In search for potent and selective β
3-adrenergic receptor (β
3-AR) agonists as potential drugs for the treatment of type II diabetes and obesity, a novel series of 1-(3-chlorophenyl)-2-aminoethanol derivatives were prepared and evaluated for their biological activity at human β
1-, β
2-, and β
3-ARs and rat β
3-AR expressed in Chinese hamster ovary (CHO) cells. Replacement of the right-hand side (RHS, benzene ring) in the ‘first generation’ β
3-AR agonists BRL 37344 and CL 316243 with a 1
H-indole ring gave compound 31 with unique pharmacological properties among β
3-AR agonists. Initial
in vitro assays showed that 31 possesses modest rat and human β
3-ARs agonistic activity. Introduction of various substituent into the indole nucleus of 31 afforded a number of compounds with good β
3-ARs agonistic activity. In particular, 90 having a carboxylic acid functionality at the 7-position of the indole nucleus showed the most potent human β
3-AR agonistic activity. Finally, optical resolution of 90 led to the identification of the most promising compound, [3-[(2
R)-[[(2
R)-(3-chlorophenyl)-2-hydroxyethyl]amino]propyl]-1
H-indol-7-yloxy]acetic acid (96, AJ-9677). This compound exhibited potent human β
3-AR agonistic activity (EC
50=0.062 n
M, IA=116%) with 210- and 103-fold selectivity over human β
2-AR and β
1-AR, respectively. Compound 96 also exhibited potent rat β
3-AR agonistic activity (EC
50=0.016 n
M, IA=110%). Moreover, repeated oral administration of 96 inhibited body weight gain and significantly decreased glucose, insulin, free fatty acid, and triglyceride concentrations in plasma in KK-A
y/Ta mice. On the basis of this pharmacological profile, 96 entered clinical development as a drug for the treatment of type II diabetes and obesity.
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