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Discovery of BAF312 (Siponimod), a Potent and Selective S1P Receptor Modulator

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TLDR
A novel series of alkoxyimino derivatives as S1P1 agonists were discovered through de novo design using FTY720 as the chemical starting point, which has recently completed phase 2 clinical trials in patients with relapsing-remitting multiple sclerosis.
Abstract
A novel series of alkoxyimino derivatives as S1P1 agonists were discovered through de novo design using FTY720 as the chemical starting point. Extensive structure–activity relationship studies led to the discovery of (E)-1-(4-(1-(((4-cyclohexyl-3-(trifluoromethyl)benzyl)oxy)imino)ethyl)-2-ethylbenzyl)azetidine-3-carboxylic acid (32, BAF312, Siponimod), which has recently completed phase 2 clinical trials in patients with relapsing–remitting multiple sclerosis.

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Natural product and natural product derived drugs in clinical trials

TL;DR: The next few years will be critical for NP-driven lead discovery, and a concerted effort is required to identify new biologically active pharmacophores and to progress these and existing compounds through pre-clinical drug development into clinical trials.
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Can We Design a Nogo Receptor-Dependent Cellular Therapy to Target MS?

TL;DR: The current review outlines novel means to achieve neurorepair with biologicals that may be directed to sites of active demyelination and the Nogo-A receptor-dependent signaling mechanism, which has raised considerable interest in neurological disease paradigms.
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Fluorine-containing drugs approved by the FDA in 2019

TL;DR: Eleven new fluorine-containing FDA-approved drugs have been profiled and details of their discovery and preparation are discussed, including four examples of aromatic fluorine, three aromatic CF3 group, three aliphatic CF3 and one compound with aromaticCF3O group.
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Sphingosine 1-phosphate receptor modulation suppresses pathogenic astrocyte activation and chronic progressive CNS inflammation.

TL;DR: It is demonstrated that the sphingosine 1-phosphate receptor (S1PR) modulator fingolimod (FTY720) ameliorated chronic progressive experimental autoimmune encephalomyelitis in nonobese diabetic mice, an experimental model that resembles several aspects of SPMS, including neurodegeneration and disease progression driven by the innate immune response in the CNS.
References
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Journal ArticleDOI

Lymphocyte egress from thymus and peripheral lymphoid organs is dependent on S1P receptor 1

TL;DR: It is established that S1P1 is essential for lymphocyte recirculation and that it regulates egress from both thymus and peripheral lymphoid organs.
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Alteration of lymphocyte trafficking by sphingosine-1-phosphate receptor agonists.

TL;DR: It is shown that lymphocyte trafficking is altered by the lysophospholipid sphingosine-1-phosphate (S1P) and by a phosphoryl metabolites of the immunosuppressive agent FTY720.
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The immune modulator FTY720 targets sphingosine 1-phosphate receptors.

TL;DR: The results suggest that FTY720, after phosphorylation, acts through sphingosine 1-phosphate signaling pathways to modulate chemotactic responses and lymphocyte trafficking.
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Fingolimod (FTY720): discovery and development of an oral drug to treat multiple sclerosis

TL;DR: The discovery and development of fingolimod is described, which was approved by the US Food and Drug Administration in September 2010 as a first-line treatment for relapsing forms of multiple sclerosis, thereby becoming the first oral disease-modifying therapy to be approved for multiple sclerosis in the United States.
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Chemokines, sphingosine-1-phosphate, and cell migration in secondary lymphoid organs

TL;DR: The steps associated with the initiation of adaptive immune responses in secondary lymphoid organs are reviewed, highlighting the roles of chemokines and S1P.
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