Discovery of CHF-6523, an Inhaled Selective PI3K delta Inhibitor for the Treatment of Chronic Obstructive Pulmonary Disease.
Bruno, P., Pala, D., Micoli, A., Corsi, M., Accetta, A., Carzaniga, L., Ronchi, P., Fiorelli, C., Formica, M., Pizzirani, D., Mazzucato, R., Guariento, S., Bertolini, S., Martucci, C., Allen, A.D., Mileo, V., Capacchi, S., Gallo, P.M., Fioni, A., Xanxo Fernandez, S., Villetti, G., Puccini, P., Civelli, M., Guala, M., Retini, M., Martinelli, P., Visentini, F., Pavoni, V., Daldosso, M., Fontana, S., Biagetti, M., Capelli, A.M.(2025) J Med Chem 68: 2444-2465
- PubMed: 39635891 
- DOI: https://doi.org/10.1021/acs.jmedchem.4c02062
- Primary Citation of Related Structures:  
9GCF, 9GDI, 9GG9 - PubMed Abstract: 
The design of inhaled selective phosphatidylinositol 3-kinase delta (PI3Kδ) inhibitors for the treatment of inflammatory lung diseases was pursued. Knowledge-based design of a novel isocoumarin scaffold that was able to adopt a propeller-shape topology ensured the desired PI3Kδ selectivity. Achievement of low nanomolar cellular potencies through hinge binder group optimization, reduction of intrinsic permeability through head group optimization to extend lung retention, and screening of crystalline forms suitable for administration as dry powders culminated in the identification of compound 18 . This novel inhaled selective PI3Kδ inhibitor displayed durable anti-inflammatory activity in a disease-relevant rat model of Th-2-driven acute lung inflammation and safe in vitro and in vivo preclinical profiles. Therefore, compound 18 showed the appropriate discovery profile and was progressed to clinical trials in healthy volunteers and chronic obstructive pulmonary disease (COPD) patients as CHF-6523.
- Chiesi Farmaceutici S.p.A, Centro Ricerche, Largo Belloli 11/a, 43122 Parma, Italy.
Organizational Affiliation: