩爪行为以及弗氏完全佐剂诱导的大鼠慢性冷超敏反应。这些研究仅使用了雄性大鼠。评估LY3526318药代动力学和安全性参数的初始1期单剂量和多剂量递增研究显示其药代动力学特征欠佳,这促使了LY3526318喷雾干燥分散体(SDD)制剂的开发与研究。当以250 mg每日一次给药时,LY3526318 - SDD的达峰时间为4小时,半衰期为12小时,维持了可作用于TRPA1靶点的血浆暴露水平。在所有1期研究中,不良事件均为短暂且轻微的。总之,LY3526318在体外和体内均可阻断TRPA1,抑制动物模型中伤害性增强的行为迹象,并且在1期临床研究中安全且耐受性良好,LY3526318 - SDD呈现出合适的药代动力学特征,可推进至慢性疼痛患者的概念验证研究。

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