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| Other names | UK447841; UK-447,841 |
| Routes of administration | Oral [1] |
| Drug class | Neprilysin inhibitor |
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| Chemical and physical data | |
| Formula | C21H30ClNO4 |
| Molar mass | 395.92 g·mol−1 |
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UK-447841 is a neprilysin inhibitor (NEPI) which was under development for the treatment of female sexual dysfunction. [1] [2] [3] It is taken as-needed orally. [1] The drug is intended to work by inhibiting vasoactive intestinal peptide (VIP) hydrolysis by neprilysin (NEP). [3] However, neprilysin is also involved in the metabolism of more than 50 other hormones and neuropeptides, for instance oxytocin among others. [4] [5] UK-447841 was under development by Pfizer. [1] [2] It reached phase 2 clinical trials prior to the discontinuation of its development in 2008. [1] [2]
Recently selective inhibitors, such as UK414,495 (6) and UK-447,841 (7), were developed to inhibit VIP hydrolysis by hNEP, for the treatment of Female Sexual Arousal Disorder (FSAD).9 [...] Fig. 1 Structures of representative NEP inhibitors: 1 thiorphan (NEP selective), 2 omapatrilat (dual ACE/NEP inhibitor), 3 CGS 35601 (triple NEP/ACE/ECE inhibitor), 4 ilepatril (dual ACE/NEP inhibitor), 5 candoxatrilat (NEP selective), 6 UK-414,495 (NEP selective) and 7 UK447,841 (NEP selective).
NEPI affects the metabolism of various peptides, including amyloid peptides, corticotropin-releasing factor, luteinizing hormone-releasing hormone, oxytocin, and neurotensin (BayesGenis et al., 2016; Campbell, 2017). NEP plays a significant role in a variety of diseases affecting the natriuretic peptide system, the renin-angiotensin-aldosterone system (RAAS), and the kallikreinkinin system (Domenig et al., 2016; Ponikowski et al., 2016). Previous studies have confirmed that inhibiting NEP can elevate these peptides, Improving chronic heart failure treatment outcomes (Campbell, 2017).
Neprilysin has putative roles in the modulation of peptides implicated in the cardiovascular system and in other systems related to amyloid deposition, opioid receptor and pain processing, gastrointestinal processes, metabolism, sperm motility, and skin aging. There are more than 50 peptide targets of neprilysin, which include vasodilatory peptides such as natriuretic peptides, bradykinin, adrenomedullin, and substance P; vasoconstrictor peptides such as angiotensin I and II, endothelin, and neurotensin; and other peptides implicated in pathways related to amyloid deposition, pain sensorium, mood, gastrointestinal processes, and metabolism, such as amyloid beta (Aβ) peptide, enkephalins, endomorphins, corticotropin, neuropeptide Y, gastrin, cholecystokinin-8, somatostatin, glucagon, vasoactive intestinal peptide (VIP), and oxytocin, among others (Central Illustration). [...] Oxytocin, a neuropeptide produced by the hypothalamus and secreted by the posterior pituitary gland, also undergoes hydrolysis by neprilysin. The significance of elimination of the breakdown of these peptides is unclear.