title: In vitro and in vivo pharmacology of CP-945,598, a potent and selective cannabinoid CB(1) receptor antagonist for the management of obesity.
abstract: Cannabinoid CB(1) receptor antagonists exhibit pharmacologic properties favorable for the treatment of metabolic disease. CP-945,598 (1-[9-(4-chlorophenyl)-8-(2-chlorophenyl)-9H-purin-6-yl]-4-ethylamino piperidine-4-carboxylic acid amide hydrochloride) is a recently discovered selective, high affinity, competitive CB(1) receptor antagonist that inhibits both basal and cannabinoid agonist-mediated CB(1) receptor signaling in vitro and in vivo. CP-945,598 exhibits sub-nanomolar potency at human CB(1) receptors in both binding (K(i)=0.7 nM) and functional assays (K(i)=0.2 nM). The compound has low affinity (K(i)=7600 nM) for human CB(2) receptors. In vivo, CP-945,598 reverses four cannabinoid agonist-mediated CNS-driven responses (hypo-locomotion, hypothermia, analgesia, and catalepsy) to a synthetic cannabinoid receptor agonist. CP-945,598 exhibits dose and concentration-dependent anorectic activity in two models of acute food intake in rodents, fast-induced re-feeding and spontaneous, nocturnal feeding. CP-945,598 also acutely stimulates energy expenditure in rats and decreases the respiratory quotient indicating a metabolic switch to increased fat oxidation. CP-945,598 at 10mg/kg promoted a 9%, vehicle adjusted weight loss in a 10 day weight loss study in diet-induced obese mice. Concentration/effect relationships combined with ex vivo brain CB(1) receptor occupancy data were used to evaluate efficacy in behavioral, food intake, and energy expenditure studies. Together, these in vitro, ex vivo, and in vivo data indicate that CP-945,598 is a novel CB(1) receptor competitive antagonist that may further our understanding of the endocannabinoid system.
authors.affiliation: Department of Cardiovascular, Metabolic and Endocrine Diseases, Pfizer Global Research and Development, Groton, CT 06340, USA. John.R.Hadcock@pfizer.com
authors.forename: John R
authors.initials: JR
authors.lastname: Hadcock
authors.forename: David A
authors.initials: DA
authors.lastname: Griffith
authors.forename: Phillip A
authors.initials: PA
authors.lastname: Iredale
authors.forename: Phillip A
authors.initials: PA
authors.lastname: Carpino
authors.forename: Robert L
authors.initials: RL
authors.lastname: Dow
authors.forename: Shawn C
authors.initials: SC
authors.lastname: Black
authors.forename: Rebecca
authors.initials: R
authors.lastname: O'Connor
authors.forename: Denise
authors.initials: D
authors.lastname: Gautreau
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Lizano
authors.forename: Karen
authors.initials: K
authors.lastname: Ward
authors.forename: Diane M
authors.initials: DM
authors.lastname: Hargrove
authors.forename: Dawn
authors.initials: D
authors.lastname: Kelly-Sullivan
authors.forename: Dennis O
authors.initials: DO
authors.lastname: Scott
mesh_terms: D000818:Animals; D019440:Anti-Obesity Agents / Q000494:pharmacology* / Q000627:therapeutic use; D001835:Body Weight / Q000187:drug effects; D002460:Cell Line; D004435:Eating / Q000187:drug effects; D006801:Humans; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D009765:Obesity / Q000188:drug therapy*; D010101:Oxygen Consumption; D010880:Piperidines / Q000494:pharmacology* / Q000627:therapeutic use; D011687:Purines / Q000494:pharmacology* / Q000627:therapeutic use; D051381:Rats; D017207:Rats, Sprague-Dawley; D043884:Receptor, Cannabinoid, CB1 / Q000037:antagonists & inhibitors*
chemical_list: C535235:1-(9-(4-chlorophenyl)-8-(2-chlorophenyl)-9H-purin-6-yl)-4-ethylaminopiperidine-4-carboxylic acid amide; D019440:Anti-Obesity Agents; D010880:Piperidines; D011687:Purines; D043884:Receptor, Cannabinoid, CB1