Discovery and Optimization of Thienopyrazine RNA-Splicing Modulators for the Treatment of Huntington’s Disease

Huntington's disease (HD) is a progressive neurodegenerative disorder caused by a CAG-repeat expansion in the Huntington gene (HTT). Herein, we describe the discovery of a series of HTT pre-mRNA-splicing modulators that promote the inclusion of a cryptic stop codon that in turn lowers levels of mutant Huntington protein (mHTT). Optimization of the starting thienopyridine amide core resulted in the discovery of the potent, CNS-penetrant, selective, and orally bioavailable HTT-splicing modulator BIO-6553. This lead compound is structurally distinct from existing splicing modulators, demonstrated significant HTT-lowering in both human cells and mouse YAC128 models, and has an attractive off-target profile from RASL- and RNA-seq analysis.

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Publication Details

Journal
Journal of Medicinal Chemistry
Published
2026-03-17
DOI
https://doi.org/10.1021/acs.jmedchem.6c00224
Primary Topic
Genetic Neurodegenerative Diseases
Type
article
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article

Discovery and Optimization of Thienopyrazine RNA-Splicing Modulators for the Treatment of Huntington’s Disease

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Journal of Medicinal Chemistry
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Discovery and Optimization of Thienopyrazine RNA-Splicing Modulators for the Treatment of Huntington’s Disease

Chaofan Xu, Mukesh Lulla, Nupur Bansal, Soumya Negi, Dann Huh, Thomas M. Carlile, Emily A. Peterson, Guilherme J. Guimaraes, Jessica A. Hurt, Joonsung Lee, James Harvey, Marta Nevalainen, Philippe N. Bolduc, Andreas Weihofen, Rachelle Driscoll, Magnus Pfaffenbach, Christina M. Gallo, Patrick Cullen, David Smith, Neeta A. Abraham, Catherine L. Guardado, Thomas J. Purgett, Yulin Chen, Zain Yousaf, Kwang Soo Lee, Joseph C. Santoro, Sarah Huff, Eric Stefan, Zhen Gao, Melissa M. Kemp, Colin K. Choi
article en

Abstract

Huntington's disease (HD) is a progressive neurodegenerative disorder caused by a CAG-repeat expansion in the Huntington gene (HTT). Herein, we describe the discovery of a series of HTT pre-mRNA-splicing modulators that promote the inclusion of a cryptic stop codon that in turn lowers levels of mutant Huntington protein (mHTT). Optimization of the starting thienopyridine amide core resulted in the discovery of the potent, CNS-penetrant, selective, and orally bioavailable HTT-splicing modulator BIO-6553. This lead compound is structurally distinct from existing splicing modulators, demonstrated significant HTT-lowering in both human cells and mouse YAC128 models, and has an attractive off-target profile from RASL- and RNA-seq analysis.

Journal of Medicinal ChemistryVol. 69(6)
Translational Genomics Research Institute (US), Biogen (United States) (US), BioClinica (United States) (US), High Throughput Biology (United States) (US), Massachusetts Institute of Technology (US)
Openalex Percentile: Top 19%
Genetic Neurodegenerative Diseases
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