PMID- 19507861 OWN - NLM STAT- MEDLINE DCOM- 20090812 LR - 20181201 IS - 1520-4804 (Electronic) IS - 0022-2623 (Linking) VI - 52 IP - 13 DP - 2009 Jul 9 TI - Discovery of (2R)-2-(3-3-[(4-Methoxyphenyl)carbonyl]-2-methyl-6-(trifluoromethoxy)-1H-indol-1-ylphenoxy)butanoic acid (MK-0533): a novel selective peroxisome proliferator-activated receptor gamma modulator for the treatment of type 2 diabetes mellitus with a reduced potential to increase plasma and extracellular fluid volume. PG - 3846-54 LID - 10.1021/jm900097m [doi] AB - Peroxisome proliferator-activated receptor gamma (PPARgamma) agonists are used to treat type 2 diabetes mellitus (T2DM). Widespread use of PPARgamma agonists has been prevented due to adverse effects including weight gain, edema, and increased risk of congestive heart failure. Selective PPARgamma modulators (SPPARgammaMs) have been identified that have antidiabetic efficacy and reduced toxicity in preclinical species. In comparison with PPARgamma full agonists, SPPARgammaM 6 (MK0533) displayed diminished maximal activity (partial agonism) in cell-based transcription activation assays and attenuated gene signatures in adipose tissue. Compound 6 exhibited comparable efficacy to rosiglitazone and pioglitazone in vivo. However, with regard to the induction of untoward events, 6 displayed no cardiac hypertrophy, attenuated increases in brown adipose tissue, minimal increases in plasma volume, and no increases in extracellular fluid volume in vivo. Further investigation of 6 is warranted to determine if the improvement in mechanism-based side effects observed in preclinical species will be recapitulated in humans. FAU - Acton, John J 3rd AU - Acton JJ 3rd AD - Merck Research Laboratories, Merck & Co., Inc., RY800-C114, Rahway, New Jersey 07065, USA. FAU - Akiyama, Taro E AU - Akiyama TE FAU - Chang, Ching H AU - Chang CH FAU - Colwell, Lawrence AU - Colwell L FAU - Debenham, Sheryl AU - Debenham S FAU - Doebber, Thomas AU - Doebber T FAU - Einstein, Monica AU - Einstein M FAU - Liu, Kun AU - Liu K FAU - McCann, Margaret E AU - McCann ME FAU - Moller, David E AU - Moller DE FAU - Muise, Eric S AU - Muise ES FAU - Tan, Yejun AU - Tan Y FAU - Thompson, John R AU - Thompson JR FAU - Wong, Kenny K AU - Wong KK FAU - Wu, Margaret AU - Wu M FAU - Xu, Libo AU - Xu L FAU - Meinke, Peter T AU - Meinke PT FAU - Berger, Joel P AU - Berger JP FAU - Wood, Harold B AU - Wood HB LA - eng PT - Journal Article PL - United States TA - J Med Chem JT - Journal of medicinal chemistry JID - 9716531 RN - 0 (Hypoglycemic Agents) RN - 0 (Indoles) RN - 0 (PPAR gamma) RN - 0 (Thiazolidinediones) RN - 05V02F2KDG (Rosiglitazone) RN - X4OV71U42S (Pioglitazone) SB - IM EIN - J Med Chem. 2013 Nov 27;56(22):9368. Tan, Yugen [corrected to Tan, Yejun] MH - Animals MH - Blood Volume/drug effects MH - Body Fluids/drug effects MH - Diabetes Mellitus, Type 2/*drug therapy MH - Dogs MH - Haplorhini MH - Humans MH - Hypoglycemic Agents/adverse effects/*pharmacokinetics/therapeutic use MH - Indoles/adverse effects/*pharmacokinetics/therapeutic use MH - PPAR gamma/*agonists MH - Pioglitazone MH - Rats MH - Rosiglitazone MH - Structure-Activity Relationship MH - Thiazolidinediones EDAT- 2009/06/11 09:00 MHDA- 2009/08/13 09:00 CRDT- 2009/06/11 09:00 PHST- 2009/06/11 09:00 [entrez] PHST- 2009/06/11 09:00 [pubmed] PHST- 2009/08/13 09:00 [medline] AID - 10.1021/jm900097m [doi] PST - ppublish SO - J Med Chem. 2009 Jul 9;52(13):3846-54. doi: 10.1021/jm900097m.