1. Academic Validation
  2. Invention of MK-8262, a Cholesteryl Ester Transfer Protein (CETP) Inhibitor Backup to Anacetrapib with Best-in-Class Properties

Invention of MK-8262, a Cholesteryl Ester Transfer Protein (CETP) Inhibitor Backup to Anacetrapib with Best-in-Class Properties

  • J Med Chem. 2021 Sep 23;64(18):13215-13258. doi: 10.1021/acs.jmedchem.1c00959.
Petr Vachal 1 Joseph L Duffy 1 Louis-Charles Campeau 1 Rupesh P Amin 1 Kaushik Mitra 1 Beth Ann Murphy 1 Pengcheng P Shao 1 Peter J Sinclair 1 Feng Ye 1 Revathi Katipally 1 Zhijian Lu 1 Debra Ondeyka 1 Yi-Heng Chen 1 Kake Zhao 1 Wanying Sun 1 Sriram Tyagarajan 1 Jianming Bao 1 Sheng-Ping Wang 1 Josee Cote 1 Concetta Lipardi 1 Daniel Metzger 1 Dennis Leung 1 Georgy Hartmann 1 Gordon K Wollenberg 1 Jian Liu 1 Lushi Tan 1 Yingju Xu 1 Qinghao Chen 1 Guiquan Liu 2 Robert O Blaustein 1 Douglas G Johns 1
Affiliations

Affiliations

  • 1 Merck & Co., Inc., 2000 Galloping Hill Rd., Kenilworth, New Jersey 07033, United States.
  • 2 WuXi AppTec, 90 Delin Rd., Waigaoqiao Free Trade Zone, Shanghai 200131, China.
Abstract

Cholesteryl ester transfer protein (CETP) represents one of the key regulators of the homeostasis of lipid particles, including high-density lipoprotein (HDL) and low-density lipoprotein (LDL) particles. Epidemiological evidence correlates increased HDL and decreased LDL to coronary heart disease (CHD) risk reduction. This relationship is consistent with a clinical outcomes trial of a CETP Inhibitor (anacetrapib) combined with standard of care (statin), which led to a 9% additional risk reduction compared to standard of care alone. We discuss here the discovery of MK-8262, a CETP Inhibitor with the potential for being the best-in-class molecule. Novel in vitro and in vivo paradigms were integrated to drug discovery to guide optimization informed by a critical understanding of key clinical adverse effect profiles. We present preclinical and clinical evidence of MK-8262 safety and efficacy by means of HDL increase and LDL reduction as biomarkers for reduced CHD risk.

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