Discovery of Indole- and Indazole-acylsulfonamides as Potent and Selective NaV1.7 Inhibitors for the Treatment of Pain

J Med Chem. 2019 Jan 24;62(2):831-856. doi: 10.1021/acs.jmedchem.8b01550. Epub 2019 Jan 8.

Abstract

3-Aryl-indole and 3-aryl-indazole derivatives were identified as potent and selective Nav1.7 inhibitors. Compound 29 was shown to be efficacious in the mouse formalin assay and also reduced complete Freund's adjuvant (CFA)-induced thermal hyperalgesia and chronic constriction injury (CCI) induced cold allodynia and models of inflammatory and neuropathic pain, respectively, following intraperitoneal (IP) doses of 30 mg/kg. The observed efficacy could be correlated with the mouse dorsal root ganglion exposure and NaV1.7 potency associated with 29.

MeSH terms

  • Animals
  • Drug Evaluation, Preclinical
  • HEK293 Cells
  • Half-Life
  • Humans
  • Hyperalgesia / drug therapy
  • Hyperalgesia / pathology
  • Indazoles / chemistry*
  • Indoles / chemistry*
  • Male
  • Mice
  • NAV1.7 Voltage-Gated Sodium Channel / chemistry*
  • NAV1.7 Voltage-Gated Sodium Channel / metabolism
  • Neuralgia / drug therapy*
  • Neuralgia / pathology
  • Patch-Clamp Techniques
  • Structure-Activity Relationship
  • Sulfonamides / chemistry*
  • Sulfonamides / metabolism
  • Sulfonamides / therapeutic use
  • Voltage-Gated Sodium Channel Blockers / chemistry
  • Voltage-Gated Sodium Channel Blockers / metabolism
  • Voltage-Gated Sodium Channel Blockers / therapeutic use*

Substances

  • Indazoles
  • Indoles
  • NAV1.7 Voltage-Gated Sodium Channel
  • Sulfonamides
  • Voltage-Gated Sodium Channel Blockers