HOW PFIZER DEVELOPED THE COVID FIGHTING DRUG PAXLOVID
Modified
from a web article by Eurofins CDMO Alphora
“Pfizer started
their paxlovid study on March 13, 2020, when they sent medicinal chemist Dafydd Owen home
from his job at Pfizer in Cambridge, Massachusetts. His bosses asked him to
spend the weekend thinking about what resources he would need to lead a program
to develop an oral drug to fight the emerging pandemic. Owen had started
working at the company’s Sandwich, England, site in 1999 and moved to the US in
2011. For the prior decade, he says, his role has been to help pick targets for
medicinal chemistry programs. In this case, he didn’t have to pick the
target. Pfizer scientists knew they wanted to make an antiviral that would go
after the main protease (also known as the 3CL protease) of SARS-CoV-2—the
coronavirus that causes COVID-19. I
Inhibiting a viral
protease has been a successful strategy for developing drugs that fight HIV and
hepatitis C. In 2003, researchers at the
company had developed an antiviral, known as PF-00835231, that could block the
main protease of a coronavirus that emerged in 2002 and causes severe acute
respiratory syndrome (SARS). But by the time they were ready to test it in
patients, the SARS outbreak had been contained. PF-00835231 is structurally
similar to a peptide that binds within SARS’s main protease. That binding site
in SARS is identical to the one in SARS-CoV-2, so Pfizer researchers thought
the molecule could work against the new virus. Tests showed they were right. But the molecule was destroyed in the gut and
had to be administered intravenously. To make an orally viable drug the
chemists had to eliminate some of the hydrogen bond donors that keep
PF-00835231 in the gut.
They looked for “hydrogen bonds that we could get rid of without
losing antiviral potency.” They decided to replace that portion with a cyclic
amino acid that would eliminate an N–H bond. “Once you’ve made it cyclic, it
still has to look like leucine (an amino acid), because the protease is
expecting to see leucine at that position,” Owen says. To achieve leucine-like
binding, the motif also features a fused cyclopropyl ring with two methyl
groups. Computational studies suggested the structure would slot into the
binding site. And there was precedent for the motif: Schering-Plough scientists
had used it in the hepatitis C antiviral boceprevir.
“Making rings is kind of boom or bust in med chem,” Owen said.
“You either win big or you lose big, because you’re only sampling one
conformation when going to a cyclic molecule. So that conformation had better
be right, or else you’re going to end up with an inactive molecule.”
On July 22, 2020,
Pfizer chemists made PF-07321332—which would eventually be the active
ingredient in Paxlovid. Known as
nirmatrelvir it was just one of the 20 compounds we made that week,” Owen said.
“We didn’t know what we had then.”
The molecule
incorporated all the strategic tweaks the chemists had come up with to make it
both a potent antiviral and a compound that could be taken as a pill. On the morning
of September 1, 2020 the results of the pharmacokinetic study in rats came back
and the researchers knew they were on the right path.
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