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VM-PCa-039Computational Validation

Project Epsilon

CNS-Sparing Oxo-Hydantoin AR Antagonists

Advanced Prostate Cancer (mCRPC, nmCRPC)Small Molecule
CNS-sparing with reduced DDI

Overview

Prostate cancer remains AR-dependent across disease stages. Enzalutamide-class AR antagonists are effective but cause CNS AEs (fatigue, cognitive effects, seizures) and strong CYP/PXR-mediated DDIs.

Unmet Medical Need

Clinical unmet need remains for potent AR antagonists that reduce CNS adverse events and minimize drug-drug interaction liability, which are well-recognized with enzalutamide.

Therapeutic Hypothesis

Redesign enzalutamide scaffold: Thiohydantoin → oxo-hydantoin (C=S→C=O) to increase polarity and reduce BBB penetration. Block N-dealkylation at the benzylic/tertiary amide nitrogen using N-CH₂F (C-F metabolic shield) or N-CD₃ to exploit primary KIE and reduce CYP-mediated clearance/induction.

Computational Work Performed

  • DiffDock (generative diffusion docking) for pose generation & confidence modeling
  • GROMACS 2020/2021 MD for complex stability sampling
  • ADMET-AI (Chemprop-RDKit ensemble) property prediction
  • ADMETlab 3.0 for orthogonal, large-panel property inference
  • CNS MPO and PSA/logP property tuning toward non-CNS space

Next Milestones (Success Criteria)

  • 1
    AR potency (biochemical + cellular) within 1-2× enzalutamide
  • 2
    MDR1 efflux ratio ≥~3 (brain-sparing proxy)
  • 3
    HLM metabolite ID showing N-dealkylation suppression
  • 4
    PXR TR-FRET: ≤~50% of enzalutamide's activity
  • 5
    Rat Kp,uu,brain ≤0.5 by brain microdialysis

Competitive Landscape

Enzalutamide/apalutamide: potent but CNS AEs and CYP induction. Darolutamide: low BBB penetration, fewer CNS AEs, different scaffold. Emerging AR NTD/DBD ligands and PROTACs seek to overcome resistance.

Key Differentiation

  • 'Darolutamide-like CNS safety' in an 'enzalutamide-class target profile'
  • Dual advantage: brain-sparing + metabolic/DDI de-risking via N-CH₂F / N-CD₃
  • Property-led design with mechanism-plus-DMPK differentiation

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