EP4 Agonist Pyrrolidine Carboxamides With Reduced Cardiovascular Risk

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Solution Overview

Problem

Current treatments for gastrointestinal and pulmonary disorders, such as chronic constipation, inflammatory bowel disease, asthma, and chronic obstructive pulmonary disease, often fail to provide complete and sustainable relief due to systemic side effects and lack of selectivity for EP4 receptors, which are key mediators of these conditions.

Innovation Solution

Development of novel pyrrolidine-2-carboxamide derivatives that act as selective EP4 receptor agonists, designed to modulate gastrointestinal and pulmonary functions without causing cardiovascular side effects by minimizing systemic distribution.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If non-selective prostaglandin treatments are used, then gastrointestinal and pulmonary disorders can be treated, but cardiovascular side effects occur and selectivity for EP4 receptors is lacking

Engineering Contradiction:
Improvetherapeutic effectivenessVSAvoidcardiovascular side effects
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent applies local quality by designing compounds with specific molecular structures (Formula I and Formula II) that selectively target EP4 receptors in the gastrointestinal and pulmonary systems. The compounds contain specific substituents (R1-R7 groups) that confer EP4 selectivity, allowing therapeutic action localized to EP4-mediated pathways without activating other prostaglandin receptors that cause cardiovascular effects.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The patent employs parameter changes by systematically varying molecular parameters (substituents at positions R1-R7, ring structures, stereochemistry) to optimize EP4 receptor binding affinity and selectivity. The compounds are designed with specific physicochemical properties (lipophilicity, hydrogen bonding capacity) that enable selective interaction with EP4 receptors while avoiding off-target effects.

Inventive Principle:
Principle #35Parameter changes

2Ease of operation

If current treatments are used, then symptoms can be managed, but complete and sustainable relief is not achieved

Engineering Contradiction:
Improvesymptom reliefVSAvoidsustainable relief
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The patent achieves continuous useful action through compounds that provide sustained EP4 receptor activation. The molecular structures are designed for optimal pharmacokinetic properties including appropriate half-life and bioavailability, ensuring continuous therapeutic effect without the need for frequent dosing adjustments or combination therapies.

Inventive Principle:
Principle #20Continuity of useful action

Solution Approach 2:

The patent replaces short-acting symptomatic relief with long-acting EP4 agonists that provide sustained therapeutic effect. The compounds are designed to maintain receptor activation over extended periods, eliminating the cycle of symptom recurrence and treatment interruption characteristic of conventional therapies.

Inventive Principle:
Principle #27Cheap short-living objects (Disposable)

3Adaptability or versatility

If EP4 selective agonists are developed, then gastrointestinal and pulmonary functions can be modulated, but cardiovascular side effects are reduced

Engineering Contradiction:
Improvereceptor selectivityVSAvoidcardiovascular toxicity
Core Design Contradiction:
Adaptability or versatilityVSObject-affected harmful factors

Solution Approach 1:

The patent applies local quality by designing compounds with specific molecular structures (Formula I and Formula II) that selectively target EP4 receptors in the gastrointestinal and pulmonary systems. The compounds contain specific substituents (R1-R7 groups) that confer EP4 selectivity, allowing therapeutic action localized to EP4-mediated pathways without activating other prostaglandin receptors that cause cardiovascular effects.

Inventive Principle:
Principle #3Local quality

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The compounds effectively treat gastrointestinal disorders like constipation and inflammatory bowel disease, and pulmonary disorders like asthma and chronic obstructive pulmonary disease, while reducing the risk of cardiovascular side effects.

Implementation Method 1

EP4 receptor signals through Gs and couples positively to adenylate cyclase to increase cAMP levels

Methodology Applied
Scientific EffectG protein coupled receptor signaling:

Implementation Method 2

EP4 receptor signals through Gs and couples positively to adenylate cyclase to increase cAMP levels

Methodology Applied
Scientific EffectAdenylate cyclase activation:

Implementation Method 3

These functions are mediated through coordinated ion transport via membrane bound transporters and channels localized on the apical and basolateral membrane of intestinal epithelial cells

Methodology Applied
Scientific EffectIon transport:

Implementation Method 4

PGE2 is a well-established secretagogue that may directly promote chloride secretion from intestinal epithelial cells

Methodology Applied
Scientific EffectChloride secretion:

Data Source

PatentUS20260042745A1Pyrrolidine-2-carboxamide derivatives as prostaglandin e2 receptor 4 (EP4) agonists for the treatment of gastrointestinal and pulmonary diseases
Publication Date: 2026.02.12 NXERA PHARMA UK LTD
  • US20260042745A1 patent drawing
  • US20260042745A1 patent drawing
  • US20260042745A1 patent drawing

AI summary

The present invention relates to compounds of formula I as prostaglandin E2 receptor 4 (EP4) agonists for use in methods of treatment of gastrointestinal and pulmonary diseases or disorders. The present disclosure provides exemplary compounds and pharmacological data.