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The antiemetic, pharmacokinetic, and metabolic profile of CP-99,994, a potent NK1 receptor antagonist, has been carefully evaluated. As a result we began a medicinal chemistry program which initially identified a 3-furanyl analogue (6) with improved antiemetic potency and a methyl sulfone (5) with enhanced metabolic stability and oral bioavailability. The improved pharmacokinetic profile of methyl sulfone (5) was associated with its low lipophilicity, and a therefore a number of heterocyclic analogues with reduced log D were synthesized. Out of this program emerged 19 (GR203040), a tetrazolyl-substituted analogue. Tetrazole 19 inhibits radiation-induced emesis in the ferret with high potency when administered both subcutaneously and orally, has a long duration of action, and has high oral bioavailability in the dog. Tetrazole 19 is currently undergoing evaluation as a novel approach for the control of emesis associated with, for example, cancer chemotherapy.

Original publication




Journal article


J Med Chem

Publication Date





4985 - 4992


Animals, Antiemetics, Biological Availability, CHO Cells, Cell Membrane, Cricetinae, Dogs, Female, Ferrets, Gerbillinae, Magnetic Resonance Spectroscopy, Male, Neurokinin-1 Receptor Antagonists, Piperidines, Tachykinins, Tetrazoles, Vomiting, Whole-Body Irradiation