Discovery of 6-Diazo-5-oxo-l-norleucine (DON) Prodrugs with Enhanced CSF Delivery in Monkeys: A Potential Treatment for Glioblastoma

R Rais, A Jancarik, L Tenora… - Journal of medicinal …, 2016 - ACS Publications
R Rais, A Jancarik, L Tenora, M Nedelcovych, J Alt, J Englert, C Rojas, A Le, A Elgogary…
Journal of medicinal chemistry, 2016ACS Publications
The glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON, 1) has shown robust anticancer
efficacy in preclinical and clinical studies, but its development was halted due to marked
systemic toxicities. Herein we demonstrate that DON inhibits glutamine metabolism and
provides antitumor efficacy in a murine model of glioblastoma, although toxicity was
observed. To enhance DON's therapeutic index, we utilized a prodrug strategy to increase
its brain delivery and limit systemic exposure. Unexpectedly, simple alkyl ester-based …
The glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON, 1) has shown robust anticancer efficacy in preclinical and clinical studies, but its development was halted due to marked systemic toxicities. Herein we demonstrate that DON inhibits glutamine metabolism and provides antitumor efficacy in a murine model of glioblastoma, although toxicity was observed. To enhance DON’s therapeutic index, we utilized a prodrug strategy to increase its brain delivery and limit systemic exposure. Unexpectedly, simple alkyl ester-based prodrugs were ineffective due to chemical instability cyclizing to form a unique diazo-imine. However, masking both DON’s amine and carboxylate functionalities imparted sufficient chemical stability for biological testing. While these dual moiety prodrugs exhibited rapid metabolism in mouse plasma, several provided excellent stability in monkey and human plasma. The most stable compound (5c, methyl-POM-DON-isopropyl-ester) was evaluated in monkeys, where it achieved 10-fold enhanced cerebrospinal fluid to plasma ratio versus DON. This strategy may provide a path to DON utilization in glioblastoma multiforme patients.
ACS Publications