1. Academic Validation
  2. Discovery and Optimization of Potent and Subtype-Selective Urea-Derived NaV1.8 Inhibitors

Discovery and Optimization of Potent and Subtype-Selective Urea-Derived NaV1.8 Inhibitors

  • ACS Med Chem Lett. 2026 May 1;17(5):1179-1188. doi: 10.1021/acsmedchemlett.6c00130.
Clemens Dialer 1 Sebastian Krüger 1 Markus Wagener 1 Marcel Mülbaier 1 Sebastian Peil 1 Mauro Marigo 2 Silke Hagendorf 1 Lishuang Cao 3 Cesar Ramirez Molina 3 Paul Morgan 3 Clint Young 4 Lyn Rosenbrier Ribeiro 3 Inna Slynko 1 Stefanie Ritter 1 Monica Guberman 1 Manuela Hass 1 Sascha Klosky 1 Uta la Tendresse 1 Carsten Gussmann 1 Sven Kühnert 1 Stefanie Peters 1 Sara Reichardt-Ockenfeld 1 Hannah Depmeier 1 Florian Jakob 1
Affiliations

Affiliations

  • 1 Drug Discovery Engine, Grünenthal GmbH, Zieglerstr. 6, 52078 Aachen, Germany.
  • 2 Grünenthal Group, HQ, Zieglerstr. 6, 52078 Aachen, Germany.
  • 3 Drug Discovery Engine, Grunenthal Ltd, Saint Cloud Way, Maidenhead, Berkshire SL6 8BN, United Kingdom.
  • 4 Cambridge Innovation Center, GRT Therapeutics, Inc., 11th Floor, 1 Broadway, Cambridge, Massachusetts 02142, United States.
Abstract

Inhibitors of voltage-gated Sodium Channel 1.8 (NaV1.8) are anticipated to provide opioid-free treatment for acute pain and potentially chronic neuropathic pain. Herein, we report on the discovery of a novel series of NaV1.8 inhibitors characterized by high selectivity over Other sodium channels. Utilizing a pharmacophore model trained on literature data, we identified the initial hit compound 1 through virtual screening. During the hit-to-lead optimization phase, we improved the potency and clearance of the lead compounds. Structural modifications and control of lipophilicity and Other physicochemical parameters resulted in a favorable in vitro safety and drug-drug interaction profile for compound 24. Key to optimizing the clearance was the identification of a metabolic hotspot via metabolite identification (MetID) experiments. The lead compound 24 exhibited a long in vivo half-life and high exposure (K p,uu) in the pain-relevant target tissue (DRG) in rat PK studies. These findings highlight potential of these compounds for further optimization as nonopioid therapeutics.

Keywords

NaV1.8 inhibitor; SCN10A; nonopioid analgesics; selective sodium channel blocker; urea.

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