Boosting NAD
+, which plays a pivotal role in energy metabolism, has positive effects on metabolic regulation. Therefore, activation of NAMPT is an attractive therapeutic approach for the treatment of metabolic disorders. We conducted a drug discovery research on NAMPT activators aiming a novel therapeutic agent for obesity. Intensive derivatization starting from HTS hits culminated in the discovery of
DS68702229 as a potent, novel NAMPT activator with an excellent PK profile. Oral administration of DS68702229 to DIO mice led to elevation of NAD
+ levels in various tissues, along with significant and continuous decrease in body weight. Since
DS68702229 was Ames-positive, an SAR study was undertaken in order to mitigate the mutagenic risk. Ultimately, compound
11 was obtained as a potent, Ames-negative NAMPT activator with a good ADME profile.
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