CFTR Modulator Derivatives for Cystic Fibrosis Treatment

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Solution Overview

Problem

Current treatments for cystic fibrosis, particularly those targeting the CFTR protein, lack a cure and are limited in effectively addressing the underlying defects in the protein's function, leading to ongoing disease manifestations.

Innovation Solution

Development of N-(pyridin-2-ylsulfonyl)cyclopropanecarboxamide derivatives and their pharmaceutical compositions, which can be used alone or in combination with other therapeutic agents, to treat CFTR-mediated diseases by correcting the underlying defects in the CFTR protein function.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If current treatments for cystic fibrosis are used, then disease symptoms can be managed, but the underlying defects in CFTR protein function cannot be corrected

Engineering Contradiction:
Improveeffectiveness of treatmentVSAvoidongoing disease manifestations
Core Design Contradiction:
ReliabilityVSObject-generated harmful factors

Solution Approach 1:

The patent applies preliminary action by developing CFTR modulators that correct the underlying protein defects before disease symptoms manifest. The modulators work by restoring proper CFTR protein folding, processing, and function at the molecular level, preventing the cascade of cellular and tissue damage that leads to cystic fibrosis symptoms. This upstream intervention addresses the root cause rather than merely treating downstream effects.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent employs intermediary molecules (CFTR modulators) that act as mediators between the defective CFTR gene product and the desired functional outcome. These small molecule compounds bind to and stabilize specific conformations of the CFTR protein, facilitating proper folding and membrane trafficking. The modulators serve as chemical intermediaries that bridge the gap between the mutated protein structure and restored chloride channel function.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If CFTR correctors and potentiators are used, then the underlying CFTR defect can be corrected, but the complexity of the treatment regimen increases

Engineering Contradiction:
Improvecorrection of CFTR defectVSAvoidtreatment regimen complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent applies merging by combining multiple CFTR modulator activities into single compound molecules that can simultaneously perform correction and potentiation functions. The disclosed compounds are designed to exhibit both corrector activity (restoring protein folding and processing) and potentiator activity (enhancing channel function) within a single molecular entity, thereby simplifying the treatment approach while maintaining comprehensive therapeutic effect.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The patent implements universality by developing CFTR modulators with multi-functional capabilities. The compounds are designed to address multiple aspects of CFTR dysfunction simultaneously - including protein folding, membrane trafficking, and channel gating - making them versatile therapeutic agents that can be effective across different CFTR mutation types and disease manifestations, reducing the need for mutation-specific treatment protocols.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Data Source

PatentEP3897832B1N-(pyridin-2-ylsulfonyl)cyclopropanecarboxamide derivatives and their use in the treatment of a CFTR mediated disease
Publication Date: 2023.10.11 NOVARTIS AG
  • EP3897832B1 patent drawing
  • EP3897832B1 patent drawing
  • EP3897832B1 patent drawing

AI summary

The invention relates to heterocyclic compounds of the formula (I), in which all of the variables are as defined in the specification; capable of modulating the activity of CFTR. The invention further provides a method for manufacturing compounds of the invention, and its therapeutic uses. The invention further provides methods to their preparation, to their medical use, in particular to their use in the treatment and management of diseases or disorders including Cystic fibrosis and related disorders.