Piperidinyl-Indole Derivatives for Factor B Inhibition in IgA Nephropathy

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Solution Overview

Problem

Current treatments for IgA nephropathy (IgAN) do not effectively target the underlying complement pathway activation, particularly the alternative pathway, which contributes to disease progression.

Innovation Solution

The use of piperidinyl-indole derivatives, specifically compounds of Formula (I) or their pharmaceutically acceptable salts, to inhibit factor B and suppress the amplification of the complement system, thereby treating or preventing IgAN.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If current treatments for IgAN are used, then general symptom management is achieved, but the underlying complement pathway activation is not effectively targeted

Engineering Contradiction:
Improveeffectiveness of treatmentVSAvoidtargeting of complement pathway
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The patent applies parameter changes by introducing a novel molecular compound (piperidinyl-indole derivative) with specific chemical structure parameters that enable selective inhibition of factor B. This compound represents a significant parameter change from conventional treatments, achieving reliable targeting of the complement alternative pathway through its specific molecular properties and mechanism of action.

Inventive Principle:
Principle #35Parameter changes

2Reliability

If factor B inhibition is implemented, then complement system amplification is suppressed, but treatment specificity must be maintained

Engineering Contradiction:
Improvesuppression of complement amplificationVSAvoidpotential side effects
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent applies local quality by designing a compound with specific functional groups and molecular characteristics that confer selective affinity for factor B. The piperidinyl-indole structure contains specific local chemical properties (hydrophobic regions, hydrogen bonding capabilities, steric features) that enable selective binding to factor B while sparing other complement components, thus achieving reliable suppression of complement amplification with minimized harmful effects.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The piperidinyl-indole derivative acts as an intermediary molecule that mediates the inhibition between the therapeutic agent and factor B. This intermediary compound provides a controlled and specific interaction with factor B, allowing suppression of complement system amplification while maintaining treatment safety through its intermediate binding affinity and selective mechanism.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentEP4393545B1Novel uses of piperidinyl-indole derivatives
Publication Date: 2025.10.08 NOVARTIS AG
  • EP4393545B1 patent drawing
  • EP4393545B1 patent drawing
  • EP4393545B1 patent drawing

AI summary

The present invention relates to the novel use of certain piperidinyl-indole derivatives in the treatment of patients suffering from renal diseases or disorders, and in particular for the treatment of patients suffering from C3G (C3 glomerulopathy) and IgAN (IgA nephropathy).